rs28937885

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 3P and 2B. PP2PP3_ModerateBP6BS2_Supporting

The NM_023067.4(FOXL2):​c.772T>A​(p.Tyr258Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000709 in 1,409,958 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000071 ( 0 hom. )

Consequence

FOXL2
NM_023067.4 missense

Scores

6
6
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1B:1

Conservation

PhyloP100: 1.83

Publications

10 publications found
Variant links:
Genes affected
FOXL2 (HGNC:1092): (forkhead box L2) This gene encodes a forkhead transcription factor. The protein contains a fork-head DNA-binding domain and may play a role in ovarian development and function. Expansion of a polyalanine repeat region and other mutations in this gene are a cause of blepharophimosis syndrome and premature ovarian failure 3. [provided by RefSeq, Jul 2016]
FOXL2 Gene-Disease associations (from GenCC):
  • blepharophimosis, ptosis, and epicanthus inversus syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • premature ovarian failure 3
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 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 3 curated benign missense variants. Trascript score misZ: -0.80149 (below the threshold of 3.09). GenCC associations: The gene is linked to blepharophimosis, ptosis, and epicanthus inversus syndrome, premature ovarian failure 3.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.867
BP6
Variant 3-138945951-A-T is Benign according to our data. Variant chr3-138945951-A-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 4869.
BS2
High AC in GnomAdExome4 at 9 AD,Unknown gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FOXL2NM_023067.4 linkc.772T>A p.Tyr258Asn missense_variant Exon 1 of 1 ENST00000648323.1 NP_075555.1 P58012Q53ZD3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FOXL2ENST00000648323.1 linkc.772T>A p.Tyr258Asn missense_variant Exon 1 of 1 NM_023067.4 ENSP00000497217.1 P58012

Frequencies

GnomAD3 genomes
AF:
0.00000663
AC:
1
AN:
150844
Hom.:
0
Cov.:
32
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:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000131
AC:
1
AN:
76242
AF XY:
0.0000223
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:
0.0000239
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000715
AC:
9
AN:
1259114
Hom.:
0
Cov.:
32
AF XY:
0.0000129
AC XY:
8
AN XY:
617976
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25246
American (AMR)
AF:
0.00
AC:
0
AN:
17820
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18134
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30204
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54786
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31014
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3664
European-Non Finnish (NFE)
AF:
0.00000682
AC:
7
AN:
1026750
Other (OTH)
AF:
0.0000388
AC:
2
AN:
51496
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00000663
AC:
1
AN:
150844
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
73678
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41058
American (AMR)
AF:
0.00
AC:
0
AN:
15210
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3458
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5060
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4808
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10270
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67690
Other (OTH)
AF:
0.00
AC:
0
AN:
2070
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000919
AC:
1

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Premature ovarian failure 3 Pathogenic:1
Aug 01, 2002
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Blepharophimosis, ptosis, and epicanthus inversus syndrome Uncertain:1
May 28, 2019
Mendelics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Oct 14, 2024
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
AlphaMissense
Pathogenic
0.68
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Uncertain
0.050
CADD
Uncertain
24
DANN
Benign
0.96
DEOGEN2
Benign
0.36
T;T
Eigen
Uncertain
0.20
Eigen_PC
Benign
0.065
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.91
.;D
M_CAP
Pathogenic
0.80
D
MetaRNN
Pathogenic
0.87
D;D
MetaSVM
Uncertain
0.74
D
MutationAssessor
Benign
1.3
L;L
PhyloP100
1.8
PrimateAI
Pathogenic
0.93
D
PROVEAN
Benign
-0.74
.;N
REVEL
Uncertain
0.61
Sift
Pathogenic
0.0
.;D
Sift4G
Benign
0.10
.;T
Polyphen
1.0
D;D
Vest4
0.75
MutPred
0.77
Loss of phosphorylation at Y258 (P = 0.0085);Loss of phosphorylation at Y258 (P = 0.0085);
MVP
0.93
ClinPred
0.27
T
GERP RS
2.2
Varity_R
0.38
gMVP
0.70
Mutation Taster
=26/74
disease causing

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: rs28937885; hg19: chr3-138664793; API