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rs74315435

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_014588.6(VSX1):c.766G>T(p.Ala256Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000105 in 1,550,320 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. A256A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00063 ( 1 hom., cov: 33)
Exomes 𝑓: 0.000048 ( 0 hom. )

Consequence

VSX1
NM_014588.6 missense

Scores

5
13

Clinical Significance

Uncertain significance criteria provided, single submitter P:1U:1

Conservation

PhyloP100: 1.41
Variant links:
Genes affected
VSX1 (HGNC:12723): (visual system homeobox 1) The protein encoded by this gene contains a paired-like homeodomain and binds to the core of the locus control region of the red/green visual pigment gene cluster. The encoded protein may regulate expression of the cone opsin genes early in development. Mutations in this gene can cause posterior polymorphous corneal dystrophy and keratoconus. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009385645).
BS2
High AC in GnomAd at 90 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
VSX1NM_014588.6 linkuse as main transcriptc.766G>T p.Ala256Ser missense_variant 4/5 ENST00000376709.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
VSX1ENST00000376709.9 linkuse as main transcriptc.766G>T p.Ala256Ser missense_variant 4/51 NM_014588.6 P1Q9NZR4-1

Frequencies

GnomAD3 genomes
AF:
0.000592
AC:
90
AN:
152078
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00208
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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:
0.0000147
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.0000984
AC:
15
AN:
152504
Hom.:
0
AF XY:
0.0000493
AC XY:
4
AN XY:
81108
show subpopulations
Gnomad AFR exome
AF:
0.00166
Gnomad AMR exome
AF:
0.0000812
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000479
AC:
67
AN:
1398126
Hom.:
0
Cov.:
31
AF XY:
0.0000348
AC XY:
24
AN XY:
689626
show subpopulations
Gnomad4 AFR exome
AF:
0.00177
Gnomad4 AMR exome
AF:
0.0000560
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000126
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000185
Gnomad4 OTH exome
AF:
0.000104
GnomAD4 genome
AF:
0.000631
AC:
96
AN:
152194
Hom.:
1
Cov.:
33
AF XY:
0.000591
AC XY:
44
AN XY:
74400
show subpopulations
Gnomad4 AFR
AF:
0.00222
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000208
Hom.:
0
Bravo
AF:
0.000672
ESP6500AA
AF:
0.00200
AC:
8
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000783
AC:
6

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Craniofacial anomalies and anterior segment dysgenesis syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 01, 2004- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMendelicsMay 04, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.082
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.18
Cadd
Benign
14
Dann
Uncertain
0.99
Eigen
Benign
-0.43
Eigen_PC
Benign
-0.48
FATHMM_MKL
Benign
0.72
D
LIST_S2
Benign
0.54
T;T
M_CAP
Benign
0.055
D
MetaRNN
Benign
0.0094
T;T
MetaSVM
Uncertain
0.22
D
MutationAssessor
Benign
1.7
L;L
MutationTaster
Benign
1.0
A;A;A;A;A
PrimateAI
Benign
0.43
T
PROVEAN
Uncertain
-2.5
D;D
REVEL
Benign
0.28
Sift
Uncertain
0.017
D;D
Sift4G
Uncertain
0.027
D;D
Polyphen
0.34
B;P
Vest4
0.42
MVP
0.81
MPC
0.11
ClinPred
0.072
T
GERP RS
2.5
Varity_R
0.16
gMVP
0.67

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs74315435; hg19: chr20-25058363; API