1-78921665-C-T

Variant summary

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

The NM_022159.4(ADGRL4):​c.1205G>A​(p.Arg402His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000383 in 1,590,790 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000073 ( 0 hom., cov: 30)
Exomes 𝑓: 0.000035 ( 0 hom. )

Consequence

ADGRL4
NM_022159.4 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.00700
Variant links:
Genes affected
ADGRL4 (HGNC:20822): (adhesion G protein-coupled receptor L4) Predicted to enable G protein-coupled receptor activity. Predicted to be involved in adenylate cyclase-activating G protein-coupled receptor signaling pathway. Predicted to be located in cytoplasmic vesicle and plasma membrane. Predicted to be integral component of plasma membrane. Biomarker of glioblastoma and hypertrophic cardiomyopathy. [provided by Alliance of Genome Resources, Apr 2022]

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=0.059679866).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADGRL4NM_022159.4 linkuse as main transcriptc.1205G>A p.Arg402His missense_variant 9/15 ENST00000370742.4 NP_071442.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADGRL4ENST00000370742.4 linkuse as main transcriptc.1205G>A p.Arg402His missense_variant 9/151 NM_022159.4 ENSP00000359778 P1

Frequencies

GnomAD3 genomes
AF:
0.0000725
AC:
11
AN:
151654
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.000169
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:
0.0000590
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000824
AC:
19
AN:
230502
Hom.:
0
AF XY:
0.0000717
AC XY:
9
AN XY:
125570
show subpopulations
Gnomad AFR exome
AF:
0.000213
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000142
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000104
Gnomad OTH exome
AF:
0.000184
GnomAD4 exome
AF:
0.0000347
AC:
50
AN:
1439136
Hom.:
0
Cov.:
30
AF XY:
0.0000377
AC XY:
27
AN XY:
715876
show subpopulations
Gnomad4 AFR exome
AF:
0.000251
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000601
Gnomad4 FIN exome
AF:
0.0000189
Gnomad4 NFE exome
AF:
0.0000327
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000725
AC:
11
AN:
151654
Hom.:
0
Cov.:
30
AF XY:
0.0000675
AC XY:
5
AN XY:
74036
show subpopulations
Gnomad4 AFR
AF:
0.000169
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:
0.0000590
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000333
Hom.:
0
Bravo
AF:
0.0000907
ESP6500AA
AF:
0.000503
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000132
AC:
16

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 GeneticsJun 03, 2024The c.1205G>A (p.R402H) alteration is located in exon 9 (coding exon 9) of the ADGRL4 gene. This alteration results from a G to A substitution at nucleotide position 1205, causing the arginine (R) at amino acid position 402 to be replaced by a histidine (H). 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
0.061
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
15
DANN
Benign
0.85
DEOGEN2
Benign
0.18
T
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.057
N
LIST_S2
Benign
0.81
T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.060
T
MetaSVM
Benign
-0.99
T
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.23
T
PROVEAN
Benign
-1.1
N
REVEL
Benign
0.14
Sift
Benign
0.17
T
Sift4G
Benign
0.17
T
Polyphen
0.0010
B
Vest4
0.12
MVP
0.12
MPC
0.044
ClinPred
0.015
T
GERP RS
-5.0
Varity_R
0.018
gMVP
0.55

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: rs201814841; hg19: chr1-79387350; COSMIC: COSV105926755; COSMIC: COSV105926755; API