rs727503933

Variant summary

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

The NM_005249.5(FOXG1):​c.206C>A​(p.Pro69Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000338 in 1,054,740 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P69L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00053 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00031 ( 0 hom. )

Consequence

FOXG1
NM_005249.5 missense

Scores

1
1
17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.665

Publications

1 publications found
Variant links:
Genes affected
FOXG1 (HGNC:3811): (forkhead box G1) This locus encodes a member of the fork-head transcription factor family. The encoded protein, which functions as a transcriptional repressor, is highly expressed in neural tissues during brain development. Mutations at this locus have been associated with Rett syndrome and a diverse spectrum of neurodevelopmental disorders defined as part of the FOXG1 syndrome. This gene is disregulated in many types of cancer and is the target of multiple microRNAs that regulate the proliferation of tumor cells. [provided by RefSeq, Jul 2020]
LINC01551 (HGNC:19828): (long intergenic non-protein coding RNA 1551)

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=0.04875952).
BP6
Variant 14-28767485-C-A is Benign according to our data. Variant chr14-28767485-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 167089.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 = 0.000528 (76/143992) while in subpopulation AFR AF = 0.00148 (59/39868). AF 95% confidence interval is 0.00118. There are 0 homozygotes in GnomAd4. There are 35 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High AC in GnomAd4 at 76 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FOXG1NM_005249.5 linkc.206C>A p.Pro69Gln missense_variant Exon 1 of 1 ENST00000313071.7 NP_005240.3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FOXG1ENST00000313071.7 linkc.206C>A p.Pro69Gln missense_variant Exon 1 of 1 6 NM_005249.5 ENSP00000339004.3
FOXG1ENST00000706482.1 linkc.206C>A p.Pro69Gln missense_variant Exon 2 of 2 ENSP00000516406.1
LINC01551ENST00000675861.1 linkn.374+1472C>A intron_variant Intron 1 of 3

Frequencies

GnomAD3 genomes
AF:
0.000528
AC:
76
AN:
143904
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00148
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000137
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:
0.000230
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000175
AC:
11
AN:
62992
AF XY:
0.000165
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000429
Gnomad ASJ exome
AF:
0.000184
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000445
Gnomad NFE exome
AF:
0.0000431
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000309
AC:
281
AN:
910748
Hom.:
0
Cov.:
18
AF XY:
0.000289
AC XY:
127
AN XY:
440160
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00165
AC:
30
AN:
18232
American (AMR)
AF:
0.000479
AC:
8
AN:
16690
Ashkenazi Jewish (ASJ)
AF:
0.000169
AC:
2
AN:
11824
East Asian (EAS)
AF:
0.000354
AC:
4
AN:
11310
South Asian (SAS)
AF:
0.000360
AC:
12
AN:
33322
European-Finnish (FIN)
AF:
0.000219
AC:
3
AN:
13688
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2174
European-Non Finnish (NFE)
AF:
0.000266
AC:
205
AN:
771288
Other (OTH)
AF:
0.000528
AC:
17
AN:
32220
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.389
Heterozygous variant carriers
0
15
31
46
62
77
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000528
AC:
76
AN:
143992
Hom.:
0
Cov.:
31
AF XY:
0.000500
AC XY:
35
AN XY:
70062
show subpopulations
African (AFR)
AF:
0.00148
AC:
59
AN:
39868
American (AMR)
AF:
0.000137
AC:
2
AN:
14578
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3322
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4932
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4662
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8304
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
270
European-Non Finnish (NFE)
AF:
0.000230
AC:
15
AN:
65178
Other (OTH)
AF:
0.00
AC:
0
AN:
1984
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000674
Hom.:
0
Bravo
AF:
0.000567
ExAC
AF:
0.0000724
AC:
3

ClinVar

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

Submissions by phenotype

not provided Benign:2
Sep 24, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

FOXG1: PP2, BS1 -

not specified Benign:1
Apr 25, 2017
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
May 05, 2025
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as likely 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. -

FOXG1-related disorder Benign:1
Sep 03, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Rett syndrome, congenital variant Benign:1
Jan 30, 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
0.053
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
15
DANN
Benign
0.96
DEOGEN2
Benign
0.33
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.031
N
LIST_S2
Benign
0.40
T
M_CAP
Uncertain
0.17
D
MetaRNN
Benign
0.049
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.81
L
PhyloP100
0.67
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-0.54
N
REVEL
Benign
0.038
Sift
Benign
0.31
T
Sift4G
Benign
0.14
T
Polyphen
0.056
B
Vest4
0.21
MutPred
0.30
Gain of catalytic residue at P65 (P = 5e-04);
MVP
0.040
ClinPred
0.023
T
GERP RS
-1.2
Varity_R
0.077
gMVP
0.34
Mutation Taster
=94/6
polymorphism

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: rs727503933; hg19: chr14-29236691; COSMIC: COSV57394806; COSMIC: COSV57394806; API