11-31603802-A-G

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2

The NM_019040.5(ELP4):​c.548A>G​(p.Tyr183Cys) variant causes a missense change. The variant allele was found at a frequency of 0.0000106 in 1,611,042 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: 32)
Exomes 𝑓: 0.000011 ( 0 hom. )

Consequence

ELP4
NM_019040.5 missense

Scores

6
8
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.99
Variant links:
Genes affected
ELP4 (HGNC:1171): (elongator acetyltransferase complex subunit 4) This gene encodes a component of the six subunit elongator complex, a histone acetyltransferase complex that associates directly with RNA polymerase II during transcriptional elongation. The human gene can partially complement sensitivity phenotypes of yeast ELP4 deletion mutants. This gene has also been associated with Rolandic epilepsy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.782
BS2
High AC in GnomAdExome4 at 16 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELP4NM_019040.5 linkuse as main transcriptc.548A>G p.Tyr183Cys missense_variant 5/10 ENST00000640961.2 NP_061913.3
ELP4NM_001288726.2 linkuse as main transcriptc.548A>G p.Tyr183Cys missense_variant 5/12 NP_001275655.1
ELP4NM_001288725.2 linkuse as main transcriptc.551A>G p.Tyr184Cys missense_variant 5/11 NP_001275654.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELP4ENST00000640961.2 linkuse as main transcriptc.548A>G p.Tyr183Cys missense_variant 5/101 NM_019040.5 ENSP00000492152 P3Q96EB1-1

Frequencies

GnomAD3 genomes
AF:
0.00000659
AC:
1
AN:
151814
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000402
AC:
1
AN:
248494
Hom.:
0
AF XY:
0.00000741
AC XY:
1
AN XY:
134902
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000889
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000110
AC:
16
AN:
1459228
Hom.:
0
Cov.:
30
AF XY:
0.0000110
AC XY:
8
AN XY:
726006
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000811
Gnomad4 OTH exome
AF:
0.0000996
GnomAD4 genome
AF:
0.00000659
AC:
1
AN:
151814
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74126
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000148
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151
ExAC
AF:
0.00000828
AC:
1

ClinVar

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

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpApr 10, 2023In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant  is likely to be tolerated. This variant has not been reported in the literature in individuals affected with ELP4-related conditions. This variant is present in population databases (rs771600237, gnomAD 0.0009%). This sequence change replaces tyrosine, which is neutral and polar, with cysteine, which is neutral and slightly polar, at codon 183 of the ELP4 protein (p.Tyr183Cys). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.098
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Uncertain
0.13
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.11
T;.;.;.;.;.;.;.;.;.;.;.
Eigen
Pathogenic
0.69
Eigen_PC
Uncertain
0.65
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.95
D;D;D;D;D;D;D;D;D;D;D;D
M_CAP
Benign
0.021
T
MetaRNN
Pathogenic
0.78
D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.57
T
MutationAssessor
Pathogenic
3.2
M;.;.;.;.;.;.;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Pathogenic
-5.5
.;.;D;.;D;.;.;.;.;.;.;D
REVEL
Uncertain
0.42
Sift
Uncertain
0.028
.;.;D;.;D;.;.;.;.;.;.;T
Sift4G
Uncertain
0.028
.;.;D;.;.;.;.;.;.;.;.;D
Polyphen
1.0
D;.;.;.;.;.;.;.;.;.;.;D
Vest4
0.80, 0.57
MutPred
0.65
Loss of phosphorylation at Y183 (P = 0.011);Loss of phosphorylation at Y183 (P = 0.011);.;Loss of phosphorylation at Y183 (P = 0.011);.;Loss of phosphorylation at Y183 (P = 0.011);.;Loss of phosphorylation at Y183 (P = 0.011);.;Loss of phosphorylation at Y183 (P = 0.011);Loss of phosphorylation at Y183 (P = 0.011);Loss of phosphorylation at Y183 (P = 0.011);
MVP
0.71
MPC
0.11
ClinPred
0.97
D
GERP RS
4.9
Varity_R
0.52
gMVP
0.58

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: rs771600237; hg19: chr11-31625349; API