rs190382829

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_020223.4(FAM20C):​c.252C>A​(p.Asn84Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000326 in 1,462,000 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. N84S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0018 ( 2 hom., cov: 33)
Exomes 𝑓: 0.00016 ( 1 hom. )

Consequence

FAM20C
NM_020223.4 missense

Scores

2
3
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:2

Conservation

PhyloP100: 0.564

Publications

0 publications found
Variant links:
Genes affected
FAM20C (HGNC:22140): (FAM20C golgi associated secretory pathway kinase) This gene encodes a member of the family of secreted protein kinases. The encoded protein binds calcium and phosphorylates proteins involved in bone mineralization. Mutations in this gene are associated with the autosomal recessive disorder Raine syndrome. [provided by RefSeq, Apr 2014]
FAM20C Gene-Disease associations (from GenCC):
  • lethal osteosclerotic bone dysplasia
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Genomics England PanelApp, Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005661905).
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00176 (267/151432) while in subpopulation AFR AF = 0.00603 (250/41484). AF 95% confidence interval is 0.00541. There are 2 homozygotes in GnomAd4. There are 127 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FAM20CNM_020223.4 linkc.252C>A p.Asn84Lys missense_variant Exon 1 of 10 ENST00000313766.6 NP_064608.2 Q8IXL6-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FAM20CENST00000313766.6 linkc.252C>A p.Asn84Lys missense_variant Exon 1 of 10 1 NM_020223.4 ENSP00000322323.5 Q8IXL6-1

Frequencies

GnomAD3 genomes
AF:
0.00176
AC:
267
AN:
151324
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00604
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000790
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000148
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.0000824
AC:
8
AN:
97108
AF XY:
0.0000741
show subpopulations
Gnomad AFR exome
AF:
0.00462
Gnomad AMR exome
AF:
0.0000570
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000160
AC:
210
AN:
1310568
Hom.:
1
Cov.:
31
AF XY:
0.000139
AC XY:
90
AN XY:
646160
show subpopulations
African (AFR)
AF:
0.00696
AC:
183
AN:
26300
American (AMR)
AF:
0.000178
AC:
5
AN:
28060
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22148
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27082
South Asian (SAS)
AF:
0.0000140
AC:
1
AN:
71192
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
45958
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4934
European-Non Finnish (NFE)
AF:
0.00000581
AC:
6
AN:
1031898
Other (OTH)
AF:
0.000283
AC:
15
AN:
52996
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
12
24
37
49
61
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00176
AC:
267
AN:
151432
Hom.:
2
Cov.:
33
AF XY:
0.00172
AC XY:
127
AN XY:
74018
show subpopulations
African (AFR)
AF:
0.00603
AC:
250
AN:
41484
American (AMR)
AF:
0.000789
AC:
12
AN:
15218
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3464
East Asian (EAS)
AF:
0.000195
AC:
1
AN:
5134
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10240
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67758
Other (OTH)
AF:
0.00143
AC:
3
AN:
2102
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
13
26
39
52
65
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000690
Hom.:
0
Bravo
AF:
0.00194
ExAC
AF:
0.000143
AC:
3

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:4Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:4
Jun 04, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 14, 2017
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Oct 07, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces asparagine, which is neutral and polar, with lysine, which is basic and polar, at codon 84 of the FAM20C protein (p.Asn84Lys). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with FAM20C-related conditions. ClinVar contains an entry for this variant (Variation ID: 235432). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Inborn genetic diseases Benign:1
Oct 09, 2024
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

FAM20C-related disorder Benign:1
Jul 29, 2019
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0083
T
Eigen
Benign
0.048
Eigen_PC
Benign
0.094
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.81
T
M_CAP
Pathogenic
0.91
D
MetaRNN
Benign
0.0057
T
MetaSVM
Benign
-0.36
T
PhyloP100
0.56
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
-2.3
N
REVEL
Uncertain
0.29
Sift
Benign
0.071
T
Sift4G
Benign
0.12
T
Polyphen
0.61
P
Vest4
0.23
MutPred
0.25
Gain of ubiquitination at N84 (P = 0.0128);
MVP
0.41
MPC
0.55
ClinPred
0.057
T
GERP RS
3.6
Varity_R
0.27
gMVP
0.49
Mutation Taster
=76/24
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs190382829; hg19: chr7-193451; API