rs5963403

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001034853.2(RPGR):​c.552G>T​(p.Gln184His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0037 in 1,205,773 control chromosomes in the GnomAD database, including 100 homozygotes. There are 1,194 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★★).

Frequency

Genomes: 𝑓 0.020 ( 46 hom., 604 hem., cov: 23)
Exomes 𝑓: 0.0021 ( 54 hom. 590 hem. )

Consequence

RPGR
NM_001034853.2 missense

Scores

16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.0120

Publications

4 publications found
Variant links:
Genes affected
RPGR (HGNC:10295): (retinitis pigmentosa GTPase regulator) This gene encodes a protein with a series of six RCC1-like domains (RLDs), characteristic of the highly conserved guanine nucleotide exchange factors. The encoded protein is found in the Golgi body and interacts with RPGRIP1. This protein localizes to the outer segment of rod photoreceptors and is essential for their viability. Mutations in this gene have been associated with X-linked retinitis pigmentosa (XLRP). Multiple alternatively spliced transcript variants that encode different isoforms of this gene have been reported, but the full-length natures of only some have been determined. [provided by RefSeq, Dec 2008]
RPGR Gene-Disease associations (from GenCC):
  • retinitis pigmentosa 3
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • RPGR-related retinopathy
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • primary ciliary dyskinesia-retinitis pigmentosa syndrome
    Inheritance: XL Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • primary ciliary dyskinesia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • retinitis pigmentosa
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • macular degeneration, X-linked atrophic
    Inheritance: XL Classification: LIMITED Submitted by: G2P

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 (MetaRNN=0.0029917061).
BP6
Variant X-38317383-C-A is Benign according to our data. Variant chrX-38317383-C-A is described in ClinVar as Benign. ClinVar VariationId is 255836.Status of the report is reviewed_by_expert_panel, 3 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0664 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RPGRNM_001034853.2 linkc.552G>T p.Gln184His missense_variant Exon 6 of 15 ENST00000645032.1 NP_001030025.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RPGRENST00000645032.1 linkc.552G>T p.Gln184His missense_variant Exon 6 of 15 NM_001034853.2 ENSP00000495537.1
ENSG00000250349ENST00000465127.1 linkc.172-348738C>A intron_variant Intron 3 of 8 5 ENSP00000417050.1

Frequencies

GnomAD3 genomes
AF:
0.0197
AC:
2201
AN:
111501
Hom.:
46
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0687
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00747
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000375
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000113
Gnomad OTH
AF:
0.0106
GnomAD2 exomes
AF:
0.00568
AC:
1041
AN:
183202
AF XY:
0.00359
show subpopulations
Gnomad AFR exome
AF:
0.0717
Gnomad AMR exome
AF:
0.00281
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000856
Gnomad OTH exome
AF:
0.00310
GnomAD4 exome
AF:
0.00205
AC:
2246
AN:
1094221
Hom.:
54
Cov.:
28
AF XY:
0.00164
AC XY:
590
AN XY:
359739
show subpopulations
African (AFR)
AF:
0.0701
AC:
1846
AN:
26319
American (AMR)
AF:
0.00341
AC:
120
AN:
35182
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19368
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30179
South Asian (SAS)
AF:
0.000222
AC:
12
AN:
54016
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40522
Middle Eastern (MID)
AF:
0.00145
AC:
6
AN:
4126
European-Non Finnish (NFE)
AF:
0.0000477
AC:
40
AN:
838517
Other (OTH)
AF:
0.00483
AC:
222
AN:
45992
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
83
166
248
331
414
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
60
120
180
240
300
<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:
0.0198
AC:
2211
AN:
111552
Hom.:
46
Cov.:
23
AF XY:
0.0179
AC XY:
604
AN XY:
33760
show subpopulations
African (AFR)
AF:
0.0689
AC:
2110
AN:
30638
American (AMR)
AF:
0.00746
AC:
78
AN:
10449
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2649
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3561
South Asian (SAS)
AF:
0.000376
AC:
1
AN:
2662
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6027
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
216
European-Non Finnish (NFE)
AF:
0.000113
AC:
6
AN:
53139
Other (OTH)
AF:
0.0105
AC:
16
AN:
1523
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
70
140
210
280
350
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
24
48
72
96
120
<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:
0.00677
Hom.:
366
Bravo
AF:
0.0229
ESP6500AA
AF:
0.0730
AC:
280
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00622
AC:
755
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Benign:2
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 01, 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. -

not provided Benign:2
Feb 04, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

X-linked cone-rod dystrophy 1;C1845667:Retinitis pigmentosa 3;C2749137:Retinitis pigmentosa, X-linked, and sinorespiratory infections, with or without deafness;C3151784:Macular degeneration, X-linked atrophic Benign:1
Apr 08, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
-
PreventionGenetics, part of Exact Sciences
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
0.076
BayesDel_addAF
Benign
-0.65
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
1.3
DANN
Benign
0.60
DEOGEN2
Benign
0.17
.;.;T;.;.;.;.;.;.
FATHMM_MKL
Benign
0.088
N
LIST_S2
Benign
0.47
.;T;T;T;T;.;T;T;T
MetaRNN
Benign
0.0030
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
1.5
L;L;L;.;L;L;L;.;.
PhyloP100
0.012
PrimateAI
Benign
0.29
T
PROVEAN
Benign
0.90
N;.;N;.;.;.;N;.;.
REVEL
Benign
0.17
Sift
Benign
0.85
T;.;T;.;.;.;.;.;.
Sift4G
Benign
0.35
T;.;T;.;.;.;T;.;.
Polyphen
0.0020
B;B;.;.;.;.;.;.;.
Vest4
0.14
MutPred
0.60
Gain of sheet (P = 0.1208);Gain of sheet (P = 0.1208);Gain of sheet (P = 0.1208);Gain of sheet (P = 0.1208);Gain of sheet (P = 0.1208);Gain of sheet (P = 0.1208);Gain of sheet (P = 0.1208);.;Gain of sheet (P = 0.1208);
MVP
0.39
MPC
0.69
ClinPred
0.0015
T
GERP RS
-3.5
Varity_R
0.16
gMVP
0.50
Mutation Taster
=96/4
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs5963403; hg19: chrX-38176636; API