1-196905129-T-C

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001201550.3(CFHR4):ā€‹c.278T>Cā€‹(p.Val93Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000401 in 1,601,886 control chromosomes in the GnomAD database, including 24 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 Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V93I) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.0021 ( 15 hom., cov: 32)
Exomes š‘“: 0.00022 ( 9 hom. )

Consequence

CFHR4
NM_001201550.3 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.871
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 -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006133765).
BS2
High Homozygotes in GnomAd4 at 15 AD,AR,Digenic gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CFHR4NM_001201550.3 linkuse as main transcriptc.278T>C p.Val93Ala missense_variant 3/10 ENST00000608469.6 NP_001188479.1 Q92496-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CFHR4ENST00000608469.6 linkuse as main transcriptc.278T>C p.Val93Ala missense_variant 3/101 NM_001201550.3 ENSP00000477162.2 Q92496-1

Frequencies

GnomAD3 genomes
AF:
0.00213
AC:
323
AN:
151704
Hom.:
15
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00741
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000395
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:
0.000132
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.000546
AC:
131
AN:
239950
Hom.:
3
AF XY:
0.000445
AC XY:
58
AN XY:
130336
show subpopulations
Gnomad AFR exome
AF:
0.00725
Gnomad AMR exome
AF:
0.000365
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000738
Gnomad OTH exome
AF:
0.000340
GnomAD4 exome
AF:
0.000220
AC:
319
AN:
1450066
Hom.:
9
Cov.:
29
AF XY:
0.000184
AC XY:
133
AN XY:
721112
show subpopulations
Gnomad4 AFR exome
AF:
0.00707
Gnomad4 AMR exome
AF:
0.000256
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000254
Gnomad4 SAS exome
AF:
0.0000715
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000461
Gnomad4 OTH exome
AF:
0.000300
GnomAD4 genome
AF:
0.00213
AC:
323
AN:
151820
Hom.:
15
Cov.:
32
AF XY:
0.00225
AC XY:
167
AN XY:
74216
show subpopulations
Gnomad4 AFR
AF:
0.00738
Gnomad4 AMR
AF:
0.000394
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00111
Hom.:
2
Bravo
AF:
0.00243
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.000578
AC:
70
EpiCase
AF:
0.0000549
EpiControl
AF:
0.000119

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicJun 12, 2024BP4 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.16
BayesDel_addAF
Benign
-0.56
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
15
DANN
Benign
0.89
DEOGEN2
Benign
0.040
.;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.0082
N
LIST_S2
Benign
0.34
T;T
MetaRNN
Benign
0.0061
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.5
.;L
PROVEAN
Benign
-1.1
N;.
REVEL
Benign
0.060
Sift
Benign
0.043
D;.
Sift4G
Uncertain
0.0060
D;.
Vest4
0.063
MVP
0.030
MPC
0.15
ClinPred
0.0054
T
GERP RS
2.3
Varity_R
0.043
gMVP
0.56

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: rs115345438; hg19: chr1-196874259; API