rs772798486

Variant summary

Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PVS1_StrongPM2PP5

The NM_004527.4(MEOX1):​c.664C>T​(p.Arg222*) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000274 in 1,461,608 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

MEOX1
NM_004527.4 stop_gained

Scores

2
6
6

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 2.04

Publications

3 publications found
Variant links:
Genes affected
MEOX1 (HGNC:7013): (mesenchyme homeobox 1) This gene encodes a member of a subfamily of non-clustered, diverged, antennapedia-like homeobox-containing genes. The encoded protein may play a role in the molecular signaling network regulating somite development. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008]
MEOX1 Gene-Disease associations (from GenCC):
  • Klippel-Feil syndrome 2, autosomal recessive
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • isolated Klippel-Feil syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 7 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.132 CDS is truncated, and there are 1 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 17-43642011-G-A is Pathogenic according to our data. Variant chr17-43642011-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 39508.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MEOX1NM_004527.4 linkc.664C>T p.Arg222* stop_gained Exon 3 of 3 ENST00000318579.9 NP_004518.1 P50221-1
MEOX1NM_001040002.2 linkc.319C>T p.Arg107* stop_gained Exon 4 of 4 NP_001035091.1 P50221-3
MEOX1NM_013999.4 linkc.491C>T p.Pro164Leu missense_variant Exon 2 of 2 NP_054705.1 P50221-2
MEOX1XM_011524818.3 linkc.675C>T p.Thr225Thr synonymous_variant Exon 3 of 3 XP_011523120.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MEOX1ENST00000318579.9 linkc.664C>T p.Arg222* stop_gained Exon 3 of 3 1 NM_004527.4 ENSP00000321684.4 P50221-1
MEOX1ENST00000549132.2 linkc.491C>T p.Pro164Leu missense_variant Exon 2 of 2 1 ENSP00000449049.2 P50221-2
MEOX1ENST00000393661.2 linkc.319C>T p.Arg107* stop_gained Exon 4 of 4 3 ENSP00000377271.2 P50221-3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000402
AC:
1
AN:
248836
AF XY:
0.00
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:
0.00000898
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1461608
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727134
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33478
American (AMR)
AF:
0.00
AC:
0
AN:
44692
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26108
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86228
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53400
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.00000360
AC:
4
AN:
1111854
Other (OTH)
AF:
0.00
AC:
0
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
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

Exome 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
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Klippel-Feil syndrome 2, autosomal recessive Pathogenic:1
Jan 10, 2013
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.63
D
BayesDel_noAF
Benign
-0.20
CADD
Pathogenic
39
DANN
Uncertain
1.0
Eigen
Uncertain
0.60
Eigen_PC
Uncertain
0.43
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.55
T
MetaRNN
Benign
0.20
T
MetaSVM
Benign
-1.0
T
PhyloP100
2.0
PROVEAN
Uncertain
-2.6
D
REVEL
Benign
0.19
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.013
D
Vest4
0.24
MutPred
0.11
Loss of loop (P = 0.0128);
MVP
0.76
ClinPred
1.0
D
GERP RS
3.6
Mutation Taster
=14/186
disease causing (ClinVar)

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: rs772798486; hg19: chr17-41719379; COSMIC: COSV59356507; API