rs281865460

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 1P and 8B. PP2BP4_StrongBS2

The NM_001453.3(FOXC1):​c.1267G>A​(p.Ala423Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000618 in 1,456,020 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000031 ( 1 hom. )

Consequence

FOXC1
NM_001453.3 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.958

Publications

1 publications found
Variant links:
Genes affected
FOXC1 (HGNC:3800): (forkhead box C1) This gene belongs to the forkhead family of transcription factors which is characterized by a distinct DNA-binding forkhead domain. The specific function of this gene has not yet been determined; however, it has been shown to play a role in the regulation of embryonic and ocular development. Mutations in this gene cause various glaucoma phenotypes including primary congenital glaucoma, autosomal dominant iridogoniodysgenesis anomaly, and Axenfeld-Rieger anomaly. [provided by RefSeq, Jul 2008]
FOXC1 Gene-Disease associations (from GenCC):
  • anterior segment dysgenesis 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
  • Axenfeld-Rieger syndrome type 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • aniridia
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • Axenfeld anomaly
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Axenfeld-Rieger syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • isolated aniridia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Peters anomaly
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Rieger anomaly
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 31 curated pathogenic missense variants (we use a threshold of 10). The gene has 5 curated benign missense variants. Trascript score misZ: -3.6526 (below the threshold of 3.09). GenCC associations: The gene is linked to Rieger anomaly, Axenfeld-Rieger syndrome type 3, anterior segment dysgenesis 3, isolated aniridia, Axenfeld-Rieger syndrome, Axenfeld anomaly, aniridia, Peters anomaly.
BP4
Computational evidence support a benign effect (MetaRNN=0.030496776).
BS2
High AC in GnomAd4 at 5 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001453.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXC1
NM_001453.3
MANE Select
c.1267G>Ap.Ala423Thr
missense
Exon 1 of 1NP_001444.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FOXC1
ENST00000645831.2
MANE Select
c.1267G>Ap.Ala423Thr
missense
Exon 1 of 1ENSP00000493906.1

Frequencies

GnomAD3 genomes
AF:
0.0000331
AC:
5
AN:
151050
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000307
AC:
4
AN:
1304872
Hom.:
1
Cov.:
33
AF XY:
0.00000622
AC XY:
4
AN XY:
643462
show subpopulations
African (AFR)
AF:
0.000152
AC:
4
AN:
26260
American (AMR)
AF:
0.00
AC:
0
AN:
24196
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22622
East Asian (EAS)
AF:
0.00
AC:
0
AN:
27926
South Asian (SAS)
AF:
0.00
AC:
0
AN:
70700
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
32436
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4384
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1042460
Other (OTH)
AF:
0.00
AC:
0
AN:
53888
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
AF:
0.0000331
AC:
5
AN:
151148
Hom.:
0
Cov.:
32
AF XY:
0.0000677
AC XY:
5
AN XY:
73876
show subpopulations
African (AFR)
AF:
0.000121
AC:
5
AN:
41298
American (AMR)
AF:
0.00
AC:
0
AN:
15228
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3462
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5104
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4794
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10336
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
290
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67638
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.515
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

Genome Het
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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Axenfeld-Rieger syndrome type 3 (1)
-
1
-
Axenfeld-Rieger syndrome type 3;C5975707:Anterior segment dysgenesis 3 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.77
CADD
Benign
14
DANN
Benign
0.97
DEOGEN2
Benign
0.25
T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.024
N
LIST_S2
Benign
0.46
T
M_CAP
Benign
0.058
D
MetaRNN
Benign
0.030
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.18
N
PhyloP100
0.96
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
0.080
N
REVEL
Benign
0.042
Sift
Benign
0.42
T
Sift4G
Benign
0.53
T
Polyphen
0.0040
B
Vest4
0.019
MutPred
0.20
Gain of phosphorylation at A423 (P = 0.0102)
MVP
0.14
ClinPred
0.13
T
GERP RS
1.8
Varity_R
0.047
gMVP
0.13
Mutation Taster
=94/6
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: rs281865460; hg19: chr6-1611947; API