rs76840944

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 2P and 5B. PM1BS1_SupportingBS2

The NM_001453.3(FOXC1):​c.1133_1141delGCGGCGGCG​(p.Gly378_Gly380del) variant causes a disruptive inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000168 in 1,142,682 control chromosomes in the GnomAD database, including 3 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000034 ( 0 hom., cov: 24)
Exomes 𝑓: 0.00019 ( 3 hom. )

Consequence

FOXC1
NM_001453.3 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.46

Publications

6 publications found
Variant links:
Genes affected
FOXC1 (HGNC:3800): (forkhead box C1) This gene belongs to the forkhead family of transcription factors which is characterized by a distinct DNA-binding forkhead domain. The specific function of this gene has not yet been determined; however, it has been shown to play a role in the regulation of embryonic and ocular development. Mutations in this gene cause various glaucoma phenotypes including primary congenital glaucoma, autosomal dominant iridogoniodysgenesis anomaly, and Axenfeld-Rieger anomaly. [provided by RefSeq, Jul 2008]
FOXC1 Gene-Disease associations (from GenCC):
  • anterior segment dysgenesis 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae)
  • Axenfeld-Rieger syndrome type 3
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • aniridia
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • Axenfeld anomaly
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Axenfeld-Rieger syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • isolated aniridia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Peters anomaly
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Rieger anomaly
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 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, 15 uncertain in NM_001453.3
BS1
Variant frequency is greater than expected in population sas. GnomAdExome4 allele frequency = 0.000188 (187/996256) while in subpopulation SAS AF = 0.000882 (20/22672). AF 95% confidence interval is 0.000584. There are 3 homozygotes in GnomAdExome4. There are 82 alleles in the male GnomAdExome4 subpopulation. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FOXC1NM_001453.3 linkc.1133_1141delGCGGCGGCG p.Gly378_Gly380del disruptive_inframe_deletion Exon 1 of 1 ENST00000645831.2 NP_001444.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FOXC1ENST00000645831.2 linkc.1133_1141delGCGGCGGCG p.Gly378_Gly380del disruptive_inframe_deletion Exon 1 of 1 NM_001453.3 ENSP00000493906.1 Q12948

Frequencies

GnomAD3 genomes
AF:
0.0000341
AC:
5
AN:
146426
Hom.:
0
Cov.:
24
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000758
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000590
AC:
8
AN:
13566
AF XY:
0.000789
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.000460
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000188
AC:
187
AN:
996256
Hom.:
3
AF XY:
0.000172
AC XY:
82
AN XY:
475972
show subpopulations
African (AFR)
AF:
0.0000505
AC:
1
AN:
19814
American (AMR)
AF:
0.00
AC:
0
AN:
5788
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
11264
East Asian (EAS)
AF:
0.00
AC:
0
AN:
11126
South Asian (SAS)
AF:
0.000882
AC:
20
AN:
22672
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
15106
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2442
European-Non Finnish (NFE)
AF:
0.000189
AC:
165
AN:
871248
Other (OTH)
AF:
0.0000272
AC:
1
AN:
36796
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
8
17
25
34
42
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.0000341
AC:
5
AN:
146426
Hom.:
0
Cov.:
24
AF XY:
0.0000562
AC XY:
4
AN XY:
71200
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40756
American (AMR)
AF:
0.00
AC:
0
AN:
14744
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3388
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4852
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4798
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8696
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000758
AC:
5
AN:
65962
Other (OTH)
AF:
0.00
AC:
0
AN:
2012
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
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:
0.00
Hom.:
107

ClinVar

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

Submissions by phenotype

Axenfeld-Rieger syndrome type 3 Uncertain:1
Oct 03, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant, c.1133_1141del, results in the deletion of 3 amino acid(s) of the FOXC1 protein (p.Gly378_Gly380del), but otherwise preserves the integrity of the reading frame. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with FOXC1-related conditions. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
2.5
Mutation Taster
=192/8
polymorphism

Splicing

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs76840944; hg19: chr6-1611802; API