1-5986204-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_015102.5(NPHP4):​c.86C>T​(p.Thr29Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0286 in 1,613,662 control chromosomes in the GnomAD database, including 922 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. T29T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.042 ( 187 hom., cov: 33)
Exomes 𝑓: 0.027 ( 735 hom. )

Consequence

NPHP4
NM_015102.5 missense

Scores

3
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 0.911
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=0.0019364357).
BP6
Variant 1-5986204-G-A is Benign according to our data. Variant chr1-5986204-G-A is described in ClinVar as [Benign]. Clinvar id is 260561.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-5986204-G-A is described in Lovd as [Benign]. Variant chr1-5986204-G-A is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.084 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NPHP4NM_015102.5 linkuse as main transcriptc.86C>T p.Thr29Met missense_variant 2/30 ENST00000378156.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NPHP4ENST00000378156.9 linkuse as main transcriptc.86C>T p.Thr29Met missense_variant 2/301 NM_015102.5 P2O75161-1

Frequencies

GnomAD3 genomes
AF:
0.0419
AC:
6374
AN:
152154
Hom.:
188
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0866
Gnomad AMI
AF:
0.0670
Gnomad AMR
AF:
0.0159
Gnomad ASJ
AF:
0.0311
Gnomad EAS
AF:
0.000576
Gnomad SAS
AF:
0.0269
Gnomad FIN
AF:
0.0432
Gnomad MID
AF:
0.0190
Gnomad NFE
AF:
0.0248
Gnomad OTH
AF:
0.0441
GnomAD3 exomes
AF:
0.0291
AC:
7253
AN:
248848
Hom.:
179
AF XY:
0.0286
AC XY:
3864
AN XY:
135072
show subpopulations
Gnomad AFR exome
AF:
0.0877
Gnomad AMR exome
AF:
0.0104
Gnomad ASJ exome
AF:
0.0318
Gnomad EAS exome
AF:
0.000111
Gnomad SAS exome
AF:
0.0320
Gnomad FIN exome
AF:
0.0449
Gnomad NFE exome
AF:
0.0274
Gnomad OTH exome
AF:
0.0308
GnomAD4 exome
AF:
0.0272
AC:
39757
AN:
1461390
Hom.:
735
Cov.:
31
AF XY:
0.0270
AC XY:
19635
AN XY:
726968
show subpopulations
Gnomad4 AFR exome
AF:
0.0913
Gnomad4 AMR exome
AF:
0.0119
Gnomad4 ASJ exome
AF:
0.0333
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.0332
Gnomad4 FIN exome
AF:
0.0445
Gnomad4 NFE exome
AF:
0.0253
Gnomad4 OTH exome
AF:
0.0292
GnomAD4 genome
AF:
0.0419
AC:
6374
AN:
152272
Hom.:
187
Cov.:
33
AF XY:
0.0415
AC XY:
3089
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.0863
Gnomad4 AMR
AF:
0.0158
Gnomad4 ASJ
AF:
0.0311
Gnomad4 EAS
AF:
0.000578
Gnomad4 SAS
AF:
0.0268
Gnomad4 FIN
AF:
0.0432
Gnomad4 NFE
AF:
0.0248
Gnomad4 OTH
AF:
0.0436
Alfa
AF:
0.0281
Hom.:
159
Bravo
AF:
0.0419
TwinsUK
AF:
0.0299
AC:
111
ALSPAC
AF:
0.0213
AC:
82
ESP6500AA
AF:
0.0781
AC:
320
ESP6500EA
AF:
0.0251
AC:
210
ExAC
AF:
0.0320
AC:
3874
Asia WGS
AF:
0.0130
AC:
45
AN:
3478
EpiCase
AF:
0.0233
EpiControl
AF:
0.0240

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
not provided Benign:3
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 04, 2021- -
Nephronophthisis 4 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
Kidney disorder Benign:1
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenJul 01, 2018- -
Senior-Loken syndrome 4 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Nephronophthisis Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.077
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.16
T;.
Eigen
Benign
-0.16
Eigen_PC
Benign
-0.30
FATHMM_MKL
Benign
0.056
N
LIST_S2
Benign
0.69
T;T
MetaRNN
Benign
0.0019
T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.3
L;L
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.81
N;.
REVEL
Benign
0.25
Sift
Uncertain
0.010
D;.
Sift4G
Uncertain
0.027
D;D
Polyphen
0.99
D;.
Vest4
0.21
MPC
0.081
ClinPred
0.011
T
GERP RS
3.8
Varity_R
0.050
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs12142270; hg19: chr1-6046264; COSMIC: COSV65394927; API