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rs7226481

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_013435.3(RAX):c.882A>G(p.Gln294=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.285 in 1,579,814 control chromosomes in the GnomAD database, including 65,838 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.27 ( 5620 hom., cov: 33)
Exomes 𝑓: 0.29 ( 60218 hom. )

Consequence

RAX
NM_013435.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.0410
Variant links:
Genes affected
RAX (HGNC:18662): (retina and anterior neural fold homeobox) This gene encodes a homeobox-containing transcription factor that functions in eye development. The gene is expressed early in the eye primordia, and is required for retinal cell fate determination and also regulates stem cell proliferation. Mutations in this gene have been reported in patients with defects in ocular development, including microphthalmia, anophthalmia, and coloboma.[provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.68).
BP6
Variant 18-59269163-T-C is Benign according to our data. Variant chr18-59269163-T-C is described in ClinVar as [Benign]. Clinvar id is 260310.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=0.041 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.294 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RAXNM_013435.3 linkuse as main transcriptc.882A>G p.Gln294= synonymous_variant 3/3 ENST00000334889.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RAXENST00000334889.4 linkuse as main transcriptc.882A>G p.Gln294= synonymous_variant 3/31 NM_013435.3 P1Q9Y2V3-1
RAXENST00000256852.7 linkuse as main transcriptc.*313A>G 3_prime_UTR_variant 2/21 Q9Y2V3-2

Frequencies

GnomAD3 genomes
AF:
0.265
AC:
40174
AN:
151338
Hom.:
5610
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.264
Gnomad AMI
AF:
0.407
Gnomad AMR
AF:
0.208
Gnomad ASJ
AF:
0.271
Gnomad EAS
AF:
0.142
Gnomad SAS
AF:
0.260
Gnomad FIN
AF:
0.202
Gnomad MID
AF:
0.248
Gnomad NFE
AF:
0.297
Gnomad OTH
AF:
0.263
GnomAD3 exomes
AF:
0.238
AC:
44058
AN:
184906
Hom.:
5584
AF XY:
0.244
AC XY:
24858
AN XY:
101710
show subpopulations
Gnomad AFR exome
AF:
0.254
Gnomad AMR exome
AF:
0.140
Gnomad ASJ exome
AF:
0.270
Gnomad EAS exome
AF:
0.127
Gnomad SAS exome
AF:
0.260
Gnomad FIN exome
AF:
0.211
Gnomad NFE exome
AF:
0.287
Gnomad OTH exome
AF:
0.256
GnomAD4 exome
AF:
0.287
AC:
409521
AN:
1428360
Hom.:
60218
Cov.:
35
AF XY:
0.285
AC XY:
202045
AN XY:
707904
show subpopulations
Gnomad4 AFR exome
AF:
0.262
Gnomad4 AMR exome
AF:
0.146
Gnomad4 ASJ exome
AF:
0.271
Gnomad4 EAS exome
AF:
0.202
Gnomad4 SAS exome
AF:
0.257
Gnomad4 FIN exome
AF:
0.209
Gnomad4 NFE exome
AF:
0.302
Gnomad4 OTH exome
AF:
0.273
GnomAD4 genome
AF:
0.265
AC:
40206
AN:
151454
Hom.:
5620
Cov.:
33
AF XY:
0.257
AC XY:
19058
AN XY:
74042
show subpopulations
Gnomad4 AFR
AF:
0.264
Gnomad4 AMR
AF:
0.207
Gnomad4 ASJ
AF:
0.271
Gnomad4 EAS
AF:
0.142
Gnomad4 SAS
AF:
0.259
Gnomad4 FIN
AF:
0.202
Gnomad4 NFE
AF:
0.297
Gnomad4 OTH
AF:
0.262
Alfa
AF:
0.280
Hom.:
1967
Bravo
AF:
0.262
Asia WGS
AF:
0.238
AC:
827
AN:
3466

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Isolated microphthalmia 3 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.68
Cadd
Benign
11
Dann
Benign
0.59

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: rs7226481; hg19: chr18-56936395; COSMIC: COSV56873883; COSMIC: COSV56873883; API