1-196905199-T-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.348T>A​(p.Asn116Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00125 in 1,611,112 control chromosomes in the GnomAD database, including 81 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 ( 39 hom., cov: 32)
Exomes 𝑓: 0.00067 ( 42 hom. )

Consequence

CFHR4
NM_001201550.3 missense

Scores

17

Clinical Significance

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

Conservation

PhyloP100: -0.765
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=0.015306085).
BP6
Variant 1-196905199-T-A is Benign according to our data. Variant chr1-196905199-T-A is described in ClinVar as [Likely_benign]. Clinvar id is 1336294.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 = 0.00678 (1028/151672) while in subpopulation AFR AF= 0.0239 (985/41196). AF 95% confidence interval is 0.0227. There are 39 homozygotes in gnomad4. There are 497 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 39 AD,AR,Digenic gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CFHR4NM_001201550.3 linkuse as main transcriptc.348T>A p.Asn116Lys missense_variant 3/10 ENST00000608469.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CFHR4ENST00000608469.6 linkuse as main transcriptc.348T>A p.Asn116Lys missense_variant 3/101 NM_001201550.3 P4Q92496-1

Frequencies

GnomAD3 genomes
AF:
0.00676
AC:
1024
AN:
151556
Hom.:
39
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0239
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00178
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000948
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0000442
Gnomad OTH
AF:
0.00527
GnomAD3 exomes
AF:
0.00161
AC:
398
AN:
246796
Hom.:
22
AF XY:
0.00123
AC XY:
164
AN XY:
133862
show subpopulations
Gnomad AFR exome
AF:
0.0230
Gnomad AMR exome
AF:
0.000786
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000989
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000362
Gnomad OTH exome
AF:
0.000661
GnomAD4 exome
AF:
0.000673
AC:
982
AN:
1459440
Hom.:
42
Cov.:
29
AF XY:
0.000568
AC XY:
412
AN XY:
725980
show subpopulations
Gnomad4 AFR exome
AF:
0.0248
Gnomad4 AMR exome
AF:
0.00101
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000349
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000720
Gnomad4 OTH exome
AF:
0.00164
GnomAD4 genome
AF:
0.00678
AC:
1028
AN:
151672
Hom.:
39
Cov.:
32
AF XY:
0.00670
AC XY:
497
AN XY:
74140
show subpopulations
Gnomad4 AFR
AF:
0.0239
Gnomad4 AMR
AF:
0.00178
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000948
Gnomad4 NFE
AF:
0.0000442
Gnomad4 OTH
AF:
0.00521
Alfa
AF:
0.00359
Hom.:
4
Bravo
AF:
0.00739
ExAC
AF:
0.00210
AC:
255
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

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
0.074
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.018
DANN
Benign
0.55
DEOGEN2
Benign
0.015
.;T
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.8
FATHMM_MKL
Benign
0.0012
N
LIST_S2
Benign
0.12
T;T
MetaRNN
Benign
0.015
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-2.0
.;N
MutationTaster
Benign
1.0
N;N;N;N
PROVEAN
Benign
0.61
N;.
REVEL
Benign
0.10
Sift
Benign
0.15
T;.
Sift4G
Benign
0.73
T;.
Vest4
0.062
MutPred
0.54
Gain of methylation at N115 (P = 0.0017);.;
MVP
0.10
MPC
0.075
ClinPred
0.030
T
GERP RS
-4.0
Varity_R
0.050
gMVP
0.36

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs193093149; hg19: chr1-196874329; API