1-196905128-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001201550.3(CFHR4):​c.277G>A​(p.Val93Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00124 in 1,600,874 control chromosomes in the GnomAD database, including 70 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0068 ( 38 hom., cov: 32)
Exomes 𝑓: 0.00066 ( 32 hom. )

Consequence

CFHR4
NM_001201550.3 missense

Scores

17

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.100
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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.00392136).
BP6
Variant 1-196905128-G-A is Benign according to our data. Variant chr1-196905128-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 1336564.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00676 (1025/151594) while in subpopulation AFR AF= 0.0238 (981/41196). AF 95% confidence interval is 0.0226. There are 38 homozygotes in gnomad4. There are 496 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 38 AD,AR,Digenic gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CFHR4NM_001201550.3 linkuse as main transcriptc.277G>A p.Val93Ile missense_variant 3/10 ENST00000608469.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CFHR4ENST00000608469.6 linkuse as main transcriptc.277G>A p.Val93Ile missense_variant 3/101 NM_001201550.3 P4Q92496-1

Frequencies

GnomAD3 genomes
AF:
0.00674
AC:
1021
AN:
151478
Hom.:
38
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0238
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00185
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0000589
Gnomad OTH
AF:
0.00527
GnomAD3 exomes
AF:
0.00154
AC:
370
AN:
239926
Hom.:
16
AF XY:
0.00117
AC XY:
152
AN XY:
130334
show subpopulations
Gnomad AFR exome
AF:
0.0218
Gnomad AMR exome
AF:
0.000882
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000555
Gnomad SAS exome
AF:
0.000105
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000646
Gnomad OTH exome
AF:
0.000681
GnomAD4 exome
AF:
0.000662
AC:
959
AN:
1449280
Hom.:
32
Cov.:
29
AF XY:
0.000567
AC XY:
409
AN XY:
720732
show subpopulations
Gnomad4 AFR exome
AF:
0.0237
Gnomad4 AMR exome
AF:
0.00105
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000509
Gnomad4 SAS exome
AF:
0.0000954
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000271
Gnomad4 OTH exome
AF:
0.00164
GnomAD4 genome
AF:
0.00676
AC:
1025
AN:
151594
Hom.:
38
Cov.:
32
AF XY:
0.00670
AC XY:
496
AN XY:
74074
show subpopulations
Gnomad4 AFR
AF:
0.0238
Gnomad4 AMR
AF:
0.00184
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000589
Gnomad4 OTH
AF:
0.00521
Alfa
AF:
0.00368
Hom.:
4
Bravo
AF:
0.00744
ExAC
AF:
0.00198
AC:
240

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoMay 14, 2019- -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.65
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
0.0040
DANN
Benign
0.38
DEOGEN2
Benign
0.020
.;T
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.00036
N
LIST_S2
Benign
0.32
T;T
MetaRNN
Benign
0.0039
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-1.2
.;N
MutationTaster
Benign
1.0
N;N;N;N
PROVEAN
Benign
-0.090
N;.
REVEL
Benign
0.081
Sift
Benign
0.13
T;.
Sift4G
Benign
1.0
T;.
Vest4
0.037
MVP
0.030
MPC
0.058
ClinPred
0.00086
T
GERP RS
1.1
Varity_R
0.023
gMVP
0.48

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs150254054; hg19: chr1-196874258; COSMIC: COSV52226650; API