1-5866443-G-A

Variant summary

Our verdict is Benign. Variant got -14 ACMG points: 0P and 14B. BP4_ModerateBP6_Very_StrongBS2

The NM_015102.5(NPHP4):​c.3574C>T​(p.Arg1192Trp) variant causes a missense change. The variant allele was found at a frequency of 0.00201 in 1,600,152 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R1192Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0017 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0020 ( 4 hom. )

Consequence

NPHP4
NM_015102.5 missense

Scores

11
8

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 4.50
Variant links:
Genes affected
NPHP4 (HGNC:19104): (nephrocystin 4) This gene encodes a protein involved in renal tubular development and function. This protein interacts with nephrocystin, and belongs to a multifunctional complex that is localized to actin- and microtubule-based structures. Mutations in this gene are associated with nephronophthisis type 4, a renal disease, and with Senior-Loken syndrome type 4, a combination of nephronophthisis and retinitis pigmentosa. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06809828).
BP6
Variant 1-5866443-G-A is Benign according to our data. Variant chr1-5866443-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 188389.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-5866443-G-A is described in Lovd as [Benign].
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NPHP4NM_015102.5 linkuse as main transcriptc.3574C>T p.Arg1192Trp missense_variant 26/30 ENST00000378156.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NPHP4ENST00000378156.9 linkuse as main transcriptc.3574C>T p.Arg1192Trp missense_variant 26/301 NM_015102.5 P2O75161-1

Frequencies

GnomAD3 genomes
AF:
0.00169
AC:
257
AN:
152112
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000459
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000851
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00160
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00297
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.00181
AC:
412
AN:
227148
Hom.:
2
AF XY:
0.00170
AC XY:
209
AN XY:
122940
show subpopulations
Gnomad AFR exome
AF:
0.000374
Gnomad AMR exome
AF:
0.00163
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00228
Gnomad NFE exome
AF:
0.00284
Gnomad OTH exome
AF:
0.00354
GnomAD4 exome
AF:
0.00204
AC:
2958
AN:
1447920
Hom.:
4
Cov.:
29
AF XY:
0.00203
AC XY:
1459
AN XY:
719278
show subpopulations
Gnomad4 AFR exome
AF:
0.000241
Gnomad4 AMR exome
AF:
0.00168
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000255
Gnomad4 SAS exome
AF:
0.0000239
Gnomad4 FIN exome
AF:
0.00207
Gnomad4 NFE exome
AF:
0.00241
Gnomad4 OTH exome
AF:
0.00165
GnomAD4 genome
AF:
0.00169
AC:
257
AN:
152232
Hom.:
0
Cov.:
32
AF XY:
0.00160
AC XY:
119
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.000457
Gnomad4 AMR
AF:
0.000850
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00160
Gnomad4 NFE
AF:
0.00297
Gnomad4 OTH
AF:
0.00237
Alfa
AF:
0.00242
Hom.:
1
Bravo
AF:
0.00162
TwinsUK
AF:
0.00162
AC:
6
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.00103
AC:
4
ESP6500EA
AF:
0.00231
AC:
19
ExAC
AF:
0.00179
AC:
216
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jun 30, 2016- -
NPHP4-related disorder Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesNov 29, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Senior-Loken syndrome 4 Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign. -
Senior-Loken syndrome 4;C1847013:Nephronophthisis 4 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 26, 2022- -
Nephronophthisis Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 29, 2024- -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2024NPHP4: BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Uncertain
0.040
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.47
T
Eigen
Benign
0.15
Eigen_PC
Benign
-0.012
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Uncertain
0.96
D
M_CAP
Uncertain
0.23
D
MetaRNN
Benign
0.068
T
MetaSVM
Benign
-0.37
T
MutationAssessor
Uncertain
2.3
M
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-3.8
D
REVEL
Uncertain
0.52
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.0030
D
Polyphen
1.0
D
Vest4
0.78
MVP
0.79
MPC
0.36
ClinPred
0.034
T
GERP RS
3.1
Varity_R
0.22
gMVP
0.47

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs139022622; hg19: chr1-5926503; COSMIC: COSV104688987; COSMIC: COSV104688987; API