1-5905395-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_015102.5(NPHP4):​c.1852G>A​(p.Glu618Lys) variant causes a missense change. The variant allele was found at a frequency of 0.0118 in 1,613,372 control chromosomes in the GnomAD database, including 159 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.010 ( 7 hom., cov: 33)
Exomes 𝑓: 0.012 ( 152 hom. )

Consequence

NPHP4
NM_015102.5 missense

Scores

10
8

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:10

Conservation

PhyloP100: 3.89
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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0073396564).
BP6
Variant 1-5905395-C-T is Benign according to our data. Variant chr1-5905395-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 240965.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-5905395-C-T is described in Lovd as [Benign]. Variant chr1-5905395-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00997 (1518/152240) while in subpopulation NFE AF= 0.0144 (981/68012). AF 95% confidence interval is 0.0137. There are 7 homozygotes in gnomad4. There are 723 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NPHP4NM_015102.5 linkc.1852G>A p.Glu618Lys missense_variant Exon 15 of 30 ENST00000378156.9 NP_055917.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NPHP4ENST00000378156.9 linkc.1852G>A p.Glu618Lys missense_variant Exon 15 of 30 1 NM_015102.5 ENSP00000367398.4 O75161-1
NPHP4ENST00000378169.7 linkn.*753G>A non_coding_transcript_exon_variant Exon 12 of 27 1 ENSP00000367411.3 D6RA06
NPHP4ENST00000489180.6 linkn.1849G>A non_coding_transcript_exon_variant Exon 15 of 33 2 ENSP00000423747.1 O75161-2
NPHP4ENST00000378169.7 linkn.*753G>A 3_prime_UTR_variant Exon 12 of 27 1 ENSP00000367411.3 D6RA06

Frequencies

GnomAD3 genomes
AF:
0.00997
AC:
1517
AN:
152122
Hom.:
7
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00309
Gnomad AMI
AF:
0.0329
Gnomad AMR
AF:
0.00955
Gnomad ASJ
AF:
0.0265
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.00207
Gnomad FIN
AF:
0.00943
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.0144
Gnomad OTH
AF:
0.0100
GnomAD3 exomes
AF:
0.0104
AC:
2585
AN:
249266
Hom.:
20
AF XY:
0.0104
AC XY:
1400
AN XY:
135226
show subpopulations
Gnomad AFR exome
AF:
0.00258
Gnomad AMR exome
AF:
0.00550
Gnomad ASJ exome
AF:
0.0311
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00294
Gnomad FIN exome
AF:
0.0108
Gnomad NFE exome
AF:
0.0145
Gnomad OTH exome
AF:
0.0127
GnomAD4 exome
AF:
0.0120
AC:
17540
AN:
1461132
Hom.:
152
Cov.:
32
AF XY:
0.0119
AC XY:
8680
AN XY:
726796
show subpopulations
Gnomad4 AFR exome
AF:
0.00370
Gnomad4 AMR exome
AF:
0.00613
Gnomad4 ASJ exome
AF:
0.0308
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00308
Gnomad4 FIN exome
AF:
0.00942
Gnomad4 NFE exome
AF:
0.0131
Gnomad4 OTH exome
AF:
0.0133
GnomAD4 genome
AF:
0.00997
AC:
1518
AN:
152240
Hom.:
7
Cov.:
33
AF XY:
0.00971
AC XY:
723
AN XY:
74444
show subpopulations
Gnomad4 AFR
AF:
0.00308
Gnomad4 AMR
AF:
0.00954
Gnomad4 ASJ
AF:
0.0265
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.00228
Gnomad4 FIN
AF:
0.00943
Gnomad4 NFE
AF:
0.0144
Gnomad4 OTH
AF:
0.00994
Alfa
AF:
0.0142
Hom.:
29
Bravo
AF:
0.00984
TwinsUK
AF:
0.0121
AC:
45
ALSPAC
AF:
0.0119
AC:
46
ESP6500AA
AF:
0.00354
AC:
14
ESP6500EA
AF:
0.0148
AC:
124
ExAC
AF:
0.0103
AC:
1239
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.0165
EpiControl
AF:
0.0171

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Mar 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

NPHP4: BS1, BS2 -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Nephronophthisis 4 Uncertain:1Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This 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). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

-
Tolun Lab, Human Genetics Laboratory, Bogazici University
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: research

- -

not specified Benign:2
-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Senior-Loken syndrome 4 Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This 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). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Kidney disorder Benign:1
Mar 01, 2019
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Nephronophthisis Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.10
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T;.
Eigen
Uncertain
0.22
Eigen_PC
Benign
0.053
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.85
D;D
MetaRNN
Benign
0.0073
T;T
MetaSVM
Uncertain
0.34
D
MutationAssessor
Uncertain
2.7
M;.
PrimateAI
Uncertain
0.48
T
PROVEAN
Uncertain
-2.5
N;.
REVEL
Uncertain
0.39
Sift
Uncertain
0.0050
D;.
Sift4G
Uncertain
0.019
D;D
Polyphen
1.0
D;.
Vest4
0.43
MPC
0.15
ClinPred
0.038
T
GERP RS
3.6
Varity_R
0.15
gMVP
0.48

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: rs571655; hg19: chr1-5965455; API