rs55900117

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001039591.3(USP9X):​c.4603+19A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0124 in 1,128,223 control chromosomes in the GnomAD database, including 67 homozygotes. There are 4,105 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0076 ( 6 hom., 224 hem., cov: 24)
Exomes 𝑓: 0.013 ( 61 hom. 3881 hem. )

Consequence

USP9X
NM_001039591.3 intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.234

Publications

1 publications found
Variant links:
Genes affected
USP9X (HGNC:12632): (ubiquitin specific peptidase 9 X-linked) This gene is a member of the peptidase C19 family and encodes a protein that is similar to ubiquitin-specific proteases. Though this gene is located on the X chromosome, it escapes X-inactivation. Mutations in this gene have been associated with Turner syndrome. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Jul 2008]
USP9X Gene-Disease associations (from GenCC):
  • intellectual disability, X-linked 99, syndromic, female-restricted
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P
  • X-linked syndromic intellectual disability
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • intellectual disability, X-linked 99
    Inheritance: XL Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • X-linked female restricted facial dysmorphism-short stature-choanal atresia-intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP6
Variant X-41198769-A-G is Benign according to our data. Variant chrX-41198769-A-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 445573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00762 (862/113154) while in subpopulation NFE AF = 0.0134 (717/53420). AF 95% confidence interval is 0.0126. There are 6 homozygotes in GnomAd4. There are 224 alleles in the male GnomAd4 subpopulation. Median coverage is 24. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 6 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
USP9XNM_001039591.3 linkc.4603+19A>G intron_variant Intron 30 of 44 ENST00000378308.7 NP_001034680.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
USP9XENST00000378308.7 linkc.4603+19A>G intron_variant Intron 30 of 44 5 NM_001039591.3 ENSP00000367558.2

Frequencies

GnomAD3 genomes
AF:
0.00764
AC:
864
AN:
113099
Hom.:
6
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.00212
Gnomad AMI
AF:
0.00290
Gnomad AMR
AF:
0.00346
Gnomad ASJ
AF:
0.00263
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00423
Gnomad FIN
AF:
0.00113
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0134
Gnomad OTH
AF:
0.0105
GnomAD2 exomes
AF:
0.00742
AC:
1044
AN:
140636
AF XY:
0.00744
show subpopulations
Gnomad AFR exome
AF:
0.00207
Gnomad AMR exome
AF:
0.00340
Gnomad ASJ exome
AF:
0.00175
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00183
Gnomad NFE exome
AF:
0.0135
Gnomad OTH exome
AF:
0.00672
GnomAD4 exome
AF:
0.0129
AC:
13105
AN:
1015069
Hom.:
61
Cov.:
19
AF XY:
0.0132
AC XY:
3881
AN XY:
294365
show subpopulations
African (AFR)
AF:
0.00196
AC:
48
AN:
24439
American (AMR)
AF:
0.00327
AC:
104
AN:
31767
Ashkenazi Jewish (ASJ)
AF:
0.00208
AC:
38
AN:
18284
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28771
South Asian (SAS)
AF:
0.00460
AC:
223
AN:
48447
European-Finnish (FIN)
AF:
0.00200
AC:
78
AN:
38980
Middle Eastern (MID)
AF:
0.00225
AC:
8
AN:
3562
European-Non Finnish (NFE)
AF:
0.0157
AC:
12174
AN:
777666
Other (OTH)
AF:
0.0100
AC:
432
AN:
43153
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
460
920
1379
1839
2299
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
466
932
1398
1864
2330
<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:
0.00762
AC:
862
AN:
113154
Hom.:
6
Cov.:
24
AF XY:
0.00635
AC XY:
224
AN XY:
35302
show subpopulations
African (AFR)
AF:
0.00211
AC:
66
AN:
31245
American (AMR)
AF:
0.00345
AC:
37
AN:
10721
Ashkenazi Jewish (ASJ)
AF:
0.00263
AC:
7
AN:
2664
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3634
South Asian (SAS)
AF:
0.00389
AC:
11
AN:
2830
European-Finnish (FIN)
AF:
0.00113
AC:
7
AN:
6188
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
219
European-Non Finnish (NFE)
AF:
0.0134
AC:
717
AN:
53420
Other (OTH)
AF:
0.00972
AC:
15
AN:
1543
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
32
64
95
127
159
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00941
Hom.:
85
Bravo
AF:
0.00744

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Sep 29, 2018
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 12, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.82
CADD
Benign
0.38
DANN
Benign
0.71
PhyloP100
0.23
Mutation Taster
=100/0
polymorphism (auto)

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: rs55900117; hg19: chrX-41058022; COSMIC: COSV61069618; API