rs5974620

Variant summary

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

The NM_004840.3(ARHGEF6):​c.891G>T​(p.Gln297His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00156 in 1,205,188 control chromosomes in the GnomAD database, including 19 homozygotes. There are 498 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 0.0080 ( 8 hom., 239 hem., cov: 23)
Exomes 𝑓: 0.00090 ( 11 hom. 259 hem. )

Consequence

ARHGEF6
NM_004840.3 missense

Scores

6
10

Clinical Significance

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

Conservation

PhyloP100: 1.17

Publications

5 publications found
Variant links:
Genes affected
ARHGEF6 (HGNC:685): (Rac/Cdc42 guanine nucleotide exchange factor 6) Rho GTPases play a fundamental role in numerous cellular processes that are initiated by extracellular stimuli that work through G protein coupled receptors. The encoded protein belongs to a family of cytoplasmic proteins that activate the Ras-like family of Rho proteins by exchanging bound GDP for GTP. It may form a complex with G proteins and stimulate Rho-dependent signals. This protein is activated by PI3-kinase. Mutations in this gene can cause X-chromosomal non-specific cognitive disability. [provided by RefSeq, Jul 2008]
ARHGEF6 Gene-Disease associations (from GenCC):
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE, LIMITED, NO_KNOWN Submitted by: Orphanet, ClinGen, Illumina
  • complex neurodevelopmental disorder
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • congenital anomaly of kidney and urinary tract
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics
  • intellectual disability, X-linked 46
    Inheritance: XL Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P
  • X-linked intellectual disability
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics

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=0.019119442).
BP6
Variant X-136708707-C-A is Benign according to our data. Variant chrX-136708707-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 446067.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00802 (897/111855) while in subpopulation AFR AF = 0.0275 (848/30801). AF 95% confidence interval is 0.026. There are 8 homozygotes in GnomAd4. There are 239 alleles in the male GnomAd4 subpopulation. Median coverage is 23. This position passed quality control check.
BS2
High AC in GnomAd4 at 897 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ARHGEF6NM_004840.3 linkc.891G>T p.Gln297His missense_variant Exon 8 of 22 ENST00000250617.7 NP_004831.1 Q15052-1Q8N4Q3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ARHGEF6ENST00000250617.7 linkc.891G>T p.Gln297His missense_variant Exon 8 of 22 1 NM_004840.3 ENSP00000250617.6 Q15052-1
ARHGEF6ENST00000370622.5 linkc.429G>T p.Gln143His missense_variant Exon 7 of 21 1 ENSP00000359656.1 Q15052-2
ARHGEF6ENST00000370620.5 linkc.429G>T p.Gln143His missense_variant Exon 7 of 21 2 ENSP00000359654.1 Q15052-2

Frequencies

GnomAD3 genomes
AF:
0.00803
AC:
898
AN:
111803
Hom.:
8
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0276
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00294
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000753
Gnomad OTH
AF:
0.00929
GnomAD2 exomes
AF:
0.00237
AC:
434
AN:
183285
AF XY:
0.00152
show subpopulations
Gnomad AFR exome
AF:
0.0306
Gnomad AMR exome
AF:
0.000875
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000245
Gnomad OTH exome
AF:
0.00111
GnomAD4 exome
AF:
0.000895
AC:
979
AN:
1093333
Hom.:
11
Cov.:
29
AF XY:
0.000721
AC XY:
259
AN XY:
359219
show subpopulations
African (AFR)
AF:
0.0312
AC:
820
AN:
26279
American (AMR)
AF:
0.00128
AC:
45
AN:
35125
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19266
East Asian (EAS)
AF:
0.00
AC:
0
AN:
29982
South Asian (SAS)
AF:
0.0000926
AC:
5
AN:
53983
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40264
Middle Eastern (MID)
AF:
0.000729
AC:
3
AN:
4115
European-Non Finnish (NFE)
AF:
0.0000107
AC:
9
AN:
838471
Other (OTH)
AF:
0.00212
AC:
97
AN:
45848
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
40
80
121
161
201
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.00802
AC:
897
AN:
111855
Hom.:
8
Cov.:
23
AF XY:
0.00701
AC XY:
239
AN XY:
34075
show subpopulations
African (AFR)
AF:
0.0275
AC:
848
AN:
30801
American (AMR)
AF:
0.00294
AC:
31
AN:
10558
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2631
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3556
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2703
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6027
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.0000753
AC:
4
AN:
53149
Other (OTH)
AF:
0.00917
AC:
14
AN:
1526
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
32
64
96
128
160
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:
0.00204
Hom.:
90
Bravo
AF:
0.00968
ESP6500AA
AF:
0.0282
AC:
108
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.00270
AC:
328

ClinVar

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

Submissions by phenotype

not provided Benign:2
Apr 19, 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

- -

Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
Jul 12, 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.16
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.54
.;.;D
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.85
.;D;D
MetaRNN
Benign
0.019
T;T;T
MetaSVM
Benign
-0.40
T
MutationAssessor
Uncertain
2.1
.;.;M
PhyloP100
1.2
PrimateAI
Uncertain
0.50
T
PROVEAN
Uncertain
-3.7
D;D;D
REVEL
Benign
0.27
Sift
Benign
0.088
T;T;T
Sift4G
Benign
0.072
T;T;T
Polyphen
0.88
.;.;P
Vest4
0.32
MutPred
0.17
.;.;Gain of catalytic residue at L299 (P = 0.0589);
MVP
0.84
MPC
0.28
ClinPred
0.037
T
GERP RS
2.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.86
gMVP
0.42
Mutation Taster
=90/10
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: rs5974620; hg19: chrX-135790866; API