rs200615848

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP6BS2

The NM_001110556.2(FLNA):​c.3995A>G​(p.Asp1332Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000237 in 1,209,514 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 91 hemizygotes in GnomAD. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.00017 ( 0 hom., 5 hem., cov: 25)
Exomes š‘“: 0.00024 ( 0 hom. 86 hem. )

Consequence

FLNA
NM_001110556.2 missense

Scores

2
10
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:6

Conservation

PhyloP100: 3.44
Variant links:
Genes affected
FLNA (HGNC:3754): (filamin A) The protein encoded by this gene is an actin-binding protein that crosslinks actin filaments and links actin filaments to membrane glycoproteins. The encoded protein is involved in remodeling the cytoskeleton to effect changes in cell shape and migration. This protein interacts with integrins, transmembrane receptor complexes, and second messengers. Defects in this gene are a cause of several syndromes, including periventricular nodular heterotopias (PVNH1, PVNH4), otopalatodigital syndromes (OPD1, OPD2), frontometaphyseal dysplasia (FMD), Melnick-Needles syndrome (MNS), and X-linked congenital idiopathic intestinal pseudoobstruction (CIIPX). Two transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP6
Variant X-154359631-T-C is Benign according to our data. Variant chrX-154359631-T-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 264534.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Benign=1, Uncertain_significance=1}.
BS2
High Hemizygotes in GnomAd4 at 5 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FLNANM_001110556.2 linkc.3995A>G p.Asp1332Gly missense_variant Exon 24 of 48 ENST00000369850.10 NP_001104026.1 P21333-1Q60FE5Q6NXF2
FLNANM_001456.4 linkc.3995A>G p.Asp1332Gly missense_variant Exon 24 of 47 NP_001447.2 P21333-2Q60FE5Q6NXF2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FLNAENST00000369850.10 linkc.3995A>G p.Asp1332Gly missense_variant Exon 24 of 48 1 NM_001110556.2 ENSP00000358866.3 P21333-1

Frequencies

GnomAD3 genomes
AF:
0.000169
AC:
19
AN:
112353
Hom.:
0
Cov.:
25
AF XY:
0.000145
AC XY:
5
AN XY:
34531
show subpopulations
Gnomad AFR
AF:
0.0000971
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000160
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000282
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000179
AC:
32
AN:
179170
Hom.:
0
AF XY:
0.000135
AC XY:
9
AN XY:
66504
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000366
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000390
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000244
AC:
268
AN:
1097161
Hom.:
0
Cov.:
34
AF XY:
0.000237
AC XY:
86
AN XY:
363147
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000311
Gnomad4 OTH exome
AF:
0.000109
GnomAD4 genome
AF:
0.000169
AC:
19
AN:
112353
Hom.:
0
Cov.:
25
AF XY:
0.000145
AC XY:
5
AN XY:
34531
show subpopulations
Gnomad4 AFR
AF:
0.0000971
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000160
Gnomad4 NFE
AF:
0.000282
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000274
Hom.:
4
Bravo
AF:
0.000136
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.00208
AC:
6
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000306
AC:
2
ExAC
AF:
0.000149
AC:
18
EpiCase
AF:
0.000436
EpiControl
AF:
0.000119

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:6
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
Mar 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

FLNA: PP2, BS2 -

May 28, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nov 13, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 25, 2022
Mayo Clinic Laboratories, Mayo Clinic
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

BS1, PP2 -

Aortic aneurysm, familial thoracic 2 Uncertain:1
May 17, 2016
Clinical Molecular Genetics Laboratory, Johns Hopkins All Children's Hospital
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Familial thoracic aortic aneurysm and aortic dissection Benign:1
Oct 01, 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. -

Melnick-Needles syndrome;C0265293:Frontometaphyseal dysplasia;C1844696:Oto-palato-digital syndrome, type II;C1848213:Heterotopia, periventricular, X-linked dominant Benign:1
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

FLNA-related disorder Benign:1
Dec 10, 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
0.29
BayesDel_addAF
Benign
-0.092
T
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.80
D;.;.;.;.
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.96
D;D;.;D;D
M_CAP
Uncertain
0.20
D
MetaRNN
Uncertain
0.50
D;D;D;D;D
MetaSVM
Uncertain
0.58
D
MutationAssessor
Benign
1.6
L;.;L;L;.
PrimateAI
Benign
0.48
T
PROVEAN
Uncertain
-4.3
D;.;D;D;.
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0070
D;.;D;D;.
Sift4G
Uncertain
0.024
D;D;D;D;T
Polyphen
0.86
P;.;P;P;.
Vest4
0.59
MVP
0.97
MPC
0.75
ClinPred
0.21
T
GERP RS
5.3
Varity_R
0.64
gMVP
0.72

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.13
Details are displayed if max score is > 0.2

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

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs200615848; hg19: chrX-153587999; API