rs397516671

Variant summary

Our verdict is Pathogenic. The variant received 10 ACMG points: 10P and 0B. PM1PM2PM5PP2PP3PP5_Moderate

The NM_001399.5(EDA):​c.607C>A​(p.Pro203Thr) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P203S) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 21)
Exomes 𝑓: 0.0 ( 0 hom. 0 hem. )
Failed GnomAD Quality Control

Consequence

EDA
NM_001399.5 missense

Scores

7
6
3

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 7.09

Publications

0 publications found
Variant links:
Genes affected
EDA (HGNC:3157): (ectodysplasin A) The protein encoded by this gene is a type II membrane protein that can be cleaved by furin to produce a secreted form. The encoded protein, which belongs to the tumor necrosis factor family, acts as a homotrimer and may be involved in cell-cell signaling during the development of ectodermal organs. Defects in this gene are a cause of ectodermal dysplasia, anhidrotic, which is also known as X-linked hypohidrotic ectodermal dysplasia. Several transcript variants encoding many different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
EDA Gene-Disease associations (from GenCC):
  • tooth agenesis, selective, X-linked, 1
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • X-linked hypohidrotic ectodermal dysplasia
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae)
  • tooth agenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 10 ACMG points.

PM1
In a hotspot region, there are 12 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 3 uncertain in NM_001399.5
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chrX-70027937-C-T is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 44203.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 110 curated pathogenic missense variants (we use a threshold of 10). The gene has 22 curated benign missense variants. Gene score misZ: 1.7843 (below the threshold of 3.09). Trascript score misZ: NaN (below the threshold of 3.09). GenCC associations: The gene is linked to tooth agenesis, selective, X-linked, 1, X-linked hypohidrotic ectodermal dysplasia, tooth agenesis.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.765
PP5
Variant X-70027937-C-A is Pathogenic according to our data. Variant chrX-70027937-C-A is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 1190348.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
EDANM_001399.5 linkc.607C>A p.Pro203Thr missense_variant Exon 4 of 8 ENST00000374552.9 NP_001390.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
EDAENST00000374552.9 linkc.607C>A p.Pro203Thr missense_variant Exon 4 of 8 1 NM_001399.5 ENSP00000363680.4

Frequencies

GnomAD3 genomes
Cov.:
21
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1070106
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
347728
African (AFR)
AF:
0.00
AC:
0
AN:
25340
American (AMR)
AF:
0.00
AC:
0
AN:
31194
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18884
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28397
South Asian (SAS)
AF:
0.00
AC:
0
AN:
50825
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
38833
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4008
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
827557
Other (OTH)
AF:
0.00
AC:
0
AN:
45068
GnomAD4 genome
Cov.:
21

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Dec 15, 2020
GeneDx
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Has not been previously published as pathogenic or benign to our knowledge; Not observed in large population cohorts (Lek et al., 2016); The majority of missense variants in this gene are considered pathogenic (Stenson et al., 2014)

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.89
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.10
CADD
Uncertain
25
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0
.;T;.;.;.
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.94
D;D;D;D;D
M_CAP
Pathogenic
0.73
D
MetaRNN
Pathogenic
0.77
D;D;D;D;D
MetaSVM
Pathogenic
0.91
D
MutationAssessor
Benign
1.7
L;L;L;.;.
PhyloP100
7.1
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-1.3
N;N;N;N;.
REVEL
Uncertain
0.53
Sift
Uncertain
0.0040
D;.;.;D;.
Sift4G
Uncertain
0.011
D;D;D;D;D
Vest4
0.43
ClinPred
0.86
D
GERP RS
4.7
Varity_R
0.88
gMVP
0.91
Mutation Taster
=44/56
disease causing

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs397516671; hg19: chrX-69247787; API