12-57225502-T-G

Variant summary

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

The ENST00000349394.6(NXPH4):ā€‹c.682T>Gā€‹(p.Ser228Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,458,158 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. S228L) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

NXPH4
ENST00000349394.6 missense

Scores

1
3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.403
Variant links:
Genes affected
NXPH4 (HGNC:8078): (neurexophilin 4) Predicted to enable signaling receptor binding activity. Predicted to be located in extracellular region. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

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=0.22285947).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NXPH4NM_007224.4 linkuse as main transcriptc.682T>G p.Ser228Ala missense_variant 2/2 ENST00000349394.6 NP_009155.1
NXPH4XM_017018747.2 linkuse as main transcriptc.401-173T>G intron_variant XP_016874236.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NXPH4ENST00000349394.6 linkuse as main transcriptc.682T>G p.Ser228Ala missense_variant 2/21 NM_007224.4 ENSP00000333593 P1
NXPH4ENST00000556415.1 linkuse as main transcriptc.*809T>G 3_prime_UTR_variant, NMD_transcript_variant 3/32 ENSP00000452288

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1458158
Hom.:
0
Cov.:
44
AF XY:
0.00000138
AC XY:
1
AN XY:
725322
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsOct 05, 2021The c.682T>G (p.S228A) alteration is located in exon 2 (coding exon 2) of the NXPH4 gene. This alteration results from a T to G substitution at nucleotide position 682, causing the serine (S) at amino acid position 228 to be replaced by an alanine (A). 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
0.16
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.22
T
Eigen
Benign
0.14
Eigen_PC
Benign
0.15
FATHMM_MKL
Benign
0.42
N
LIST_S2
Benign
0.57
T
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.22
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.69
N
MutationTaster
Benign
0.99
N
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-2.2
N
REVEL
Benign
0.087
Sift
Uncertain
0.020
D
Sift4G
Uncertain
0.031
D
Polyphen
0.89
P
Vest4
0.17
MutPred
0.66
Gain of catalytic residue at N232 (P = 0.0055);
MVP
0.11
MPC
0.81
ClinPred
0.43
T
GERP RS
4.0
Varity_R
0.25
gMVP
0.40

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr12-57619285; API