1-47084705-A-G

Variant summary

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

The NM_178134.3(CYP4Z1):ā€‹c.578A>Gā€‹(p.Lys193Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0000062 in 1,612,562 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000040 ( 0 hom., cov: 26)
Exomes š‘“: 0.0000027 ( 0 hom. )

Consequence

CYP4Z1
NM_178134.3 missense

Scores

10
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.98
Variant links:
Genes affected
CYP4Z1 (HGNC:20583): (cytochrome P450 family 4 subfamily Z member 1) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This gene is part of a cluster of cytochrome P450 genes on chromosome 1p33. [provided by RefSeq, Jul 2008]

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
CYP4Z1NM_178134.3 linkuse as main transcriptc.578A>G p.Lys193Arg missense_variant 5/12 ENST00000334194.4 NP_835235.1 Q86W10
CYP4Z1XM_024453856.2 linkuse as main transcriptc.464A>G p.Lys155Arg missense_variant 6/13 XP_024309624.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP4Z1ENST00000334194.4 linkuse as main transcriptc.578A>G p.Lys193Arg missense_variant 5/121 NM_178134.3 ENSP00000334246.3 Q86W10

Frequencies

GnomAD3 genomes
AF:
0.0000396
AC:
6
AN:
151622
Hom.:
0
Cov.:
26
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000798
AC:
2
AN:
250506
Hom.:
0
AF XY:
0.00000739
AC XY:
1
AN XY:
135346
show subpopulations
Gnomad AFR exome
AF:
0.0000616
Gnomad AMR exome
AF:
0.0000290
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1460940
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
726756
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000396
AC:
6
AN:
151622
Hom.:
0
Cov.:
26
AF XY:
0.0000811
AC XY:
6
AN XY:
73964
show subpopulations
Gnomad4 AFR
AF:
0.000145
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000416
ExAC
AF:
0.00000824
AC:
1

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 GeneticsDec 03, 2021The c.578A>G (p.K193R) alteration is located in exon 5 (coding exon 5) of the CYP4Z1 gene. This alteration results from a A to G substitution at nucleotide position 578, causing the lysine (K) at amino acid position 193 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
0.11
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.066
T
Eigen
Uncertain
0.21
Eigen_PC
Benign
0.097
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.94
D
M_CAP
Benign
0.011
T
MetaRNN
Uncertain
0.61
D
MetaSVM
Benign
-0.69
T
MutationAssessor
Uncertain
2.1
M
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-2.9
D
REVEL
Uncertain
0.33
Sift
Benign
0.040
D
Sift4G
Uncertain
0.042
D
Polyphen
1.0
D
Vest4
0.55
MVP
0.41
MPC
2.1
ClinPred
0.92
D
GERP RS
1.8
Varity_R
0.44
gMVP
0.16

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs758670291; hg19: chr1-47550377; API