rs77587352

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001080413.3(NOBOX):​c.271G>T​(p.Gly91Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0015 in 1,611,800 control chromosomes in the GnomAD database, including 41 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G91E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0078 ( 21 hom., cov: 33)
Exomes 𝑓: 0.00084 ( 20 hom. )

Consequence

NOBOX
NM_001080413.3 missense

Scores

1
2
15

Clinical Significance

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

Conservation

PhyloP100: -0.0900

Publications

18 publications found
Variant links:
Genes affected
NOBOX (HGNC:22448): (NOBOX oogenesis homeobox) This homeobox gene encodes a transcription factor that is thought to play a role in oogenesis. In mice, it is essential for folliculogenesis and regulation of oocyte-specific genes. Defects in this gene result in premature ovarian failure type 5.[provided by RefSeq, May 2011]
NOBOX Gene-Disease associations (from GenCC):
  • premature ovarian failure 5
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004914403).
BP6
Variant 7-144401890-C-A is Benign according to our data. Variant chr7-144401890-C-A is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 167874.We mark this variant Likely_benign, oryginal submission is: [Conflicting_classifications_of_pathogenicity].
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00784 (1194/152240) while in subpopulation AFR AF = 0.0268 (1113/41532). AF 95% confidence interval is 0.0255. There are 21 homozygotes in GnomAd4. There are 585 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High AC in GnomAd4 at 1194 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NOBOXNM_001080413.3 linkc.271G>T p.Gly91Trp missense_variant Exon 3 of 10 ENST00000467773.1 NP_001073882.3 O60393-1
NOBOXXM_017011742.3 linkc.271G>T p.Gly91Trp missense_variant Exon 3 of 10 XP_016867231.1 O60393-2
NOBOXNM_001436401.1 linkc.38-293G>T intron_variant Intron 1 of 7 NP_001423330.1
NOBOXNM_001436402.1 linkc.38-1578G>T intron_variant Intron 1 of 6 NP_001423331.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NOBOXENST00000467773.1 linkc.271G>T p.Gly91Trp missense_variant Exon 3 of 10 5 NM_001080413.3 ENSP00000419457.1 O60393-1
NOBOXENST00000483238.5 linkc.271G>T p.Gly91Trp missense_variant Exon 3 of 10 5 ENSP00000419565.1 O60393-2
NOBOXENST00000645489.1 linkc.38-293G>T intron_variant Intron 1 of 7 ENSP00000496732.1 A0A2R8Y8C8
NOBOXENST00000643164.1 linkc.38-1578G>T intron_variant Intron 1 of 6 ENSP00000495343.1 A0A2R8Y683

Frequencies

GnomAD3 genomes
AF:
0.00784
AC:
1192
AN:
152122
Hom.:
21
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0268
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00360
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000176
Gnomad OTH
AF:
0.00573
GnomAD2 exomes
AF:
0.00214
AC:
533
AN:
248636
AF XY:
0.00156
show subpopulations
Gnomad AFR exome
AF:
0.0268
Gnomad AMR exome
AF:
0.00270
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000124
Gnomad OTH exome
AF:
0.00149
GnomAD4 exome
AF:
0.000841
AC:
1228
AN:
1459560
Hom.:
20
Cov.:
29
AF XY:
0.000733
AC XY:
532
AN XY:
726210
show subpopulations
African (AFR)
AF:
0.0246
AC:
821
AN:
33422
American (AMR)
AF:
0.00293
AC:
131
AN:
44704
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26112
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39686
South Asian (SAS)
AF:
0.0000580
AC:
5
AN:
86144
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53402
Middle Eastern (MID)
AF:
0.000521
AC:
3
AN:
5760
European-Non Finnish (NFE)
AF:
0.000130
AC:
144
AN:
1110034
Other (OTH)
AF:
0.00206
AC:
124
AN:
60296
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.443
Heterozygous variant carriers
0
52
105
157
210
262
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
32
64
96
128
160
<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:
0.00784
AC:
1194
AN:
152240
Hom.:
21
Cov.:
33
AF XY:
0.00786
AC XY:
585
AN XY:
74440
show subpopulations
African (AFR)
AF:
0.0268
AC:
1113
AN:
41532
American (AMR)
AF:
0.00359
AC:
55
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5158
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000176
AC:
12
AN:
68018
Other (OTH)
AF:
0.00567
AC:
12
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
54
108
162
216
270
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00318
Hom.:
14
Bravo
AF:
0.00877
ESP6500AA
AF:
0.0293
AC:
110
ESP6500EA
AF:
0.000122
AC:
1
ExAC
AF:
0.00241
AC:
291
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.000164
EpiControl
AF:
0.000178

ClinVar

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

Submissions by phenotype

Premature ovarian failure 5 Pathogenic:2
Dec 16, 2014
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Jan 06, 2020
Reproductive Health Research and Development, BGI Genomics
Significance:Likely pathogenic
Review Status:no assertion criteria provided
Collection Method:curation

NM_001080413.3:c.271G>T in the NOBOX gene has an allele frequency of 0.028 in African subpopulation in the gnomAD database. The NOBOX c.271G>T (p.Gly91Trp) variant has been identified in five individuals affected with primary ovarian insufficiency (PMID: 25514101; 21837770). Functional studies of NOBOX variants revealed that p.Gly91Trp was deleterious for protein function (PMID: 25514101). Taken together, we interprete this variant as Pathogenic/Likely pathogenic. ACMG/AMP Criteria applied: PS3; PP4; PS4_Supporting. -

not provided Uncertain:1Benign:1
Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 14, 2020
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Published functional studies demonstrate impaired autophagosomal degradation and decreased or defective transcriptional activity (Ferrari et al., 2016; Bouilly et al., 2011).; In silico analysis supports that this missense variant does not alter protein structure/function; This variant is associated with the following publications: (PMID: 33095795, 31589614, 31293321, 21837770, 27798098, 26848058, 25514101) -

not specified Benign:1
Oct 28, 2020
H3Africa Consortium
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:research

While the frequency of the alternate allele in gnoMAD v2.0.2 is 0.061, its frequency in African populations is >5%. This suggests that previous classifications of this variant as pathogenic are in error. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
12
DANN
Benign
0.63
DEOGEN2
Benign
0.035
.;T
Eigen
Benign
-0.75
Eigen_PC
Benign
-0.98
FATHMM_MKL
Benign
0.062
N
LIST_S2
Benign
0.46
T;T
MetaRNN
Benign
0.0049
T;T
MetaSVM
Uncertain
-0.25
T
MutationAssessor
Benign
0.34
N;N
PhyloP100
-0.090
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.40
N;N
REVEL
Uncertain
0.33
Sift
Benign
0.15
T;T
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
.;D
Vest4
0.79
MVP
0.88
MPC
0.025
ClinPred
0.030
T
GERP RS
-2.0
Varity_R
0.052
gMVP
0.036
Mutation Taster
=97/3
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: rs77587352; hg19: chr7-144098983; COSMIC: COSV56195376; API