11-34482433-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001422.4(ELF5):​c.473C>A​(p.Thr158Lys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000000684 in 1,461,018 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

ELF5
NM_001422.4 missense, splice_region

Scores

2
17
Splicing: ADA: 0.003308
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.81
Variant links:
Genes affected
ELF5 (HGNC:3320): (E74 like ETS transcription factor 5) This gene encodes an epithelium-specific ETS family transcription factor. In addition to its role in regulating the later stages of terminal differentiation of keratinocytes, it appears to regulate a number of epithelium-specific genes found in tissues containing glandular epithelium such as salivary gland and prostate. It has very low affinity to DNA due to its negative regulatory domain at the amino terminus. This gene has been implicated as a tumor suppressive transcription factor in breast cancer. [provided by RefSeq, May 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.1766946).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELF5NM_001422.4 linkuse as main transcriptc.473C>A p.Thr158Lys missense_variant, splice_region_variant 5/7 ENST00000257832.7 NP_001413.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELF5ENST00000257832.7 linkuse as main transcriptc.473C>A p.Thr158Lys missense_variant, splice_region_variant 5/71 NM_001422.4 ENSP00000257832 P1Q9UKW6-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461018
Hom.:
0
Cov.:
30
AF XY:
0.00000138
AC XY:
1
AN XY:
726758
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

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 GeneticsApr 15, 2024The c.503C>A (p.T168K) alteration is located in exon 5 (coding exon 5) of the ELF5 gene. This alteration results from a C to A substitution at nucleotide position 503, causing the threonine (T) at amino acid position 168 to be replaced by a lysine (K). 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
0.23
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
20
DANN
Benign
0.73
DEOGEN2
Benign
0.15
.;.;T;.
Eigen
Benign
-0.21
Eigen_PC
Benign
0.035
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.76
T;T;T;T
M_CAP
Benign
0.0043
T
MetaRNN
Benign
0.18
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.81
.;.;L;.
MutationTaster
Benign
0.96
D;D;D
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
1.2
N;.;N;N
REVEL
Benign
0.098
Sift
Benign
0.26
T;.;T;T
Sift4G
Benign
0.96
T;T;T;T
Polyphen
0.041
.;.;B;.
Vest4
0.39
MutPred
0.35
.;.;Gain of ubiquitination at T168 (P = 0.0066);.;
MVP
0.68
MPC
0.035
ClinPred
0.44
T
GERP RS
5.1
Varity_R
0.17
gMVP
0.29

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0033
dbscSNV1_RF
Benign
0.11
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: rs1325005691; hg19: chr11-34503980; API