rs56307810

Variant summary

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

The NM_001184880.2(PCDH19):​c.81C>T​(p.Tyr27Tyr) variant causes a synonymous change. The variant allele was found at a frequency of 0.0123 in 1,199,655 control chromosomes in the GnomAD database, including 89 homozygotes. There are 4,537 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 0.0091 ( 7 hom., 271 hem., cov: 23)
Exomes 𝑓: 0.013 ( 82 hom. 4266 hem. )

Consequence

PCDH19
NM_001184880.2 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 4.41

Publications

2 publications found
Variant links:
Genes affected
PCDH19 (HGNC:14270): (protocadherin 19) The protein encoded by this gene is a member of the delta-2 protocadherin subclass of the cadherin superfamily. The encoded protein is thought to be a calcium-dependent cell-adhesion protein that is primarily expressed in the brain. Mutations in this gene on human chromosome X are associated with sporadic infantile epileptic encephalopathy and to a female-restricted form of epilepsy (EFMR; also known as PCDH19RE). Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2017]
PCDH19 Gene-Disease associations (from GenCC):
  • developmental and epileptic encephalopathy, 9
    Inheritance: XL, Unknown Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • Dravet syndrome
    Inheritance: AD 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=-0.62).
BP6
Variant X-100408517-G-A is Benign according to our data. Variant chrX-100408517-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 93680.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 = 0.00912 (1018/111674) while in subpopulation NFE AF = 0.0153 (812/52957). AF 95% confidence interval is 0.0145. There are 7 homozygotes in GnomAd4. There are 271 alleles in the male GnomAd4 subpopulation. Median coverage is 23. This position passed quality control check.
BS2
High AC in GnomAd4 at 1018 AD,XL,Unknown gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PCDH19NM_001184880.2 linkc.81C>T p.Tyr27Tyr synonymous_variant Exon 1 of 6 ENST00000373034.8 NP_001171809.1 Q8TAB3-1
PCDH19NM_001105243.2 linkc.81C>T p.Tyr27Tyr synonymous_variant Exon 1 of 5 NP_001098713.1 Q8TAB3-2B3KU71
PCDH19NM_020766.3 linkc.81C>T p.Tyr27Tyr synonymous_variant Exon 1 of 5 NP_065817.2 Q8TAB3-3B3KU71

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PCDH19ENST00000373034.8 linkc.81C>T p.Tyr27Tyr synonymous_variant Exon 1 of 6 1 NM_001184880.2 ENSP00000362125.4 Q8TAB3-1
PCDH19ENST00000255531.8 linkc.81C>T p.Tyr27Tyr synonymous_variant Exon 1 of 5 1 ENSP00000255531.7 Q8TAB3-2
PCDH19ENST00000420881.6 linkc.81C>T p.Tyr27Tyr synonymous_variant Exon 1 of 5 1 ENSP00000400327.2 Q8TAB3-3

Frequencies

GnomAD3 genomes
AF:
0.00912
AC:
1018
AN:
111630
Hom.:
7
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00218
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00159
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00267
Gnomad FIN
AF:
0.0178
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0153
Gnomad OTH
AF:
0.00536
GnomAD2 exomes
AF:
0.00825
AC:
1296
AN:
157008
AF XY:
0.00671
show subpopulations
Gnomad AFR exome
AF:
0.00174
Gnomad AMR exome
AF:
0.000990
Gnomad ASJ exome
AF:
0.000429
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0223
Gnomad NFE exome
AF:
0.0138
Gnomad OTH exome
AF:
0.00675
GnomAD4 exome
AF:
0.0126
AC:
13686
AN:
1087981
Hom.:
82
Cov.:
32
AF XY:
0.0119
AC XY:
4266
AN XY:
357101
show subpopulations
African (AFR)
AF:
0.00171
AC:
45
AN:
26305
American (AMR)
AF:
0.00158
AC:
55
AN:
34761
Ashkenazi Jewish (ASJ)
AF:
0.000519
AC:
10
AN:
19282
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29987
South Asian (SAS)
AF:
0.00238
AC:
127
AN:
53327
European-Finnish (FIN)
AF:
0.0229
AC:
798
AN:
34822
Middle Eastern (MID)
AF:
0.00170
AC:
7
AN:
4117
European-Non Finnish (NFE)
AF:
0.0145
AC:
12210
AN:
839566
Other (OTH)
AF:
0.00947
AC:
434
AN:
45814
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.486
Heterozygous variant carriers
0
544
1089
1633
2178
2722
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
444
888
1332
1776
2220
<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:
0.00912
AC:
1018
AN:
111674
Hom.:
7
Cov.:
23
AF XY:
0.00800
AC XY:
271
AN XY:
33874
show subpopulations
African (AFR)
AF:
0.00217
AC:
67
AN:
30855
American (AMR)
AF:
0.00159
AC:
17
AN:
10716
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2641
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3480
South Asian (SAS)
AF:
0.00268
AC:
7
AN:
2611
European-Finnish (FIN)
AF:
0.0178
AC:
107
AN:
6003
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
215
European-Non Finnish (NFE)
AF:
0.0153
AC:
812
AN:
52957
Other (OTH)
AF:
0.00529
AC:
8
AN:
1511
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
38
76
115
153
191
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:
0.0117
Hom.:
91
Bravo
AF:
0.00703

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Jul 29, 2015
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 21, 2013
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Developmental and epileptic encephalopathy, 9 Benign:2
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 31, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Apr 25, 2016
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.62
CADD
Benign
7.1
DANN
Benign
0.73
PhyloP100
4.4
PromoterAI
0.018
Neutral
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: rs56307810; hg19: chrX-99663515; API