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GeneBe

12-106608838-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP2

The NM_213594.3(RFX4):​c.85C>A​(p.Arg29Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000671 in 149,052 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 31)

Consequence

RFX4
NM_213594.3 missense

Scores

3
8
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.69
Variant links:
Genes affected
RFX4 (HGNC:9985): (regulatory factor X4) This gene is a member of the regulatory factor X gene family, which encodes transcription factors that contain a highly-conserved winged helix DNA binding domain. The protein encoded by this gene is structurally related to regulatory factors X1, X2, X3, and X5. It has been shown to interact with itself as well as with regulatory factors X2 and X3, but it does not interact with regulatory factor X1. Alternative splicing results in multiple transcript variants. [provided by RefSeq, May 2011]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant where missense usually causes diseases, RFX4

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RFX4NM_213594.3 linkuse as main transcriptc.85C>A p.Arg29Ser missense_variant 2/18 ENST00000392842.6
LOC100287944NR_040246.1 linkuse as main transcriptn.143-101028G>T intron_variant, non_coding_transcript_variant
RFX4NM_001206691.2 linkuse as main transcriptc.112C>A p.Arg38Ser missense_variant 2/18

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RFX4ENST00000392842.6 linkuse as main transcriptc.85C>A p.Arg29Ser missense_variant 2/181 NM_213594.3 P1Q33E94-1
ENST00000551505.4 linkuse as main transcriptn.230-108656G>T intron_variant, non_coding_transcript_variant 4

Frequencies

GnomAD3 genomes
AF:
0.00000671
AC:
1
AN:
149052
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000248
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
GnomAD4 exome
Cov.:
33
GnomAD4 genome
AF:
0.00000671
AC:
1
AN:
149052
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
72402
show subpopulations
Gnomad4 AFR
AF:
0.0000248
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:
0.00
Gnomad4 OTH
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 GeneticsNov 12, 2021The c.112C>A (p.R38S) alteration is located in exon 2 (coding exon 2) of the RFX4 gene. This alteration results from a C to A substitution at nucleotide position 112, causing the arginine (R) at amino acid position 38 to be replaced by a serine (S). 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
0.72
BayesDel_addAF
Pathogenic
0.25
D
BayesDel_noAF
Uncertain
0.12
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Benign
0.060
T;.
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.53
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.89
D;D
M_CAP
Benign
0.053
D
MetaRNN
Uncertain
0.63
D;D
MetaSVM
Benign
-0.59
T
MutationAssessor
Benign
0.0
N;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.67
T
PROVEAN
Benign
-0.14
N;N
REVEL
Uncertain
0.33
Sift
Benign
0.054
T;T
Sift4G
Benign
0.97
T;T
Polyphen
0.99
D;D
Vest4
0.85
MutPred
0.16
Gain of phosphorylation at R29 (P = 0.0267);.;
MVP
0.043
MPC
1.0
ClinPred
0.97
D
GERP RS
4.8
Varity_R
0.33
gMVP
0.66

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs146591557; hg19: chr12-107002616; API