ClinVar Miner

Submissions for variant NM_023067.4(FOXL2):c.576dup (p.Lys193fs)

dbSNP: rs1057516161
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Total submissions: 3
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Submitter RCV SCV Clinical significance Condition Last evaluated Review status Method Comment
Genomic Diagnostic Laboratory, Division of Genomic Diagnostics, Children's Hospital of Philadelphia RCV000408857 SCV000484871 pathogenic Blepharophimosis, ptosis, and epicanthus inversus syndrome 2016-11-03 criteria provided, single submitter clinical testing
Invitae RCV002523842 SCV003525370 pathogenic not provided 2022-06-17 criteria provided, single submitter clinical testing For these reasons, this variant has been classified as Pathogenic. This variant disrupts a region of the FOXL2 protein in which other variant(s) (p.Pro307Hisfs*52) have been determined to be pathogenic (PMID: 11468277). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. ClinVar contains an entry for this variant (Variation ID: 369912). This variant is also known as c.576_577insC. This premature translational stop signal has been observed in individual(s) with blepharophimosis, ptosis, and epicanthus inversus syndrome (PMID: 18642388, 31048069). This variant is not present in population databases (gnomAD no frequency). This sequence change creates a premature translational stop signal (p.Lys193Glnfs*46) in the FOXL2 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 184 amino acid(s) of the FOXL2 protein.
Ambry Genetics RCV003362773 SCV004079784 pathogenic Inborn genetic diseases 2023-08-16 criteria provided, single submitter clinical testing The c.576dupC (p.K193Qfs*46) alteration, located in exon 1 (coding exon 1) of the FOXL2 gene, consists of a duplication of C at position 576, causing a translational frameshift with a predicted alternate stop codon after 46 amino acids. Frameshifts/Premature stop codons are typically deleterious in nature; however, because FOXL2 is a single-exon gene this alteration is not expected to trigger nonsense-mediated mRNA decay and a(n) altered/truncated protein could still be expressed (Maquat, 2004). This alteration impacts/removes the last 183 amino acids of the protein and the exact functional impact of these amino acids is unknown at this time. This variant was not reported in population-based cohorts in the Genome Aggregation Database (gnomAD). This variant has been reported in multiple individuals and their family members with clinical features consistent with FOXL2-related blepharophimosis, epicanthus inversus, and ptosis (Beysen, 2008; Chacón-Camacho, 2019). Based on the available evidence, this alteration is classified as pathogenic.

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