rs73572838

Variant summary

Our verdict is Benign. The variant received -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_016373.4(WWOX):​c.941G>A​(p.Arg314His) variant causes a missense change. The variant allele was found at a frequency of 0.00616 in 1,614,114 control chromosomes in the GnomAD database, including 449 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R314C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.031 ( 222 hom., cov: 32)
Exomes 𝑓: 0.0036 ( 227 hom. )

Consequence

WWOX
NM_016373.4 missense

Scores

2
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 5.22

Publications

16 publications found
Variant links:
Genes affected
WWOX (HGNC:12799): (WW domain containing oxidoreductase) This gene encodes a member of the short-chain dehydrogenases/reductases (SDR) protein family. This gene spans the FRA16D common chromosomal fragile site and appears to function as a tumor suppressor gene. Expression of the encoded protein is able to induce apoptosis, while defects in this gene are associated with multiple types of cancer. Disruption of this gene is also associated with autosomal recessive spinocerebellar ataxia 12. Disruption of a similar gene in mouse results in impaired steroidogenesis, additionally suggesting a metabolic function for the protein. Alternative splicing results in multiple transcript variants. [provided by RefSeq, May 2014]
WWOX Gene-Disease associations (from GenCC):
  • genetic developmental and epileptic encephalopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • autosomal recessive spinocerebellar ataxia 12
    Inheritance: AR Classification: STRONG, MODERATE, SUPPORTIVE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics
  • developmental and epileptic encephalopathy, 28
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • 46,XY partial gonadal dysgenesis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • undetermined early-onset epileptic encephalopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -18 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 23 uncertain in NM_016373.4
BP4
Computational evidence support a benign effect (MetaRNN=0.0026435852).
BP6
Variant 16-78432637-G-A is Benign according to our data. Variant chr16-78432637-G-A is described in ClinVar as Benign. ClinVar VariationId is 260746.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.105 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WWOXNM_016373.4 linkc.941G>A p.Arg314His missense_variant Exon 8 of 9 ENST00000566780.6 NP_057457.1
WWOXNM_001291997.2 linkc.602G>A p.Arg201His missense_variant Exon 7 of 8 NP_001278926.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WWOXENST00000566780.6 linkc.941G>A p.Arg314His missense_variant Exon 8 of 9 1 NM_016373.4 ENSP00000457230.1

Frequencies

GnomAD3 genomes
AF:
0.0310
AC:
4715
AN:
152106
Hom.:
220
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.107
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0116
Gnomad ASJ
AF:
0.00721
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00637
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.0234
GnomAD2 exomes
AF:
0.00797
AC:
1989
AN:
249576
AF XY:
0.00592
show subpopulations
Gnomad AFR exome
AF:
0.108
Gnomad AMR exome
AF:
0.00446
Gnomad ASJ exome
AF:
0.00913
Gnomad EAS exome
AF:
0.000111
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000477
Gnomad OTH exome
AF:
0.00264
GnomAD4 exome
AF:
0.00356
AC:
5201
AN:
1461890
Hom.:
227
Cov.:
32
AF XY:
0.00312
AC XY:
2268
AN XY:
727248
show subpopulations
African (AFR)
AF:
0.115
AC:
3839
AN:
33480
American (AMR)
AF:
0.00494
AC:
221
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00968
AC:
253
AN:
26136
East Asian (EAS)
AF:
0.000126
AC:
5
AN:
39700
South Asian (SAS)
AF:
0.000278
AC:
24
AN:
86256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53420
Middle Eastern (MID)
AF:
0.00624
AC:
36
AN:
5768
European-Non Finnish (NFE)
AF:
0.000235
AC:
261
AN:
1112010
Other (OTH)
AF:
0.00931
AC:
562
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
340
680
1019
1359
1699
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
120
240
360
480
600
<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:
0.0311
AC:
4738
AN:
152224
Hom.:
222
Cov.:
32
AF XY:
0.0303
AC XY:
2258
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.107
AC:
4449
AN:
41510
American (AMR)
AF:
0.0115
AC:
176
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00721
AC:
25
AN:
3468
East Asian (EAS)
AF:
0.000386
AC:
2
AN:
5184
South Asian (SAS)
AF:
0.00145
AC:
7
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00342
AC:
1
AN:
292
European-Non Finnish (NFE)
AF:
0.000412
AC:
28
AN:
68020
Other (OTH)
AF:
0.0237
AC:
50
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
217
434
651
868
1085
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
50
100
150
200
250
<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:
0.0113
Hom.:
159
Bravo
AF:
0.0351
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.0960
AC:
396
ESP6500EA
AF:
0.000833
AC:
7
ExAC
AF:
0.00975
AC:
1180
Asia WGS
AF:
0.0110
AC:
39
AN:
3478
EpiCase
AF:
0.000327
EpiControl
AF:
0.000652

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 07, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

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

- -

Sep 07, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Autosomal recessive spinocerebellar ataxia 12;C3463992:Developmental and epileptic encephalopathy, 1 Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Developmental and epileptic encephalopathy, 28 Benign:1
Dec 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Autosomal recessive spinocerebellar ataxia 12 Benign:1
Dec 05, 2021
Genome-Nilou Lab
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
0.068
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
17
DANN
Benign
0.97
DEOGEN2
Benign
0.075
T;.;T
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.43
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.91
D;D;D
MetaRNN
Benign
0.0026
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.95
L;L;.
PhyloP100
5.2
PrimateAI
Benign
0.30
T
PROVEAN
Benign
0.0
N;N;.
REVEL
Benign
0.22
Sift
Benign
0.71
T;T;.
Sift4G
Benign
0.63
T;T;T
Polyphen
0.0050
B;.;.
Vest4
0.27
MVP
0.86
ClinPred
0.011
T
GERP RS
3.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.030
gMVP
0.73
Mutation Taster
=97/3
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: rs73572838; hg19: chr16-78466534; API