rs57108893

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001110556.2(FLNA):​c.5290G>A​(p.Ala1764Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00735 in 1,203,908 control chromosomes in the GnomAD database, including 388 homozygotes. There are 2,405 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.038 ( 177 hom., 1158 hem., cov: 26)
Exomes 𝑓: 0.0042 ( 211 hom. 1247 hem. )

Consequence

FLNA
NM_001110556.2 missense

Scores

16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:14

Conservation

PhyloP100: -0.772
Variant links:
Genes affected
FLNA (HGNC:3754): (filamin A) The protein encoded by this gene is an actin-binding protein that crosslinks actin filaments and links actin filaments to membrane glycoproteins. The encoded protein is involved in remodeling the cytoskeleton to effect changes in cell shape and migration. This protein interacts with integrins, transmembrane receptor complexes, and second messengers. Defects in this gene are a cause of several syndromes, including periventricular nodular heterotopias (PVNH1, PVNH4), otopalatodigital syndromes (OPD1, OPD2), frontometaphyseal dysplasia (FMD), Melnick-Needles syndrome (MNS), and X-linked congenital idiopathic intestinal pseudoobstruction (CIIPX). Two transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0013102889).
BP6
Variant X-154354639-C-T is Benign according to our data. Variant chrX-154354639-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 93765.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-154354639-C-T is described in Lovd as [Benign]. Variant chrX-154354639-C-T is described in Lovd as [Pathogenic]. Variant chrX-154354639-C-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.124 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FLNANM_001110556.2 linkc.5290G>A p.Ala1764Thr missense_variant Exon 32 of 48 ENST00000369850.10 NP_001104026.1 P21333-1Q60FE5Q6NXF2
FLNANM_001456.4 linkc.5266G>A p.Ala1756Thr missense_variant Exon 31 of 47 NP_001447.2 P21333-2Q60FE5Q6NXF2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FLNAENST00000369850.10 linkc.5290G>A p.Ala1764Thr missense_variant Exon 32 of 48 1 NM_001110556.2 ENSP00000358866.3 P21333-1

Frequencies

GnomAD3 genomes
AF:
0.0376
AC:
4245
AN:
113015
Hom.:
176
Cov.:
26
AF XY:
0.0329
AC XY:
1158
AN XY:
35187
show subpopulations
Gnomad AFR
AF:
0.127
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0195
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00107
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00418
Gnomad NFE
AF:
0.000526
Gnomad OTH
AF:
0.0308
GnomAD3 exomes
AF:
0.0107
AC:
1713
AN:
160670
Hom.:
89
AF XY:
0.00638
AC XY:
336
AN XY:
52696
show subpopulations
Gnomad AFR exome
AF:
0.137
Gnomad AMR exome
AF:
0.00797
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000232
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000244
Gnomad OTH exome
AF:
0.00616
GnomAD4 exome
AF:
0.00421
AC:
4596
AN:
1090844
Hom.:
211
Cov.:
32
AF XY:
0.00348
AC XY:
1247
AN XY:
358140
show subpopulations
Gnomad4 AFR exome
AF:
0.137
Gnomad4 AMR exome
AF:
0.00928
Gnomad4 ASJ exome
AF:
0.0000519
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000338
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000200
Gnomad4 OTH exome
AF:
0.00979
GnomAD4 genome
AF:
0.0376
AC:
4254
AN:
113064
Hom.:
177
Cov.:
26
AF XY:
0.0329
AC XY:
1158
AN XY:
35246
show subpopulations
Gnomad4 AFR
AF:
0.127
Gnomad4 AMR
AF:
0.0194
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000715
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000526
Gnomad4 OTH
AF:
0.0304
Alfa
AF:
0.00416
Hom.:
150
Bravo
AF:
0.0443
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.130
AC:
434
ESP6500EA
AF:
0.000779
AC:
5
ExAC
AF:
0.0110
AC:
1317

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:8
Jul 21, 2023
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 05, 2014
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 10, 2013
Claritas Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mar 21, 2014
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

not provided Benign:4
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Feb 11, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Oct 28, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Familial thoracic aortic aneurysm and aortic dissection Benign:1
Jul 20, 2015
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. -

Melnick-Needles syndrome;C0265293:Frontometaphyseal dysplasia;C1844696:Oto-palato-digital syndrome, type II;C1848213:Heterotopia, periventricular, X-linked dominant Benign:1
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
AlphaMissense
Benign
0.069
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
8.7
DANN
Benign
0.65
DEOGEN2
Benign
0.30
T;.;.;.;.
FATHMM_MKL
Benign
0.085
N
LIST_S2
Benign
0.80
T;T;.;T;T
MetaRNN
Benign
0.0013
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N;.;.;.;.
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-0.090
N;.;N;N;.
REVEL
Benign
0.096
Sift
Benign
0.32
T;.;T;T;.
Sift4G
Benign
0.55
T;T;T;T;T
Polyphen
0.010
B;.;B;B;.
Vest4
0.094
MPC
0.51
ClinPred
0.0017
T
GERP RS
-2.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.2
Varity_R
0.049
gMVP
0.24

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs57108893; hg19: chrX-153583007; API