10-93567118-G-A

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001195755.2(FFAR4):​c.398G>A​(p.Ser133Asn) variant causes a missense change. The variant allele was found at a frequency of 0.0000261 in 1,608,516 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000028 ( 0 hom. )

Consequence

FFAR4
NM_001195755.2 missense

Scores

7
11
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.13

Publications

2 publications found
Variant links:
Genes affected
FFAR4 (HGNC:19061): (free fatty acid receptor 4) This gene encodes a G protein-coupled receptor (GPR) which belongs to the rhodopsin family of GPRs. The encoded protein functions as a receptor for free fatty acids, including omega-3, and participates in suppressing anti-inflammatory responses and insulin sensitizing. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Feb 2012]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.975

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FFAR4NM_001195755.2 linkc.398G>A p.Ser133Asn missense_variant Exon 1 of 3 ENST00000371481.9 NP_001182684.1 Q5NUL3-2B4DWG6
FFAR4NM_181745.4 linkc.398G>A p.Ser133Asn missense_variant Exon 1 of 4 NP_859529.2 Q5NUL3-1B4DWG6
FFAR4XM_011539746.4 linkc.398G>A p.Ser133Asn missense_variant Exon 1 of 3 XP_011538048.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FFAR4ENST00000371481.9 linkc.398G>A p.Ser133Asn missense_variant Exon 1 of 3 1 NM_001195755.2 ENSP00000360536.5 Q5NUL3-2
FFAR4ENST00000371483.8 linkc.398G>A p.Ser133Asn missense_variant Exon 1 of 4 1 ENSP00000360538.4 Q5NUL3-1
FFAR4ENST00000604414.1 linkc.398G>A p.Ser133Asn missense_variant Exon 1 of 3 3 ENSP00000474477.1 S4R3L2

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152194
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000837
AC:
2
AN:
238984
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000932
Gnomad OTH exome
AF:
0.000170
GnomAD4 exome
AF:
0.0000282
AC:
41
AN:
1456322
Hom.:
0
Cov.:
33
AF XY:
0.0000248
AC XY:
18
AN XY:
724478
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33432
American (AMR)
AF:
0.00
AC:
0
AN:
44516
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26022
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39632
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85962
European-Finnish (FIN)
AF:
0.0000200
AC:
1
AN:
49946
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5758
European-Non Finnish (NFE)
AF:
0.0000351
AC:
39
AN:
1110832
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60222
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
3
6
9
12
15
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152194
Hom.:
0
Cov.:
33
AF XY:
0.0000134
AC XY:
1
AN XY:
74354
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41452
American (AMR)
AF:
0.00
AC:
0
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68022
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.00000825
AC:
1

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Feb 27, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.398G>A (p.S133N) alteration is located in exon 1 (coding exon 1) of the FFAR4 gene. This alteration results from a G to A substitution at nucleotide position 398, causing the serine (S) at amino acid position 133 to be replaced by an asparagine (N). 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
Pathogenic
0.96
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
-0.040
CADD
Pathogenic
30
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.49
.;T;.
Eigen
Pathogenic
0.84
Eigen_PC
Pathogenic
0.80
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.86
D;D;D
M_CAP
Pathogenic
0.67
D
MetaRNN
Pathogenic
0.98
D;D;D
MetaSVM
Uncertain
0.62
D
MutationAssessor
Pathogenic
4.0
H;H;.
PhyloP100
7.1
PrimateAI
Pathogenic
0.85
D
PROVEAN
Uncertain
-2.8
D;D;.
REVEL
Uncertain
0.56
Sift
Uncertain
0.0030
D;D;.
Sift4G
Uncertain
0.012
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.92
MutPred
0.83
Gain of catalytic residue at S133 (P = 0.1656);Gain of catalytic residue at S133 (P = 0.1656);Gain of catalytic residue at S133 (P = 0.1656);
MVP
0.96
MPC
1.4
ClinPred
1.0
D
GERP RS
5.2
PromoterAI
0.035
Neutral
Varity_R
0.97
gMVP
0.76
Mutation Taster
=83/17
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs749304646; hg19: chr10-95326875; COSMIC: COSV65179377; API