rs200626788

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4BP6_Very_StrongBP7BS2

The NM_001110556.2(FLNA):​c.237G>T​(p.Ala79Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000639 in 1,094,751 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A79A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000088 ( 0 hom., 0 hem., cov: 25)
Exomes 𝑓: 0.0000064 ( 0 hom. 2 hem. )
Failed GnomAD Quality Control

Consequence

FLNA
NM_001110556.2 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.800

Publications

1 publications found
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]
FLNA Gene-Disease associations (from GenCC):
  • periventricular nodular heterotopia
    Inheritance: AD, XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • frontometaphyseal dysplasia 1
    Inheritance: XL Classification: DEFINITIVE Submitted by: G2P
  • genetic developmental and epileptic encephalopathy
    Inheritance: XL Classification: DEFINITIVE Submitted by: G2P
  • heterotopia, periventricular, X-linked dominant
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae), Illumina
  • intestinal pseudoobstruction, neuronal, chronic idiopathic, X-linked
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • Melnick-Needles syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae)
  • otopalatodigital syndrome type 2
    Inheritance: XL Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, G2P, Labcorp Genetics (formerly Invitae)
  • terminal osseous dysplasia-pigmentary defects syndrome
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae)
  • cardiac valvular dysplasia, X-linked
    Inheritance: XL Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • frontometaphyseal dysplasia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital short bowel syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • otopalatodigital syndrome type 1
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • X-linked Ehlers-Danlos syndrome
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • familial thoracic aortic aneurysm and aortic dissection
    Inheritance: XL Classification: LIMITED Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.18).
BP6
Variant X-154371009-C-A is Benign according to our data. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154371009-C-A is described in CliVar as Likely_benign. Clinvar id is 761585.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.8 with no splicing effect.
BS2
High Hemizygotes in GnomAdExome4 at 2 XL,AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FLNANM_001110556.2 linkc.237G>T p.Ala79Ala synonymous_variant Exon 2 of 48 ENST00000369850.10 NP_001104026.1 P21333-1Q60FE5Q6NXF2
FLNANM_001456.4 linkc.237G>T p.Ala79Ala synonymous_variant Exon 2 of 47 NP_001447.2 P21333-2Q60FE5Q6NXF2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FLNAENST00000369850.10 linkc.237G>T p.Ala79Ala synonymous_variant Exon 2 of 48 1 NM_001110556.2 ENSP00000358866.3 P21333-1

Frequencies

GnomAD3 genomes
AF:
0.00000883
AC:
1
AN:
113264
Hom.:
0
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000187
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000639
AC:
7
AN:
1094751
Hom.:
0
Cov.:
32
AF XY:
0.00000555
AC XY:
2
AN XY:
360599
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26353
American (AMR)
AF:
0.00
AC:
0
AN:
34933
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19346
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30051
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53639
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39785
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4131
European-Non Finnish (NFE)
AF:
0.00000833
AC:
7
AN:
840550
Other (OTH)
AF:
0.00
AC:
0
AN:
45963
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.415
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000883
AC:
1
AN:
113264
Hom.:
0
Cov.:
25
AF XY:
0.00
AC XY:
0
AN XY:
35404
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
31245
American (AMR)
AF:
0.00
AC:
0
AN:
10852
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2661
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3604
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2781
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6332
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.0000187
AC:
1
AN:
53335
Other (OTH)
AF:
0.00
AC:
0
AN:
1529
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.325
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
1
Bravo
AF:
0.00000378

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Familial thoracic aortic aneurysm and aortic dissection Benign:1
Mar 16, 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
Nov 04, 2020
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.18
CADD
Benign
12
DANN
Benign
0.93
PhyloP100
-0.80
PromoterAI
-0.011
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8

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: rs200626788; hg19: chrX-153599377; API