rs759503727

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_001368397.1(FRMPD4):​c.3938G>A​(p.Arg1313Gln) variant causes a missense change. The variant allele was found at a frequency of 0.0000576 in 1,197,884 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 32 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R1313R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000045 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.000059 ( 0 hom. 32 hem. )

Consequence

FRMPD4
NM_001368397.1 missense

Scores

1
5
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: 6.44

Publications

0 publications found
Variant links:
Genes affected
FRMPD4 (HGNC:29007): (FERM and PDZ domain containing 4) This gene encodes a multi-domain (WW, PDZ, FERM) containing protein. Through its interaction with other proteins (such as PSD-95), it functions as a positive regulator of dendritic spine morphogenesis and density, and is required for the maintenance of excitatory synaptic transmission. [provided by RefSeq, Jan 2010]
FRMPD4 Gene-Disease associations (from GenCC):
  • X-linked complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • intellectual disability, X-linked 104
    Inheritance: XL Classification: STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae), Illumina
  • non-syndromic X-linked intellectual disability
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.14297307).
BP6
Variant X-12718764-G-A is Benign according to our data. Variant chrX-12718764-G-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 211054.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Likely_benign=2}.
BS2
High Hemizygotes in GnomAdExome4 at 32 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FRMPD4NM_001368397.1 linkc.3938G>A p.Arg1313Gln missense_variant Exon 16 of 17 ENST00000675598.1 NP_001355326.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FRMPD4ENST00000675598.1 linkc.3938G>A p.Arg1313Gln missense_variant Exon 16 of 17 NM_001368397.1 ENSP00000502607.1 A0A6Q8PH73

Frequencies

GnomAD3 genomes
AF:
0.0000447
AC:
5
AN:
111885
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000378
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000382
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000564
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000140
AC:
25
AN:
179092
AF XY:
0.000183
show subpopulations
Gnomad AFR exome
AF:
0.0000779
Gnomad AMR exome
AF:
0.0000369
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000626
Gnomad NFE exome
AF:
0.000152
Gnomad OTH exome
AF:
0.000226
GnomAD4 exome
AF:
0.0000589
AC:
64
AN:
1085999
Hom.:
0
Cov.:
29
AF XY:
0.0000909
AC XY:
32
AN XY:
351965
show subpopulations
African (AFR)
AF:
0.0000382
AC:
1
AN:
26200
American (AMR)
AF:
0.0000285
AC:
1
AN:
35115
Ashkenazi Jewish (ASJ)
AF:
0.000156
AC:
3
AN:
19278
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30148
South Asian (SAS)
AF:
0.000410
AC:
22
AN:
53673
European-Finnish (FIN)
AF:
0.0000746
AC:
3
AN:
40236
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4104
European-Non Finnish (NFE)
AF:
0.0000373
AC:
31
AN:
831584
Other (OTH)
AF:
0.0000657
AC:
3
AN:
45661
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
GnomAD4 genome
AF:
0.0000447
AC:
5
AN:
111885
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34077
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30769
American (AMR)
AF:
0.00
AC:
0
AN:
10601
Ashkenazi Jewish (ASJ)
AF:
0.000378
AC:
1
AN:
2647
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3567
South Asian (SAS)
AF:
0.000382
AC:
1
AN:
2621
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6044
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
237
European-Non Finnish (NFE)
AF:
0.0000564
AC:
3
AN:
53206
Other (OTH)
AF:
0.00
AC:
0
AN:
1507
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.435
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.0000434
Hom.:
0
Bravo
AF:
0.0000416
ExAC
AF:
0.000198
AC:
24

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Feb 05, 2015
Genetic Services Laboratory, University of Chicago
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Mar 09, 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. -

not provided Benign:1
Jun 01, 2021
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.037
T;T
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.91
D;D
M_CAP
Benign
0.041
D
MetaRNN
Benign
0.14
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.63
N;.
PhyloP100
6.4
PrimateAI
Uncertain
0.61
T
PROVEAN
Benign
-0.30
N;.
REVEL
Benign
0.28
Sift
Pathogenic
0.0
D;.
Sift4G
Uncertain
0.022
D;D
Polyphen
0.47
P;.
Vest4
0.33
MutPred
0.42
Gain of ubiquitination at K1318 (P = 0.0261);.;
MVP
0.62
MPC
0.16
ClinPred
0.073
T
GERP RS
4.7
Varity_R
0.63
gMVP
0.53
Mutation Taster
=96/4
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: rs759503727; hg19: chrX-12736883; COSMIC: COSV107482647; API