1-47084879-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_178134.3(CYP4Z1):​c.673C>A​(p.Arg225Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000104 in 1,534,904 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 26)
Exomes 𝑓: 0.00011 ( 0 hom. )

Consequence

CYP4Z1
NM_178134.3 missense

Scores

5
2
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.862
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 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.867

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYP4Z1NM_178134.3 linkuse as main transcriptc.673C>A p.Arg225Ser missense_variant 6/12 ENST00000334194.4 NP_835235.1 Q86W10
CYP4Z1XM_024453856.2 linkuse as main transcriptc.559C>A p.Arg187Ser missense_variant 7/13 XP_024309624.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP4Z1ENST00000334194.4 linkuse as main transcriptc.673C>A p.Arg225Ser missense_variant 6/121 NM_178134.3 ENSP00000334246.3 Q86W10

Frequencies

GnomAD3 genomes
AF:
0.0000404
AC:
6
AN:
148576
Hom.:
0
Cov.:
26
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:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000890
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000152
AC:
3
AN:
197820
Hom.:
0
AF XY:
0.0000285
AC XY:
3
AN XY:
105200
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000318
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000111
AC:
154
AN:
1386328
Hom.:
0
Cov.:
28
AF XY:
0.000117
AC XY:
80
AN XY:
683300
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000141
Gnomad4 OTH exome
AF:
0.0000350
GnomAD4 genome
AF:
0.0000404
AC:
6
AN:
148576
Hom.:
0
Cov.:
26
AF XY:
0.0000415
AC XY:
3
AN XY:
72214
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:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000890
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227
ExAC
AF:
0.0000165
AC:
2

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 GeneticsSep 21, 2023The c.673C>A (p.R225S) alteration is located in exon 6 (coding exon 6) of the CYP4Z1 gene. This alteration results from a C to A substitution at nucleotide position 673, causing the arginine (R) at amino acid position 225 to be replaced by a serine (S). 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
Pathogenic
0.95
BayesDel_addAF
Benign
-0.093
T
BayesDel_noAF
Benign
-0.21
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.083
T
Eigen
Benign
-0.16
Eigen_PC
Benign
-0.48
FATHMM_MKL
Benign
0.019
N
LIST_S2
Benign
0.31
T
M_CAP
Benign
0.011
T
MetaRNN
Pathogenic
0.87
D
MetaSVM
Benign
-0.56
T
MutationAssessor
Pathogenic
4.0
H
PrimateAI
Benign
0.40
T
PROVEAN
Pathogenic
-5.8
D
REVEL
Benign
0.18
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0010
D
Polyphen
1.0
D
Vest4
0.28
MutPred
0.83
Gain of disorder (P = 0.0408);
MVP
0.49
MPC
2.5
ClinPred
0.89
D
GERP RS
1.3
Varity_R
0.85
gMVP
0.76

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: rs147199588; hg19: chr1-47550551; API