1-86571215-G-A

Variant summary

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

The NM_012128.4(CLCA4):​c.1321G>A​(p.Ala441Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000274 in 1,460,568 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

CLCA4
NM_012128.4 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -3.92
Variant links:
Genes affected
CLCA4 (HGNC:2018): (chloride channel accessory 4) The protein encoded by this gene belongs to the calcium sensitive chloride conductance protein family. To date, all members of this gene family map to the same site on chromosome 1p31-p22 and share high degrees of homology in size, sequence and predicted structure, but differ significantly in their tissue distributions. Alternative splicing results in multiple transcript variants, only one of which is thought to be protein coding. [provided by RefSeq, Dec 2008]

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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=0.03818816).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CLCA4NM_012128.4 linkuse as main transcriptc.1321G>A p.Ala441Thr missense_variant 8/14 ENST00000370563.3 NP_036260.2 Q14CN2-1
CLCA4XM_011541015.3 linkuse as main transcriptc.1168G>A p.Ala390Thr missense_variant 8/14 XP_011539317.1
CLCA4NR_024602.2 linkuse as main transcriptn.1254G>A non_coding_transcript_exon_variant 7/13
CLCA4-AS1NR_135837.1 linkuse as main transcriptn.1486C>T non_coding_transcript_exon_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CLCA4ENST00000370563.3 linkuse as main transcriptc.1321G>A p.Ala441Thr missense_variant 8/141 NM_012128.4 ENSP00000359594.3 Q14CN2-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000201
AC:
5
AN:
248976
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135056
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000145
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1460568
Hom.:
0
Cov.:
32
AF XY:
0.00000275
AC XY:
2
AN XY:
726602
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000896
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000756
ExAC
AF:
0.0000248
AC:
3

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 GeneticsMay 31, 2023The c.1321G>A (p.A441T) alteration is located in exon 8 (coding exon 8) of the CLCA4 gene. This alteration results from a G to A substitution at nucleotide position 1321, causing the alanine (A) at amino acid position 441 to be replaced by a threonine (T). 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
0.093
BayesDel_addAF
Benign
-0.56
T
BayesDel_noAF
Benign
-0.79
CADD
Benign
0.030
DANN
Benign
0.80
DEOGEN2
Benign
0.033
T
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.0081
N
LIST_S2
Benign
0.51
T
M_CAP
Benign
0.0064
T
MetaRNN
Benign
0.038
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.95
L
PrimateAI
Benign
0.26
T
PROVEAN
Benign
0.22
N
REVEL
Benign
0.076
Sift
Uncertain
0.015
D
Sift4G
Uncertain
0.049
D
Polyphen
0.0080
B
Vest4
0.055
MutPred
0.43
Gain of phosphorylation at A441 (P = 0.2913);
MVP
0.030
MPC
0.067
ClinPred
0.088
T
GERP RS
-12
Varity_R
0.040
gMVP
0.13

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: rs778979560; hg19: chr1-87036898; API