rs867384286

Variant summary

Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PM2PP2PP3_ModeratePP5_Moderate

The NM_001349798.2(FBXW7):​c.1393C>T​(p.Arg465Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000139 in 1,440,632 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

FBXW7
NM_001349798.2 missense

Scores

11
2
6

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 10.0

Publications

247 publications found
Variant links:
Genes affected
FBXW7 (HGNC:16712): (F-box and WD repeat domain containing 7) This gene encodes a member of the F-box protein family which is characterized by an approximately 40 amino acid motif, the F-box. The F-box proteins constitute one of the four subunits of ubiquitin protein ligase complex called SCFs (SKP1-cullin-F-box), which function in phosphorylation-dependent ubiquitination. The F-box proteins are divided into 3 classes: Fbws containing WD-40 domains, Fbls containing leucine-rich repeats, and Fbxs containing either different protein-protein interaction modules or no recognizable motifs. The protein encoded by this gene was previously referred to as FBX30, and belongs to the Fbws class; in addition to an F-box, this protein contains 7 tandem WD40 repeats. This protein binds directly to cyclin E and probably targets cyclin E for ubiquitin-mediated degradation. Mutations in this gene are detected in ovarian and breast cancer cell lines, implicating the gene's potential role in the pathogenesis of human cancers. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2012]
FBXW7 Gene-Disease associations (from GenCC):
  • developmental delay, hypotonia, and impaired language
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the FBXW7 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 24 curated pathogenic missense variants (we use a threshold of 10). The gene has 5 curated benign missense variants. Gene score misZ: 3.7111 (above the threshold of 3.09). Trascript score misZ: 4.5266 (above the threshold of 3.09). GenCC associations: The gene is linked to developmental delay, hypotonia, and impaired language.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.906
PP5
Variant 4-152328233-G-A is Pathogenic according to our data. Variant chr4-152328233-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 376414.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FBXW7NM_001349798.2 linkc.1393C>T p.Arg465Cys missense_variant Exon 11 of 14 ENST00000281708.10 NP_001336727.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FBXW7ENST00000281708.10 linkc.1393C>T p.Arg465Cys missense_variant Exon 11 of 14 1 NM_001349798.2 ENSP00000281708.3 Q969H0-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000432
AC:
1
AN:
231220
AF XY:
0.00000797
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000139
AC:
2
AN:
1440632
Hom.:
0
Cov.:
31
AF XY:
0.00000279
AC XY:
2
AN XY:
716120
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
31890
American (AMR)
AF:
0.00
AC:
0
AN:
40996
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25660
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38028
South Asian (SAS)
AF:
0.0000122
AC:
1
AN:
81928
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53254
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5700
European-Non Finnish (NFE)
AF:
9.06e-7
AC:
1
AN:
1103628
Other (OTH)
AF:
0.00
AC:
0
AN:
59548
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.250
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

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: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Oct 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Pathogenic
0.14
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.38
T;.;T;.;.;T
Eigen
Pathogenic
0.96
Eigen_PC
Pathogenic
0.96
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Pathogenic
1.0
.;D;.;.;D;D
M_CAP
Benign
0.037
D
MetaRNN
Pathogenic
0.91
D;D;D;D;D;D
MetaSVM
Benign
-0.57
T
MutationAssessor
Benign
1.4
L;.;L;.;.;L
PhyloP100
10
PrimateAI
Pathogenic
0.90
D
PROVEAN
Pathogenic
-7.8
.;D;D;.;D;.
REVEL
Uncertain
0.59
Sift
Pathogenic
0.0
.;D;D;.;D;.
Sift4G
Benign
0.072
T;T;T;.;T;T
Polyphen
1.0
D;D;D;D;D;D
Vest4
0.79
MutPred
0.72
Loss of MoRF binding (P = 0.0214);.;Loss of MoRF binding (P = 0.0214);.;.;Loss of MoRF binding (P = 0.0214);
MVP
0.89
MPC
3.3
ClinPred
1.0
D
GERP RS
6.0
Varity_R
0.96
gMVP
0.78
Mutation Taster
=17/83
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: rs867384286; hg19: chr4-153249385; COSMIC: COSV55891008; COSMIC: COSV55891008; API