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GeneBe

1-180271836-T-G

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 3P and 6B. PM1PP3BP4_StrongBP6_Moderate

The NM_033343.4(LHX4):ā€‹c.608T>Gā€‹(p.Val203Gly) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: š‘“ 0.0 ( 0 hom., cov: 31)
Exomes š‘“: 0.00060 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

LHX4
NM_033343.4 missense, splice_region

Scores

13
2
3

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 7.91
Variant links:
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]
ACBD6 (HGNC:23339): (acyl-CoA binding domain containing 6) Predicted to enable fatty-acyl-CoA binding activity and lipid binding activity. Predicted to be located in cytosol. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PM1
In a DNA_binding_region Homeobox (size 59) in uniprot entity LHX4_HUMAN there are 4 pathogenic changes around while only 1 benign (80%) in NM_033343.4
PP3
Multiple lines of computational evidence support a deleterious effect 10: AlphaMissense, BayesDel_addAF, BayesDel_noAF, Cadd, Eigen, MutationAssessor, phyloP100way_vertebrate, PrimateAI, PROVEAN, REVEL [when max_spliceai, FATHMM_MKL, MetaRNN, MutationTaster was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.020503074).
BP6
Variant 1-180271836-T-G is Benign according to our data. Variant chr1-180271836-T-G is described in ClinVar as [Likely_benign]. Clinvar id is 801582.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LHX4NM_033343.4 linkuse as main transcriptc.608T>G p.Val203Gly missense_variant, splice_region_variant 5/6 ENST00000263726.4
LHX4-AS1NR_037642.1 linkuse as main transcriptn.484A>C non_coding_transcript_exon_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LHX4ENST00000263726.4 linkuse as main transcriptc.608T>G p.Val203Gly missense_variant, splice_region_variant 5/61 NM_033343.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
0
AN:
151410
Hom.:
0
Cov.:
31
FAILED QC
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000603
AC:
881
AN:
1460868
Hom.:
0
Cov.:
32
AF XY:
0.000594
AC XY:
432
AN XY:
726756
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.000963
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00149
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.0106
Gnomad4 NFE exome
AF:
0.000120
Gnomad4 OTH exome
AF:
0.00119
GnomAD4 genome
Data not reliable, filtered out with message: AC0;AS_VQSR
AF:
0.00
AC:
0
AN:
151410
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
73884
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000634
Hom.:
0
ExAC
AF:
0.0261
AC:
3170

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Short stature-pituitary and cerebellar defects-small sella turcica syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.56
D
BayesDel_noAF
Pathogenic
0.56
CADD
Pathogenic
30
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.96
D
Eigen
Pathogenic
0.96
Eigen_PC
Pathogenic
0.86
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.85
T
MetaRNN
Benign
0.021
T
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
3.4
M
MutationTaster
Benign
1.0
D
PrimateAI
Pathogenic
0.81
D
PROVEAN
Pathogenic
-6.4
D
REVEL
Pathogenic
0.99
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.23
MPC
1.1
ClinPred
0.039
T
GERP RS
5.6
Varity_R
0.99
gMVP
0.67

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs201275928; hg19: chr1-180240971; API