rs761966457

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_014467.3(SRPX2):​c.1238G>A​(p.Arg413His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000339 in 1,209,214 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 24 hemizygotes in GnomAD. 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 (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R413C) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 23)
Exomes 𝑓: 0.000036 ( 0 hom. 24 hem. )

Consequence

SRPX2
NM_014467.3 missense

Scores

1
1
14

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.93

Publications

0 publications found
Variant links:
Genes affected
SRPX2 (HGNC:30668): (sushi repeat containing protein X-linked 2) This gene encodes a secreted protein that contains three sushi repeat motifs. The encoded protein may play a role in the development of speech and language centers in the brain. This protein may also be involved in angiogenesis. Mutations in this gene are the cause of bilateral perisylvian polymicrogyria, rolandic epilepsy, speech dyspraxia and cognitive disability. [provided by RefSeq, May 2010]
SRPX2 Gene-Disease associations (from GenCC):
  • rolandic epilepsy-speech dyspraxia syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • polymicrogyria, bilateral perisylvian, X-linked
    Inheritance: XL Classification: LIMITED Submitted by: G2P
  • rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked
    Inheritance: XL Classification: LIMITED, NO_KNOWN Submitted by: PanelApp Australia, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • epilepsy
    Inheritance: XL Classification: NO_KNOWN Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.13628674).
BS2
High AC in GnomAdExome4 at 39 XL,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_014467.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SRPX2
NM_014467.3
MANE Select
c.1238G>Ap.Arg413His
missense
Exon 11 of 11NP_055282.1O60687

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SRPX2
ENST00000373004.5
TSL:1 MANE Select
c.1238G>Ap.Arg413His
missense
Exon 11 of 11ENSP00000362095.3O60687
SRPX2
ENST00000640282.1
TSL:5
c.162G>Ap.Ser54Ser
synonymous
Exon 3 of 3ENSP00000491188.1A0A1W2PNZ6
SRPX2
ENST00000638920.1
TSL:5
n.1241G>A
non_coding_transcript_exon
Exon 10 of 10

Frequencies

GnomAD3 genomes
AF:
0.0000180
AC:
2
AN:
111003
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0000329
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000386
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000874
AC:
16
AN:
182996
AF XY:
0.000148
show subpopulations
Gnomad AFR exome
AF:
0.0000760
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000246
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000355
AC:
39
AN:
1098211
Hom.:
0
Cov.:
31
AF XY:
0.0000660
AC XY:
24
AN XY:
363569
show subpopulations
African (AFR)
AF:
0.0000379
AC:
1
AN:
26398
American (AMR)
AF:
0.00
AC:
0
AN:
35206
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19386
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30206
South Asian (SAS)
AF:
0.000646
AC:
35
AN:
54145
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40528
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4126
European-Non Finnish (NFE)
AF:
0.00000356
AC:
3
AN:
842123
Other (OTH)
AF:
0.00
AC:
0
AN:
46093
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000180
AC:
2
AN:
111003
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
33227
show subpopulations
African (AFR)
AF:
0.0000329
AC:
1
AN:
30427
American (AMR)
AF:
0.00
AC:
0
AN:
10483
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2639
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3505
South Asian (SAS)
AF:
0.000386
AC:
1
AN:
2590
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5951
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53015
Other (OTH)
AF:
0.00
AC:
0
AN:
1473
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000659
AC:
8

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)
-
1
-
Rolandic epilepsy, intellectual disability, and speech dyspraxia, X-linked (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
22
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.058
T
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.14
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
1.2
L
PhyloP100
1.9
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-1.6
N
REVEL
Benign
0.20
Sift
Benign
0.15
T
Sift4G
Benign
0.19
T
Polyphen
0.99
D
Vest4
0.041
MutPred
0.58
Loss of MoRF binding (P = 0.0067)
MVP
0.57
MPC
0.75
ClinPred
0.13
T
GERP RS
3.3
Varity_R
0.17
gMVP
0.47
Mutation Taster
=90/10
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs761966457; hg19: chrX-99925824; COSMIC: COSV52171387; COSMIC: COSV52171387; API