1-75803889-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_002440.4(MSH4):ā€‹c.403T>Cā€‹(p.Trp135Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000257 in 1,557,746 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00011 ( 0 hom., cov: 33)
Exomes š‘“: 0.000017 ( 0 hom. )

Consequence

MSH4
NM_002440.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.22
Variant links:
Genes affected
MSH4 (HGNC:7327): (mutS homolog 4) This gene encodes a member of the DNA mismatch repair mutS family. This member is a meiosis-specific protein that is not involved in DNA mismatch correction, but is required for reciprocal recombination and proper segregation of homologous chromosomes at meiosis I. This protein and MSH5 form a heterodimer which binds uniquely to a Holliday Junction and its developmental progenitor, thus provoking ADP-ATP exchange, and stabilizing the interaction between parental chromosomes during meiosis double-stranded break repair. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.035236746).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
MSH4NM_002440.4 linkuse as main transcriptc.403T>C p.Trp135Arg missense_variant 2/20 ENST00000263187.4 NP_002431.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
MSH4ENST00000263187.4 linkuse as main transcriptc.403T>C p.Trp135Arg missense_variant 2/201 NM_002440.4 ENSP00000263187 P1

Frequencies

GnomAD3 genomes
AF:
0.000105
AC:
16
AN:
152208
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000289
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000381
AC:
8
AN:
209840
Hom.:
0
AF XY:
0.0000437
AC XY:
5
AN XY:
114380
show subpopulations
Gnomad AFR exome
AF:
0.000284
Gnomad AMR exome
AF:
0.000131
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:
0.00000985
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000171
AC:
24
AN:
1405420
Hom.:
0
Cov.:
31
AF XY:
0.0000186
AC XY:
13
AN XY:
697812
show subpopulations
Gnomad4 AFR exome
AF:
0.000519
Gnomad4 AMR exome
AF:
0.0000582
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:
0.00000460
Gnomad4 OTH exome
AF:
0.0000173
GnomAD4 genome
AF:
0.000105
AC:
16
AN:
152326
Hom.:
0
Cov.:
33
AF XY:
0.0000940
AC XY:
7
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.000289
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000945
ExAC
AF:
0.0000330
AC:
4
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 04, 2024The c.403T>C (p.W135R) alteration is located in exon 2 (coding exon 2) of the MSH4 gene. This alteration results from a T to C substitution at nucleotide position 403, causing the tryptophan (W) at amino acid position 135 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
0.15
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
17
DANN
Benign
0.45
DEOGEN2
Benign
0.036
T
Eigen
Benign
-0.69
Eigen_PC
Benign
-0.55
FATHMM_MKL
Benign
0.51
D
LIST_S2
Benign
0.43
T
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.035
T
MetaSVM
Benign
-0.86
T
MutationAssessor
Benign
1.5
L
MutationTaster
Benign
0.99
N
PrimateAI
Benign
0.42
T
PROVEAN
Benign
0.87
N
REVEL
Benign
0.16
Sift
Benign
0.91
T
Sift4G
Benign
1.0
T
Polyphen
0.0030
B
Vest4
0.13
MutPred
0.51
Gain of sheet (P = 0.0011);
MVP
0.75
MPC
0.12
ClinPred
0.0084
T
GERP RS
2.0
Varity_R
0.053
gMVP
0.39

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: rs200513557; hg19: chr1-76269574; API