rs28935498

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_004463.3(FGD1):​c.935C>T​(p.Pro312Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000762 in 1,208,125 control chromosomes in the GnomAD database, including 1 homozygotes. There are 293 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00037 ( 0 hom., 11 hem., cov: 23)
Exomes 𝑓: 0.00080 ( 1 hom. 282 hem. )

Consequence

FGD1
NM_004463.3 missense

Scores

6
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:9

Conservation

PhyloP100: 2.02

Publications

11 publications found
Variant links:
Genes affected
FGD1 (HGNC:3663): (FYVE, RhoGEF and PH domain containing 1) This gene encodes a protein that contains Dbl (DH) and pleckstrin (PH) homology domains and is similar to the Rho family of small GTP-binding proteins. The encoded protein specifically binds to the Rho family GTPase Cdc42Hs and can stimulate the GDP-GTP exchange of the isoprenylated form of Cdc42Hs. It also stimulates the mitogen activated protein kinase cascade leading to c-Jun kinase SAPK/JNK1 activation. Defects in this gene are the cause of the faciogenital dysplasia in Aarskog-Scott syndrome and a syndromatic form of X-linked cognitive disability. [provided by RefSeq, Jul 2017]
FGD1 Gene-Disease associations (from GenCC):
  • Aarskog-Scott syndrome, X-linked
    Inheritance: AD, XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), G2P, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

BP4
Computational evidence support a benign effect (MetaRNN=0.07815245).
BP6
Variant X-54470182-G-A is Benign according to our data. Variant chrX-54470182-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 10828.
BS2
High AC in GnomAd4 at 41 AD,XL gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FGD1NM_004463.3 linkc.935C>T p.Pro312Leu missense_variant Exon 4 of 18 ENST00000375135.4 NP_004454.2 P98174A0A024R9Y5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FGD1ENST00000375135.4 linkc.935C>T p.Pro312Leu missense_variant Exon 4 of 18 1 NM_004463.3 ENSP00000364277.3 P98174

Frequencies

GnomAD3 genomes
AF:
0.000357
AC:
40
AN:
112151
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000129
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000942
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:
0.000621
Gnomad OTH
AF:
0.00132
GnomAD2 exomes
AF:
0.000314
AC:
55
AN:
175104
AF XY:
0.000295
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000697
Gnomad OTH exome
AF:
0.000230
GnomAD4 exome
AF:
0.000803
AC:
880
AN:
1095919
Hom.:
1
Cov.:
33
AF XY:
0.000780
AC XY:
282
AN XY:
361441
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26378
American (AMR)
AF:
0.00
AC:
0
AN:
35018
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19314
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30153
South Asian (SAS)
AF:
0.00
AC:
0
AN:
53614
European-Finnish (FIN)
AF:
0.0000496
AC:
2
AN:
40350
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4127
European-Non Finnish (NFE)
AF:
0.00101
AC:
849
AN:
840981
Other (OTH)
AF:
0.000631
AC:
29
AN:
45984
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
42
84
126
168
210
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
34
68
102
136
170
<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:
0.000365
AC:
41
AN:
112206
Hom.:
0
Cov.:
23
AF XY:
0.000320
AC XY:
11
AN XY:
34370
show subpopulations
African (AFR)
AF:
0.000129
AC:
4
AN:
30965
American (AMR)
AF:
0.0000940
AC:
1
AN:
10634
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2644
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3537
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2637
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6202
Middle Eastern (MID)
AF:
0.00467
AC:
1
AN:
214
European-Non Finnish (NFE)
AF:
0.000621
AC:
33
AN:
53155
Other (OTH)
AF:
0.00130
AC:
2
AN:
1539
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.527
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.000347
Hom.:
2
Bravo
AF:
0.000397
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00104
AC:
7
ExAC
AF:
0.000338
AC:
41

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:9
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:5
Dec 14, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

FGD1: BS2 -

Apr 19, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Aarskog syndrome Uncertain:1Benign:1
Feb 01, 2002
OMIM
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:literature only

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
Sep 23, 2015
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.P312L variant (also known as c.935C>T), located in coding exon 4 of the FGD1 gene, results from a C to T substitution at nucleotide position 935. The proline at codon 312 is replaced by leucine, an amino acid with similar properties. This variant was observed to co-segregate with disease in three affected male full siblings with intellectual disability, severe speech delays, macrocephaly, antitragus, open mouth, high arched palate, and short stature; one affected sibling was diagnosed with shawl scrotum and cryptorchidism. The alteration was observed to be maternally inherited and was absent in two healthy maternal uncles (providing a LOD score of 0.9). This alteration was absent out of 300 X chromosomes from controls, 204 males and 48 females (Lebel, RR et al. Clin Genet 2002;61:139-145). This variant was previously reported in the SNPDatabase as rs28935498. Based on data from the 1000 Genomes Project, the T allele has an overall frequency of approximately 0% (0/503) total male alleles studied. Based on data from the NHLBI Exome Sequencing Project (ESP), the T allele has an overall frequency of approximately 0.08% (2/2440) total male alleles studied and 0.11% (2/1870) European American male alleles. This alteration occurs within the proline rich domain (PRD) at the N-terminus of the protein which is speculated to play a crucial role in the temporally and spatially regulated activation of the FGD1 protein (Genot, E et al. J Cell Sci 2012;125:3265-70, Oshima, T et al. Biol Pharm Bull 2011;34:54-60). Utilization of in silico analysis tools for secondary structure effect by Lebel et al 2002, predicted that a beta-turn in the protein structure is eliminated by this substitution and results in a two-fold increased lengthening of this coil region. Authors speculate that this beta-turn may serve as a linker between two domains of the protein, which may affect the orientations of an SH3 (Src homology 3) binding domain and the first structural conserved region. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since clinical data on this variant is limited at this time, its clinical significance is unclear. -

Russell-Silver syndrome Benign:1
Sep 11, 2019
Cambridge Genomics Laboratory, East Genomic Laboratory Hub, NHS Genomic Medicine Service
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

FGD1-related disorder Benign:1
Dec 21, 2023
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). -

Intellectual disability Benign:1
Jan 01, 2019
Centre de Biologie Pathologie Génétique, Centre Hospitalier Universitaire de Lille
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.072
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.74
T
M_CAP
Benign
0.057
D
MetaRNN
Benign
0.078
T
MetaSVM
Benign
-0.77
T
MutationAssessor
Benign
0.69
N
PhyloP100
2.0
PrimateAI
Uncertain
0.54
T
PROVEAN
Uncertain
-3.3
D
REVEL
Uncertain
0.39
Sift
Benign
0.055
T
Sift4G
Uncertain
0.057
T
Polyphen
0.0
B
Vest4
0.12
MVP
0.94
MPC
0.31
ClinPred
0.053
T
GERP RS
3.8
Varity_R
0.20
gMVP
0.64
Mutation Taster
=96/4
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs28935498; hg19: chrX-54496615; API