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GeneBe

1-196902544-C-T

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS2

The NM_001201550.3(CFHR4):​c.185C>T​(p.Thr62Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000273 in 1,612,252 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00019 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00028 ( 6 hom. )

Consequence

CFHR4
NM_001201550.3 missense

Scores

1
3
12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 2.51
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.09971753).
BP6
Variant 1-196902544-C-T is Benign according to our data. Variant chr1-196902544-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 806298.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=1, Uncertain_significance=1}. Variant chr1-196902544-C-T is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAdExome4 at 6 AD,AR,Digenic gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CFHR4NM_001201550.3 linkuse as main transcriptc.185C>T p.Thr62Ile missense_variant 2/10 ENST00000608469.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CFHR4ENST00000608469.6 linkuse as main transcriptc.185C>T p.Thr62Ile missense_variant 2/101 NM_001201550.3 P4Q92496-1

Frequencies

GnomAD3 genomes
AF:
0.000192
AC:
29
AN:
151362
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000488
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000132
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000581
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000288
AC:
72
AN:
250090
Hom.:
2
AF XY:
0.000302
AC XY:
41
AN XY:
135622
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000164
Gnomad SAS exome
AF:
0.000490
Gnomad FIN exome
AF:
0.0000926
Gnomad NFE exome
AF:
0.000415
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000281
AC:
411
AN:
1460778
Hom.:
6
Cov.:
30
AF XY:
0.000293
AC XY:
213
AN XY:
726726
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000179
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.000441
Gnomad4 FIN exome
AF:
0.0000375
Gnomad4 NFE exome
AF:
0.000311
Gnomad4 OTH exome
AF:
0.000166
GnomAD4 genome
AF:
0.000191
AC:
29
AN:
151474
Hom.:
0
Cov.:
32
AF XY:
0.000135
AC XY:
10
AN XY:
74002
show subpopulations
Gnomad4 AFR
AF:
0.0000487
Gnomad4 AMR
AF:
0.000132
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000582
Gnomad4 SAS
AF:
0.000416
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000256
Hom.:
0
Bravo
AF:
0.000204
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000117
AC:
1
ExAC
AF:
0.000346
AC:
42
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.000546
EpiControl
AF:
0.000474

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsNov 12, 2021The c.185C>T (p.T62I) alteration is located in exon 2 (coding exon 2) of the CFHR4 gene. This alteration results from a C to T substitution at nucleotide position 185, causing the threonine (T) at amino acid position 62 to be replaced by an isoleucine (I). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenApr 01, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.66
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
21
DANN
Uncertain
1.0
Eigen
Benign
-0.26
Eigen_PC
Benign
-0.49
FATHMM_MKL
Benign
0.036
N
LIST_S2
Benign
0.67
T;T;T
M_CAP
Benign
0.084
D
MetaRNN
Benign
0.10
T;T;T
MetaSVM
Benign
-0.72
T
MutationTaster
Benign
1.0
N;N;N;N
PROVEAN
Benign
-1.9
N;.;D
REVEL
Benign
0.24
Sift
Uncertain
0.010
D;.;D
Sift4G
Uncertain
0.032
D;.;D
Polyphen
1.0
.;D;.
Vest4
0.46
MVP
0.37
MPC
0.42
ClinPred
0.39
T
GERP RS
1.7
Varity_R
0.061
gMVP
0.78

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.15
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: rs185240845; hg19: chr1-196871674; API