1-34794560-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_002060.3(GJA4):ā€‹c.347T>Gā€‹(p.Leu116Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000149 in 1,609,860 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000020 ( 0 hom., cov: 32)
Exomes š‘“: 0.000014 ( 0 hom. )

Consequence

GJA4
NM_002060.3 missense

Scores

9
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.23
Variant links:
Genes affected
GJA4 (HGNC:4278): (gap junction protein alpha 4) This gene encodes a member of the connexin gene family. The encoded protein is a component of gap junctions, which are composed of arrays of intercellular channels that provide a route for the diffusion of low molecular weight materials from cell to cell. Mutations in this gene have been associated with atherosclerosis and a higher risk of myocardial infarction. [provided by RefSeq, Jul 2008]
SMIM12 (HGNC:25154): (small integral membrane protein 12) Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GJA4NM_002060.3 linkuse as main transcriptc.347T>G p.Leu116Arg missense_variant 2/2 ENST00000342280.5 NP_002051.2 P35212
GJA4XM_005270750.3 linkuse as main transcriptc.347T>G p.Leu116Arg missense_variant 2/2 XP_005270807.1 P35212
GJA4XM_017001043.3 linkuse as main transcriptc.347T>G p.Leu116Arg missense_variant 2/2 XP_016856532.1 P35212

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GJA4ENST00000342280.5 linkuse as main transcriptc.347T>G p.Leu116Arg missense_variant 2/21 NM_002060.3 ENSP00000343676.4 P35212
SMIM12ENST00000426886.1 linkuse as main transcriptn.207+61211A>C intron_variant 1 ENSP00000429902.1 E5RH51
GJA4ENST00000450137.1 linkuse as main transcriptc.347T>G p.Leu116Arg missense_variant 2/22 ENSP00000409186.1 Q5JW71

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
151920
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000416
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000810
AC:
2
AN:
246954
Hom.:
0
AF XY:
0.00000746
AC XY:
1
AN XY:
134024
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000144
AC:
21
AN:
1457822
Hom.:
0
Cov.:
38
AF XY:
0.0000193
AC XY:
14
AN XY:
725432
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000126
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000197
AC:
3
AN:
152038
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74318
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000416
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000583
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 15, 2023The c.347T>G (p.L116R) alteration is located in exon 2 (coding exon 1) of the GJA4 gene. This alteration results from a T to G substitution at nucleotide position 347, causing the leucine (L) at amino acid position 116 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.091
BayesDel_addAF
Uncertain
0.016
T
BayesDel_noAF
Uncertain
-0.030
CADD
Benign
23
DANN
Benign
0.97
DEOGEN2
Benign
0.39
T;.
Eigen
Uncertain
0.23
Eigen_PC
Benign
0.19
FATHMM_MKL
Benign
0.67
D
LIST_S2
Benign
0.63
T;T
M_CAP
Uncertain
0.15
D
MetaRNN
Uncertain
0.52
D;D
MetaSVM
Uncertain
0.56
D
MutationAssessor
Uncertain
2.2
M;.
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-0.46
N;N
REVEL
Uncertain
0.40
Sift
Benign
0.61
T;T
Sift4G
Benign
0.60
T;T
Polyphen
0.99
D;D
Vest4
0.24
MVP
0.98
MPC
0.78
ClinPred
1.0
D
GERP RS
5.1
Varity_R
0.22
gMVP
0.69

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: rs530865940; hg19: chr1-35260161; API