rs375343071

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_173728.4(ARHGEF15):​c.266C>A​(p.Thr89Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000692 in 1,560,656 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. T89T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00015 ( 0 hom., cov: 28)
Exomes 𝑓: 0.000060 ( 3 hom. )

Consequence

ARHGEF15
NM_173728.4 missense

Scores

1
17

Clinical Significance

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

Conservation

PhyloP100: 0.145

Publications

0 publications found
Variant links:
Genes affected
ARHGEF15 (HGNC:15590): (Rho guanine nucleotide exchange factor 15) Rho GTPases play a fundamental role in numerous cellular processes that are initiated by extracellular stimuli that work through G protein-coupled receptors. This gene encodes a protein that functions as a specific guanine nucleotide exchange factor for RhoA. It also interacts with ephrin A4 in vascular smooth muscle cells. Two alternatively spliced transcripts variants that encode the same protein have been found for this gene. [provided by RefSeq, Aug 2010]
ARHGEF15 Gene-Disease associations (from GenCC):
  • genetic developmental and epileptic encephalopathy
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • schizophrenia
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.05725369).
BS2
High AC in GnomAd4 at 23 Unknown,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_173728.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ARHGEF15
NM_173728.4
MANE Select
c.266C>Ap.Thr89Asn
missense
Exon 2 of 16NP_776089.2
ARHGEF15
NM_025014.2
c.266C>Ap.Thr89Asn
missense
Exon 2 of 16NP_079290.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ARHGEF15
ENST00000361926.8
TSL:1 MANE Select
c.266C>Ap.Thr89Asn
missense
Exon 2 of 16ENSP00000355026.3
ARHGEF15
ENST00000421050.2
TSL:1
c.266C>Ap.Thr89Asn
missense
Exon 2 of 16ENSP00000412505.1
ARHGEF15
ENST00000579439.5
TSL:5
c.266C>Ap.Thr89Asn
missense
Exon 2 of 3ENSP00000464540.1

Frequencies

GnomAD3 genomes
AF:
0.000154
AC:
23
AN:
149774
Hom.:
0
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.0000246
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000996
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000796
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000148
Gnomad OTH
AF:
0.000976
GnomAD2 exomes
AF:
0.0000424
AC:
9
AN:
212278
AF XY:
0.0000177
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000337
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000396
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000197
GnomAD4 exome
AF:
0.0000602
AC:
85
AN:
1410882
Hom.:
3
Cov.:
36
AF XY:
0.0000488
AC XY:
34
AN XY:
697116
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32276
American (AMR)
AF:
0.0000254
AC:
1
AN:
39336
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22482
East Asian (EAS)
AF:
0.000515
AC:
20
AN:
38814
South Asian (SAS)
AF:
0.00
AC:
0
AN:
77760
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51238
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5518
European-Non Finnish (NFE)
AF:
0.00000276
AC:
3
AN:
1085414
Other (OTH)
AF:
0.00105
AC:
61
AN:
58044
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
4
9
13
18
22
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.000154
AC:
23
AN:
149774
Hom.:
0
Cov.:
28
AF XY:
0.0000685
AC XY:
5
AN XY:
72990
show subpopulations
African (AFR)
AF:
0.0000246
AC:
1
AN:
40674
American (AMR)
AF:
0.000996
AC:
15
AN:
15054
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3450
East Asian (EAS)
AF:
0.000796
AC:
4
AN:
5026
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4666
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10252
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67388
Other (OTH)
AF:
0.000976
AC:
2
AN:
2050
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000434
Hom.:
0
Bravo
AF:
0.0000793
ExAC
AF:
0.0000742
AC:
9
Asia WGS
AF:
0.00635
AC:
22
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Oct 06, 2021
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.266C>A (p.T89N) alteration is located in exon 2 (coding exon 1) of the ARHGEF15 gene. This alteration results from a C to A substitution at nucleotide position 266, causing the threonine (T) at amino acid position 89 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear.

Developmental and epileptic encephalopathy Uncertain:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces threonine, which is neutral and polar, with asparagine, which is neutral and polar, at codon 89 of the ARHGEF15 protein (p.Thr89Asn). This variant is present in population databases (rs375343071, gnomAD 0.06%), and has an allele count higher than expected for a pathogenic variant. This variant has not been reported in the literature in individuals affected with ARHGEF15-related conditions. ClinVar contains an entry for this variant (Variation ID: 403967). An algorithm developed to predict the effect of missense changes on protein structure and function outputs the following: PolyPhen-2: "Benign". The asparagine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
13
DANN
Benign
0.87
DEOGEN2
Benign
0.064
T
Eigen
Benign
-0.50
Eigen_PC
Benign
-0.38
FATHMM_MKL
Benign
0.17
N
LIST_S2
Benign
0.52
T
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.057
T
MetaSVM
Benign
-0.94
T
MutationAssessor
Benign
0.97
L
PhyloP100
0.14
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.068
Sift
Uncertain
0.0040
D
Sift4G
Benign
0.093
T
Polyphen
0.0
B
Vest4
0.076
MVP
0.68
MPC
0.14
ClinPred
0.31
T
GERP RS
4.0
Varity_R
0.093
gMVP
0.26
Mutation Taster
=96/4
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: rs375343071; hg19: chr17-8215623; API