1-109659077-T-C

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP7BA1

The NM_000850.5(GSTM4):​c.534T>C​(p.Phe178Phe) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.86 in 1,614,000 control chromosomes in the GnomAD database, including 599,512 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.80 ( 50007 hom., cov: 32)
Exomes 𝑓: 0.87 ( 549505 hom. )

Consequence

GSTM4
NM_000850.5 synonymous

Scores

2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.181

Publications

30 publications found
Variant links:
Genes affected
GSTM4 (HGNC:4636): (glutathione S-transferase mu 4) Cytosolic and membrane-bound forms of glutathione S-transferase are encoded by two distinct supergene families. At present, eight distinct classes of the soluble cytoplasmic mammalian glutathione S-transferases have been identified: alpha, kappa, mu, omega, pi, sigma, theta and zeta. This gene encodes a glutathione S-transferase that belongs to the mu class. The mu class of enzymes functions in the detoxification of electrophilic compounds, including carcinogens, therapeutic drugs, environmental toxins and products of oxidative stress, by conjugation with glutathione. The genes encoding the mu class of enzymes are organized in a gene cluster on chromosome 1p13.3 and are known to be highly polymorphic. These genetic variations can change an individual's susceptibility to carcinogens and toxins as well as affect the toxicity and efficacy of certain drugs. Diversification of these genes has occurred in regions encoding substrate-binding domains, as well as in tissue expression patterns, to accommodate an increasing number of foreign compounds. Multiple transcript variants, each encoding a distinct protein isoform, have been identified. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

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

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.66).
BP7
Synonymous conserved (PhyloP=0.181 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.95 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000850.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GSTM4
NM_000850.5
MANE Select
c.534T>Cp.Phe178Phe
synonymous
Exon 7 of 8NP_000841.1
GSTM4
NM_147148.3
c.534T>Cp.Phe178Phe
synonymous
Exon 7 of 8NP_671489.1
GSTM4
NR_024538.2
n.743T>C
non_coding_transcript_exon
Exon 6 of 7

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
GSTM4
ENST00000369836.9
TSL:1 MANE Select
c.534T>Cp.Phe178Phe
synonymous
Exon 7 of 8ENSP00000358851.4
GSTM4
ENST00000326729.9
TSL:1
c.534T>Cp.Phe178Phe
synonymous
Exon 7 of 8ENSP00000316471.5
GSTM4
ENST00000495742.5
TSL:1
n.590T>C
non_coding_transcript_exon
Exon 6 of 7

Frequencies

GnomAD3 genomes
AF:
0.801
AC:
121815
AN:
152020
Hom.:
49990
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.603
Gnomad AMI
AF:
0.828
Gnomad AMR
AF:
0.869
Gnomad ASJ
AF:
0.862
Gnomad EAS
AF:
0.972
Gnomad SAS
AF:
0.872
Gnomad FIN
AF:
0.891
Gnomad MID
AF:
0.804
Gnomad NFE
AF:
0.870
Gnomad OTH
AF:
0.822
GnomAD2 exomes
AF:
0.868
AC:
218229
AN:
251494
AF XY:
0.871
show subpopulations
Gnomad AFR exome
AF:
0.593
Gnomad AMR exome
AF:
0.921
Gnomad ASJ exome
AF:
0.858
Gnomad EAS exome
AF:
0.978
Gnomad FIN exome
AF:
0.885
Gnomad NFE exome
AF:
0.869
Gnomad OTH exome
AF:
0.869
GnomAD4 exome
AF:
0.866
AC:
1265423
AN:
1461862
Hom.:
549505
Cov.:
86
AF XY:
0.866
AC XY:
629959
AN XY:
727230
show subpopulations
African (AFR)
AF:
0.583
AC:
19525
AN:
33480
American (AMR)
AF:
0.915
AC:
40901
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.857
AC:
22399
AN:
26134
East Asian (EAS)
AF:
0.967
AC:
38383
AN:
39700
South Asian (SAS)
AF:
0.873
AC:
75310
AN:
86258
European-Finnish (FIN)
AF:
0.890
AC:
47523
AN:
53420
Middle Eastern (MID)
AF:
0.839
AC:
4837
AN:
5768
European-Non Finnish (NFE)
AF:
0.868
AC:
964777
AN:
1111984
Other (OTH)
AF:
0.857
AC:
51768
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.447
Heterozygous variant carriers
0
10724
21449
32173
42898
53622
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
21230
42460
63690
84920
106150
<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:
0.801
AC:
121868
AN:
152138
Hom.:
50007
Cov.:
32
AF XY:
0.805
AC XY:
59886
AN XY:
74378
show subpopulations
African (AFR)
AF:
0.603
AC:
24991
AN:
41456
American (AMR)
AF:
0.870
AC:
13304
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.862
AC:
2992
AN:
3470
East Asian (EAS)
AF:
0.972
AC:
5012
AN:
5154
South Asian (SAS)
AF:
0.872
AC:
4205
AN:
4822
European-Finnish (FIN)
AF:
0.891
AC:
9447
AN:
10608
Middle Eastern (MID)
AF:
0.799
AC:
235
AN:
294
European-Non Finnish (NFE)
AF:
0.870
AC:
59187
AN:
68012
Other (OTH)
AF:
0.823
AC:
1740
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
1164
2327
3491
4654
5818
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
866
1732
2598
3464
4330
<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:
0.837
Hom.:
21172
Bravo
AF:
0.792
Asia WGS
AF:
0.894
AC:
3107
AN:
3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.66
CADD
Benign
2.2
DANN
Benign
0.46
PhyloP100
0.18
Mutation Taster
=100/0
polymorphism (auto)

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: rs506008; hg19: chr1-110201699; COSMIC: COSV58694178; COSMIC: COSV58694178; API