rs5991926

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000061.3(BTK):​c.954T>C​(p.Ser318Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00371 in 1,209,071 control chromosomes in the GnomAD database, including 93 homozygotes. There are 1,212 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.018 ( 50 hom., 518 hem., cov: 22)
Exomes 𝑓: 0.0022 ( 43 hom. 694 hem. )

Consequence

BTK
NM_000061.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: 1.20

Publications

4 publications found
Variant links:
Genes affected
BTK (HGNC:1133): (Bruton tyrosine kinase) The protein encoded by this gene plays a crucial role in B-cell development. Mutations in this gene cause X-linked agammaglobulinemia type 1, which is an immunodeficiency characterized by the failure to produce mature B lymphocytes, and associated with a failure of Ig heavy chain rearrangement. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2013]
BTK Gene-Disease associations (from GenCC):
  • Bruton-type agammaglobulinemia
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Myriad Women’s Health, Orphanet, ClinGen
  • isolated growth hormone deficiency type III
    Inheritance: XL Classification: STRONG, NO_KNOWN Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
  • short stature due to isolated growth hormone deficiency with X-linked hypogammaglobulinemia
    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 -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.62).
BP6
Variant X-101358637-A-G is Benign according to our data. Variant chrX-101358637-A-G is described in ClinVar as Benign. ClinVar VariationId is 367695.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=1.2 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0588 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
BTKNM_000061.3 linkc.954T>C p.Ser318Ser synonymous_variant Exon 11 of 19 ENST00000308731.8 NP_000052.1 Q06187-1Q5JY90
BTKNM_001287344.2 linkc.1056T>C p.Ser352Ser synonymous_variant Exon 11 of 19 NP_001274273.1 Q06187-2
BTKNM_001287345.2 linkc.954T>C p.Ser318Ser synonymous_variant Exon 12 of 17 NP_001274274.1 Q06187Q5JY90

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
BTKENST00000308731.8 linkc.954T>C p.Ser318Ser synonymous_variant Exon 11 of 19 1 NM_000061.3 ENSP00000308176.8 Q06187-1

Frequencies

GnomAD3 genomes
AF:
0.0181
AC:
2024
AN:
111856
Hom.:
50
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.0612
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00815
Gnomad ASJ
AF:
0.00416
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00840
Gnomad NFE
AF:
0.000489
Gnomad OTH
AF:
0.0132
GnomAD2 exomes
AF:
0.00597
AC:
1096
AN:
183505
AF XY:
0.00386
show subpopulations
Gnomad AFR exome
AF:
0.0681
Gnomad AMR exome
AF:
0.00365
Gnomad ASJ exome
AF:
0.00574
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000403
Gnomad OTH exome
AF:
0.00441
GnomAD4 exome
AF:
0.00224
AC:
2456
AN:
1097162
Hom.:
43
Cov.:
30
AF XY:
0.00191
AC XY:
694
AN XY:
362550
show subpopulations
African (AFR)
AF:
0.0645
AC:
1702
AN:
26368
American (AMR)
AF:
0.00446
AC:
157
AN:
35201
Ashkenazi Jewish (ASJ)
AF:
0.00506
AC:
98
AN:
19378
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30196
South Asian (SAS)
AF:
0.000222
AC:
12
AN:
54092
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40514
Middle Eastern (MID)
AF:
0.0111
AC:
46
AN:
4134
European-Non Finnish (NFE)
AF:
0.000199
AC:
167
AN:
841224
Other (OTH)
AF:
0.00595
AC:
274
AN:
46055
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
113
226
338
451
564
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
58
116
174
232
290
<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:
0.0181
AC:
2025
AN:
111909
Hom.:
50
Cov.:
22
AF XY:
0.0152
AC XY:
518
AN XY:
34071
show subpopulations
African (AFR)
AF:
0.0611
AC:
1880
AN:
30769
American (AMR)
AF:
0.00814
AC:
86
AN:
10565
Ashkenazi Jewish (ASJ)
AF:
0.00416
AC:
11
AN:
2644
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3541
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2698
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6075
Middle Eastern (MID)
AF:
0.00926
AC:
2
AN:
216
European-Non Finnish (NFE)
AF:
0.000489
AC:
26
AN:
53190
Other (OTH)
AF:
0.0131
AC:
20
AN:
1531
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
70
139
209
278
348
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.0132
Hom.:
69
Bravo
AF:
0.0226
EpiCase
AF:
0.00104
EpiControl
AF:
0.000771

ClinVar

Significance: Benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

X-linked agammaglobulinemia with growth hormone deficiency Benign:2
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Nov 07, 2019
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

X-linked agammaglobulinemia Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.62
CADD
Benign
10
DANN
Benign
0.70
PhyloP100
1.2
Mutation Taster
=98/2
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: rs5991926; hg19: chrX-100613625; API