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GeneBe

11-124885131-G-A

Variant summary

Our verdict is Likely benign. Variant got -1 ACMG points: 2P and 3B. PM2BP4_ModerateBS2_Supporting

The NM_019055.6(ROBO4):​c.2911C>T​(p.Arg971Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000342 in 1,461,748 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 (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R971Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

ROBO4
NM_019055.6 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.224
Variant links:
Genes affected
ROBO4 (HGNC:17985): (roundabout guidance receptor 4) Predicted to enable cell-cell adhesion mediator activity. Involved in angiogenesis and establishment of endothelial barrier. Located in extracellular exosome. Implicated in aortic valve disease 3. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.07257512).
BS2
High AC in GnomAdExome4 at 5 AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ROBO4NM_019055.6 linkuse as main transcriptc.2911C>T p.Arg971Trp missense_variant 17/18 ENST00000306534.8
ROBO4NM_001301088.2 linkuse as main transcriptc.2476C>T p.Arg826Trp missense_variant 17/18
ROBO4XM_006718861.3 linkuse as main transcriptc.2797C>T p.Arg933Trp missense_variant 17/18
ROBO4XM_011542875.2 linkuse as main transcriptc.1585C>T p.Arg529Trp missense_variant 10/11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ROBO4ENST00000306534.8 linkuse as main transcriptc.2911C>T p.Arg971Trp missense_variant 17/181 NM_019055.6 P1Q8WZ75-1
ROBO4ENST00000534407.5 linkuse as main transcriptn.3118C>T non_coding_transcript_exon_variant 4/51
ENST00000524453.1 linkuse as main transcriptn.673+768G>A intron_variant, non_coding_transcript_variant 3
ROBO4ENST00000533054.5 linkuse as main transcriptc.2476C>T p.Arg826Trp missense_variant 17/182

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
250756
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135634
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000883
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461748
Hom.:
0
Cov.:
32
AF XY:
0.00000550
AC XY:
4
AN XY:
727186
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

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 GeneticsFeb 28, 2023The c.2911C>T (p.R971W) alteration is located in exon 17 (coding exon 17) of the ROBO4 gene. This alteration results from a C to T substitution at nucleotide position 2911, causing the arginine (R) at amino acid position 971 to be replaced by a tryptophan (W). 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
0.094
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
18
DANN
Benign
0.90
DEOGEN2
Benign
0.18
T;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.67
T;T
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.073
T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
1.2
L;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.21
T
PROVEAN
Benign
-2.2
N;N
REVEL
Benign
0.063
Sift
Benign
0.091
T;T
Sift4G
Uncertain
0.055
T;T
Polyphen
0.0010
B;.
Vest4
0.20
MutPred
0.34
Loss of disorder (P = 0.0073);.;
MVP
0.56
MPC
0.085
ClinPred
0.031
T
GERP RS
0.89
Varity_R
0.047
gMVP
0.046

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.080
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: rs774960443; hg19: chr11-124755027; COSMIC: COSV60624609; COSMIC: COSV60624609; API