1-196902587-T-C

Variant summary

Our verdict is Benign. Variant got -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_001201550.3(CFHR4):ā€‹c.228T>Cā€‹(p.Asp76=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0115 in 1,612,242 control chromosomes in the GnomAD database, including 322 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0084 ( 22 hom., cov: 32)
Exomes š‘“: 0.012 ( 300 hom. )

Consequence

CFHR4
NM_001201550.3 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:5

Conservation

PhyloP100: -1.36
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 -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.93).
BP6
Variant 1-196902587-T-C is Benign according to our data. Variant chr1-196902587-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 788946.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-196902587-T-C is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.36 with no splicing effect.
BS2
High Homozygotes in GnomAd4 at 22 AD,AR,Digenic gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CFHR4NM_001201550.3 linkuse as main transcriptc.228T>C p.Asp76= synonymous_variant 2/10 ENST00000608469.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CFHR4ENST00000608469.6 linkuse as main transcriptc.228T>C p.Asp76= synonymous_variant 2/101 NM_001201550.3 P4Q92496-1

Frequencies

GnomAD3 genomes
AF:
0.00842
AC:
1275
AN:
151402
Hom.:
22
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00276
Gnomad AMI
AF:
0.0186
Gnomad AMR
AF:
0.00580
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00332
Gnomad FIN
AF:
0.00797
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0138
Gnomad OTH
AF:
0.00577
GnomAD3 exomes
AF:
0.00798
AC:
1996
AN:
250044
Hom.:
36
AF XY:
0.00799
AC XY:
1084
AN XY:
135606
show subpopulations
Gnomad AFR exome
AF:
0.00316
Gnomad AMR exome
AF:
0.00506
Gnomad ASJ exome
AF:
0.00238
Gnomad EAS exome
AF:
0.0000546
Gnomad SAS exome
AF:
0.00451
Gnomad FIN exome
AF:
0.00565
Gnomad NFE exome
AF:
0.0126
Gnomad OTH exome
AF:
0.00940
GnomAD4 exome
AF:
0.0119
AC:
17323
AN:
1460728
Hom.:
300
Cov.:
30
AF XY:
0.0114
AC XY:
8294
AN XY:
726728
show subpopulations
Gnomad4 AFR exome
AF:
0.00213
Gnomad4 AMR exome
AF:
0.00539
Gnomad4 ASJ exome
AF:
0.00241
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00479
Gnomad4 FIN exome
AF:
0.00512
Gnomad4 NFE exome
AF:
0.0140
Gnomad4 OTH exome
AF:
0.0106
GnomAD4 genome
AF:
0.00841
AC:
1274
AN:
151514
Hom.:
22
Cov.:
32
AF XY:
0.00785
AC XY:
581
AN XY:
74038
show subpopulations
Gnomad4 AFR
AF:
0.00275
Gnomad4 AMR
AF:
0.00580
Gnomad4 ASJ
AF:
0.00202
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00333
Gnomad4 FIN
AF:
0.00797
Gnomad4 NFE
AF:
0.0138
Gnomad4 OTH
AF:
0.00571
Alfa
AF:
0.00961
Hom.:
17
Bravo
AF:
0.00842
Asia WGS
AF:
0.00260
AC:
9
AN:
3478
EpiCase
AF:
0.0139
EpiControl
AF:
0.0122

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenAug 01, 2023CFHR4: BP4, BP7, BS1, BS2 -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpJul 08, 2021- -
Atypical hemolytic-uremic syndrome Benign:1
Likely benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenAug 26, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.93
CADD
Benign
0.45
DANN
Benign
0.64

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs145744152; hg19: chr1-196871717; API