1-180230565-TGTC-T
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 1P and 5B. PM4_SupportingBS1_SupportingBS2
The NM_033343.4(LHX4):c.37_39delGTC(p.Val13del) variant causes a conservative inframe deletion change. The variant allele was found at a frequency of 0.0000273 in 1,613,834 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).
Frequency
Genomes: 𝑓 0.000039 ( 1 hom., cov: 31)
Exomes 𝑓: 0.000026 ( 0 hom. )
Consequence
LHX4
NM_033343.4 conservative_inframe_deletion
NM_033343.4 conservative_inframe_deletion
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 6.44
Genes affected
LHX4 (HGNC:21734): (LIM homeobox 4) This gene encodes a member of a large protein family which contains the LIM domain, a unique cysteine-rich zinc-binding domain. The encoded protein is a transcription factor involved in the control of differentiation and development of the pituitary gland. Mutations in this gene cause combined pituitary hormone deficiency 4. [provided by RefSeq, Dec 2010]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -4 ACMG points.
PM4
Nonframeshift variant in NON repetitive region in NM_033343.4. Strenght limited to Supporting due to length of the change: 1aa.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0000394 (6/152166) while in subpopulation NFE AF= 0.0000588 (4/68026). AF 95% confidence interval is 0.0000197. There are 1 homozygotes in gnomad4. There are 4 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 6 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
LHX4 | NM_033343.4 | c.37_39delGTC | p.Val13del | conservative_inframe_deletion | Exon 1 of 6 | ENST00000263726.4 | NP_203129.1 | |
LHX4 | XM_011510105.3 | c.-108+1653_-108+1655delGTC | intron_variant | Intron 1 of 5 | XP_011508407.1 | |||
LHX4 | XM_011510106.4 | c.-108+1413_-108+1415delGTC | intron_variant | Intron 1 of 5 | XP_011508408.1 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000394 AC: 6AN: 152166Hom.: 1 Cov.: 31
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GnomAD3 exomes AF: 0.0000160 AC: 4AN: 250700Hom.: 0 AF XY: 0.0000147 AC XY: 2AN XY: 135752
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GnomAD4 exome AF: 0.0000260 AC: 38AN: 1461668Hom.: 0 AF XY: 0.0000206 AC XY: 15AN XY: 727140
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GnomAD4 genome AF: 0.0000394 AC: 6AN: 152166Hom.: 1 Cov.: 31 AF XY: 0.0000538 AC XY: 4AN XY: 74334
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
Short stature-pituitary and cerebellar defects-small sella turcica syndrome Uncertain:1
Mar 31, 2022
Revvity Omics, Revvity
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing
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Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at