10-5200323-G-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_ModerateBP6_Moderate

The NM_001818.5(AKR1C4):ā€‹c.227G>Cā€‹(p.Arg76Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000276 in 1,614,060 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: š‘“ 0.00087 ( 1 hom., cov: 33)
Exomes š‘“: 0.00021 ( 0 hom. )

Consequence

AKR1C4
NM_001818.5 missense

Scores

5
9
5

Clinical Significance

Likely benign criteria provided, single submitter B:2

Conservation

PhyloP100: 6.74
Variant links:
Genes affected
AKR1C4 (HGNC:387): (aldo-keto reductase family 1 member C4) This gene encodes a member of the aldo/keto reductase superfamily, which consists of more than 40 known enzymes and proteins. These enzymes catalyze the conversion of aldehydes and ketones to their corresponding alcohols by utilizing NADH and/or NADPH as cofactors. The enzymes display overlapping but distinct substrate specificity. This enzyme catalyzes the bioreduction of chlordecone, a toxic organochlorine pesticide, to chlordecone alcohol in liver. This gene shares high sequence identity with three other gene members and is clustered with those three genes at chromosome 10p15-p14. [provided by RefSeq, Jul 2008]

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=0.19708973).
BP6
Variant 10-5200323-G-C is Benign according to our data. Variant chr10-5200323-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 2057338.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AKR1C4NM_001818.5 linkuse as main transcriptc.227G>C p.Arg76Thr missense_variant 2/9 ENST00000263126.3 NP_001809.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AKR1C4ENST00000263126.3 linkuse as main transcriptc.227G>C p.Arg76Thr missense_variant 2/91 NM_001818.5 ENSP00000263126 P1
AKR1C4ENST00000380448.5 linkuse as main transcriptc.227G>C p.Arg76Thr missense_variant 4/115 ENSP00000369814 P1

Frequencies

GnomAD3 genomes
AF:
0.000874
AC:
133
AN:
152254
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00275
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000392
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:
0.000147
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000235
AC:
59
AN:
250890
Hom.:
0
AF XY:
0.000162
AC XY:
22
AN XY:
135586
show subpopulations
Gnomad AFR exome
AF:
0.00234
Gnomad AMR exome
AF:
0.000290
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:
0.0000705
Gnomad OTH exome
AF:
0.000491
GnomAD4 exome
AF:
0.000214
AC:
313
AN:
1461688
Hom.:
0
Cov.:
31
AF XY:
0.000179
AC XY:
130
AN XY:
727128
show subpopulations
Gnomad4 AFR exome
AF:
0.00335
Gnomad4 AMR exome
AF:
0.000335
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:
0.000148
Gnomad4 OTH exome
AF:
0.000331
GnomAD4 genome
AF:
0.000873
AC:
133
AN:
152372
Hom.:
1
Cov.:
33
AF XY:
0.000805
AC XY:
60
AN XY:
74518
show subpopulations
Gnomad4 AFR
AF:
0.00274
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000147
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.000284
Hom.:
0
Bravo
AF:
0.000971
ESP6500AA
AF:
0.00250
AC:
11
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000264
AC:
32
EpiCase
AF:
0.000218
EpiControl
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

AKR1C4-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesDec 27, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 04, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.86
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Uncertain
0.070
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.25
T;T
Eigen
Pathogenic
0.75
Eigen_PC
Uncertain
0.58
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.92
.;D
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.20
T;T
MetaSVM
Uncertain
0.32
D
MutationAssessor
Pathogenic
3.9
H;H
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.49
T
PROVEAN
Pathogenic
-5.6
D;D
REVEL
Pathogenic
0.68
Sift
Uncertain
0.019
D;D
Sift4G
Uncertain
0.015
D;D
Polyphen
1.0
D;D
Vest4
0.85
MVP
0.88
MPC
0.13
ClinPred
0.17
T
GERP RS
3.3
Varity_R
0.92
gMVP
0.81

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: rs139370478; hg19: chr10-5242286; API