11-59182121-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_015177.2(DTX4):​c.594G>A​(p.Met198Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000165 in 1,613,390 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000072 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00018 ( 0 hom. )

Consequence

DTX4
NM_015177.2 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.28
Variant links:
Genes affected
DTX4 (HGNC:29151): (deltex E3 ubiquitin ligase 4) Predicted to enable ubiquitin protein ligase activity. Predicted to be involved in Notch signaling pathway and protein ubiquitination. Predicted to be located in cytosol. Predicted to be active in nucleoplasm. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.12901405).
BS2
High AC in GnomAd4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DTX4NM_015177.2 linkuse as main transcriptc.594G>A p.Met198Ile missense_variant 2/9 ENST00000227451.4 NP_055992.1
LOC124902675XR_007062682.1 linkuse as main transcriptn.2649-2302C>T intron_variant, non_coding_transcript_variant
DTX4NM_001300727.2 linkuse as main transcriptc.276G>A p.Met92Ile missense_variant 2/9 NP_001287656.1
LOC124902675XR_007062681.1 linkuse as main transcriptn.2649-2302C>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DTX4ENST00000227451.4 linkuse as main transcriptc.594G>A p.Met198Ile missense_variant 2/91 NM_015177.2 ENSP00000227451 P1Q9Y2E6-1
DTX4ENST00000532982.5 linkuse as main transcriptc.276G>A p.Met92Ile missense_variant 2/91 ENSP00000434055 Q9Y2E6-2

Frequencies

GnomAD3 genomes
AF:
0.0000723
AC:
11
AN:
152160
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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:
0.000132
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000888
AC:
22
AN:
247624
Hom.:
0
AF XY:
0.000104
AC XY:
14
AN XY:
134652
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:
0.000197
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000175
AC:
256
AN:
1461230
Hom.:
0
Cov.:
31
AF XY:
0.000168
AC XY:
122
AN XY:
726894
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
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:
0.0000377
Gnomad4 NFE exome
AF:
0.000208
Gnomad4 OTH exome
AF:
0.000364
GnomAD4 genome
AF:
0.0000723
AC:
11
AN:
152160
Hom.:
0
Cov.:
32
AF XY:
0.0000538
AC XY:
4
AN XY:
74330
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000145
Hom.:
0
Bravo
AF:
0.000102
ExAC
AF:
0.000107
AC:
13
EpiCase
AF:
0.000164
EpiControl
AF:
0.000178

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 GeneticsNov 08, 2021The c.594G>A (p.M198I) alteration is located in exon 2 (coding exon 2) of the DTX4 gene. This alteration results from a G to A substitution at nucleotide position 594, causing the methionine (M) at amino acid position 198 to be replaced by an isoleucine (I). 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
Uncertain
0.53
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
18
DANN
Uncertain
0.98
DEOGEN2
Benign
0.033
.;T
Eigen
Benign
-0.14
Eigen_PC
Benign
0.012
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Uncertain
0.86
D;D
M_CAP
Benign
0.0088
T
MetaRNN
Benign
0.13
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
.;L
MutationTaster
Benign
0.71
D;D
PrimateAI
Uncertain
0.76
T
PROVEAN
Benign
-0.31
N;N
REVEL
Benign
0.048
Sift
Benign
0.26
T;T
Sift4G
Benign
0.40
T;T
Polyphen
0.0010
.;B
Vest4
0.57
MutPred
0.40
.;Gain of loop (P = 0.0435);
MVP
0.20
MPC
0.38
ClinPred
0.11
T
GERP RS
4.3
Varity_R
0.12
gMVP
0.19

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: rs201579194; hg19: chr11-58949594; API