rs745705522

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6BP7BS2

The NM_139058.3(ARX):ā€‹c.447G>Cā€‹(p.Ala149=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000339 in 776,764 control chromosomes in the GnomAD database, including 4 homozygotes. There are 67 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.00069 ( 0 hom., 19 hem., cov: 21)
Exomes š‘“: 0.00028 ( 4 hom. 48 hem. )

Consequence

ARX
NM_139058.3 synonymous

Scores

2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: -1.82
Variant links:
Genes affected
ARX (HGNC:18060): (aristaless related homeobox) This gene is a homeobox-containing gene expressed during development. The expressed protein contains two conserved domains, a C-peptide (or aristaless domain) and the prd-like class homeobox domain. It is a member of the group-II aristaless-related protein family whose members are expressed primarily in the central and/or peripheral nervous system. This gene is thought to be involved in CNS development. Expansion of a polyalanine tract and other mutations in this gene cause X-linked cognitive disability and epilepsy. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.76).
BP6
Variant X-25013548-C-G is Benign according to our data. Variant chrX-25013548-C-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 288382.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=2, Uncertain_significance=1, Benign=1}.
BP7
Synonymous conserved (PhyloP=-1.82 with no splicing effect.
BS2
High Hemizygotes in GnomAd4 at 19 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ARXNM_139058.3 linkuse as main transcriptc.447G>C p.Ala149= synonymous_variant 2/5 ENST00000379044.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ARXENST00000379044.5 linkuse as main transcriptc.447G>C p.Ala149= synonymous_variant 2/51 NM_139058.3 P1

Frequencies

GnomAD3 genomes
AF:
0.000693
AC:
72
AN:
103824
Hom.:
0
Cov.:
21
AF XY:
0.000643
AC XY:
19
AN XY:
29540
show subpopulations
Gnomad AFR
AF:
0.0000340
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
Gnomad ASJ
AF:
0.0224
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000160
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0108
AC:
3
AN:
278
Hom.:
1
AF XY:
0.00
AC XY:
0
AN XY:
46
show subpopulations
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.250
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:
0.000284
AC:
191
AN:
672958
Hom.:
4
Cov.:
31
AF XY:
0.000235
AC XY:
48
AN XY:
203880
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000664
Gnomad4 ASJ exome
AF:
0.0223
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000804
Gnomad4 OTH exome
AF:
0.00171
GnomAD4 genome
AF:
0.000694
AC:
72
AN:
103806
Hom.:
0
Cov.:
21
AF XY:
0.000643
AC XY:
19
AN XY:
29544
show subpopulations
Gnomad4 AFR
AF:
0.0000339
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.0224
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000160
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000285
Hom.:
1
Bravo
AF:
0.000733

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jul 05, 2016- -
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsJan 23, 2018This 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. -
Intellectual disability, X-linked, with or without seizures, arx-related;C3463992:Developmental and epileptic encephalopathy, 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.76
CADD
Benign
2.3
DANN
Benign
0.45

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: rs745705522; hg19: chrX-25031665; API