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rs201173693

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_001110556.2(FLNA):​c.1176G>A​(p.Glu392=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00688 in 1,211,157 control chromosomes in the GnomAD database, including 31 homozygotes. There are 2,596 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0043 ( 1 hom., 124 hem., cov: 25)
Exomes 𝑓: 0.0071 ( 30 hom. 2472 hem. )

Consequence

FLNA
NM_001110556.2 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: 1.77
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.65).
BP6
Variant X-154366360-C-T is Benign according to our data. Variant chrX-154366360-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 129065.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154366360-C-T is described in Lovd as [Benign]. Variant chrX-154366360-C-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=1.77 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00434 (491/113063) while in subpopulation NFE AF= 0.00761 (406/53329). AF 95% confidence interval is 0.007. There are 1 homozygotes in gnomad4. There are 124 alleles in male gnomad4 subpopulation. Median coverage is 25. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 124 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FLNANM_001110556.2 linkuse as main transcriptc.1176G>A p.Glu392= synonymous_variant 8/48 ENST00000369850.10
FLNANM_001456.4 linkuse as main transcriptc.1176G>A p.Glu392= synonymous_variant 8/47

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FLNAENST00000369850.10 linkuse as main transcriptc.1176G>A p.Glu392= synonymous_variant 8/481 NM_001110556.2 P21333-1

Frequencies

GnomAD3 genomes
AF:
0.00434
AC:
491
AN:
113009
Hom.:
1
Cov.:
25
AF XY:
0.00353
AC XY:
124
AN XY:
35151
show subpopulations
Gnomad AFR
AF:
0.000804
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00176
Gnomad ASJ
AF:
0.0113
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000717
Gnomad FIN
AF:
0.000635
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00761
Gnomad OTH
AF:
0.00328
GnomAD3 exomes
AF:
0.00436
AC:
792
AN:
181502
Hom.:
1
AF XY:
0.00416
AC XY:
281
AN XY:
67584
show subpopulations
Gnomad AFR exome
AF:
0.00113
Gnomad AMR exome
AF:
0.00263
Gnomad ASJ exome
AF:
0.00790
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00110
Gnomad FIN exome
AF:
0.00214
Gnomad NFE exome
AF:
0.00697
Gnomad OTH exome
AF:
0.00561
GnomAD4 exome
AF:
0.00714
AC:
7845
AN:
1098094
Hom.:
30
Cov.:
33
AF XY:
0.00680
AC XY:
2472
AN XY:
363492
show subpopulations
Gnomad4 AFR exome
AF:
0.000644
Gnomad4 AMR exome
AF:
0.00239
Gnomad4 ASJ exome
AF:
0.00882
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00155
Gnomad4 FIN exome
AF:
0.00245
Gnomad4 NFE exome
AF:
0.00851
Gnomad4 OTH exome
AF:
0.00482
GnomAD4 genome
AF:
0.00434
AC:
491
AN:
113063
Hom.:
1
Cov.:
25
AF XY:
0.00352
AC XY:
124
AN XY:
35215
show subpopulations
Gnomad4 AFR
AF:
0.000802
Gnomad4 AMR
AF:
0.00176
Gnomad4 ASJ
AF:
0.0113
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000719
Gnomad4 FIN
AF:
0.000635
Gnomad4 NFE
AF:
0.00761
Gnomad4 OTH
AF:
0.00324
Alfa
AF:
0.00582
Hom.:
52
Bravo
AF:
0.00445
EpiCase
AF:
0.00671
EpiControl
AF:
0.00640

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
Benign, criteria provided, single submitterclinical testingGeneDxAug 26, 2014This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Nov 10, 2014- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpAug 24, 2023- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, criteria provided, single submitterclinical testingClaritas GenomicsMar 29, 2013- -
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoNov 25, 2013- -
not provided Benign:3
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesSep 05, 2023- -
Likely benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Familial thoracic aortic aneurysm and aortic dissection Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsFeb 18, 2015This 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
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
Melnick-Needles syndrome;C0262436:Cardiac valvular dysplasia, X-linked;C0265251:Oto-palato-digital syndrome, type I;C1844696:Oto-palato-digital syndrome, type II;C1845902:FG syndrome 2;C1846129:Terminal osseous dysplasia-pigmentary defects syndrome;C1848213:Heterotopia, periventricular, X-linked dominant;C2746068:Intestinal pseudoobstruction, neuronal, chronic idiopathic, X-linked;C4281559:Frontometaphyseal dysplasia 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsSep 14, 2021- -
Connective tissue disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingCenter for Human Genetics, Inc, Center for Human Genetics, IncNov 01, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.65
CADD
Benign
7.6
DANN
Benign
0.41

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

LitVar

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

Other links and lift over

dbSNP: rs201173693; hg19: chrX-153594728; API