1-196902487-A-T

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBS1BS2

The NM_001201550.3(CFHR4):​c.128A>T​(p.Tyr43Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000869 in 1,611,966 control chromosomes in the GnomAD database, including 37 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00061 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00090 ( 36 hom. )

Consequence

CFHR4
NM_001201550.3 missense

Scores

1
16

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.740
Variant links:
Genes affected
CFHR4 (HGNC:16979): (complement factor H related 4) This gene is a member of the complement factor H (CFH) gene family, and encodes one of the 5 CFH-related (CFHR) proteins. These 5 genes are closely linked to the CFH gene on chromosome 1q31-q32. The CFHRs are secreted plasma proteins synthesized primarily by the hepatocytes, and composed of highly-related short consensus repeats (SCRs). This protein enhances the cofactor activity of CFH, and is involved in complement regulation. It can associate with lipoproteins and may play a role in lipid metabolism. Alternatively spliced transcript variants encoding different isoforms (varying in the number of SCRs) have been described for this gene. [provided by RefSeq, Jan 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009356916).
BP6
Variant 1-196902487-A-T is Benign according to our data. Variant chr1-196902487-A-T is described in ClinVar as [Likely_benign]. Clinvar id is 1712456.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.000607 (92/151600) while in subpopulation SAS AF= 0.0189 (91/4814). AF 95% confidence interval is 0.0158. There are 1 homozygotes in gnomad4. There are 69 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 36 AD,AR,Digenic gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CFHR4NM_001201550.3 linkuse as main transcriptc.128A>T p.Tyr43Phe missense_variant 2/10 ENST00000608469.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CFHR4ENST00000608469.6 linkuse as main transcriptc.128A>T p.Tyr43Phe missense_variant 2/101 NM_001201550.3 P4Q92496-1

Frequencies

GnomAD3 genomes
AF:
0.000607
AC:
92
AN:
151488
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0189
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00195
AC:
488
AN:
249776
Hom.:
17
AF XY:
0.00259
AC XY:
351
AN XY:
135476
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000549
Gnomad SAS exome
AF:
0.0156
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00132
GnomAD4 exome
AF:
0.000896
AC:
1308
AN:
1460366
Hom.:
36
Cov.:
30
AF XY:
0.00127
AC XY:
921
AN XY:
726542
show subpopulations
Gnomad4 AFR exome
AF:
0.0000600
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0141
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000720
Gnomad4 OTH exome
AF:
0.00124
GnomAD4 genome
AF:
0.000607
AC:
92
AN:
151600
Hom.:
1
Cov.:
32
AF XY:
0.000931
AC XY:
69
AN XY:
74104
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.0189
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000214
Hom.:
0
Bravo
AF:
0.000113
ExAC
AF:
0.00216
AC:
261
Asia WGS
AF:
0.00722
AC:
25
AN:
3478

ClinVar

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

Submissions by phenotype

Atypical hemolytic-uremic syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenJan 05, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
9.8
DANN
Benign
0.95
DEOGEN2
Benign
0.035
.;T;.;.
Eigen
Benign
-0.13
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.48
N
LIST_S2
Benign
0.60
T;T;T;T
MetaRNN
Benign
0.0094
T;T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Uncertain
2.0
.;M;M;.
MutationTaster
Benign
1.0
D;D;N;N
PROVEAN
Benign
-0.98
N;.;N;N
REVEL
Benign
0.11
Sift
Benign
0.87
T;.;T;T
Sift4G
Benign
0.52
T;.;T;T
Polyphen
1.0
.;D;.;.
Vest4
0.19
MutPred
0.59
.;Loss of helix (P = 0.3949);Loss of helix (P = 0.3949);Loss of helix (P = 0.3949);
MVP
0.39
MPC
0.39
ClinPred
0.027
T
GERP RS
3.4
Varity_R
0.090
gMVP
0.47

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs202234955; hg19: chr1-196871617; COSMIC: COSV52232301; API