12-6581131-C-T

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_ModerateBP6BS1BS2

The NM_001273.5(CHD4):​c.4822G>A​(p.Val1608Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000415 in 1,614,134 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000040 ( 0 hom. )

Consequence

CHD4
NM_001273.5 missense

Scores

19

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1B:1

Conservation

PhyloP100: 2.16

Publications

7 publications found
Variant links:
Genes affected
CHD4 (HGNC:1919): (chromodomain helicase DNA binding protein 4) The product of this gene belongs to the SNF2/RAD54 helicase family. It represents the main component of the nucleosome remodeling and deacetylase complex and plays an important role in epigenetic transcriptional repression. Patients with dermatomyositis develop antibodies against this protein. Somatic mutations in this gene are associated with serous endometrial tumors. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2014]
CHD4 Gene-Disease associations (from GenCC):
  • Sifrim-Hitz-Weiss syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P
  • syndromic intellectual disability
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0702959).
BP6
Variant 12-6581131-C-T is Benign according to our data. Variant chr12-6581131-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 266123.
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.0000404 (59/1461888) while in subpopulation MID AF = 0.000693 (4/5768). AF 95% confidence interval is 0.000236. There are 0 homozygotes in GnomAdExome4. There are 36 alleles in the male GnomAdExome4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High AC in GnomAd4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CHD4NM_001273.5 linkc.4822G>A p.Val1608Ile missense_variant Exon 33 of 40 ENST00000544040.7 NP_001264.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CHD4ENST00000544040.7 linkc.4822G>A p.Val1608Ile missense_variant Exon 33 of 40 5 NM_001273.5 ENSP00000440542.2
ENSG00000285238ENST00000644480.2 linkn.4801G>A non_coding_transcript_exon_variant Exon 33 of 55 ENSP00000493629.2
ENSG00000285238ENST00000646322.1 linkn.9+6253G>A intron_variant Intron 1 of 13 ENSP00000494949.1

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152128
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000724
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:
0.0000588
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.0000358
AC:
9
AN:
251486
AF XY:
0.0000515
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000404
AC:
59
AN:
1461888
Hom.:
0
Cov.:
32
AF XY:
0.0000495
AC XY:
36
AN XY:
727248
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.0000224
AC:
1
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.000232
AC:
20
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53420
Middle Eastern (MID)
AF:
0.000693
AC:
4
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000252
AC:
28
AN:
1112006
Other (OTH)
AF:
0.0000828
AC:
5
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
4
8
11
15
19
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000525
AC:
8
AN:
152246
Hom.:
0
Cov.:
31
AF XY:
0.0000269
AC XY:
2
AN XY:
74452
show subpopulations
African (AFR)
AF:
0.0000722
AC:
3
AN:
41538
American (AMR)
AF:
0.00
AC:
0
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
68010
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.544
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000667
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.0000659
AC:
8
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Sifrim-Hitz-Weiss syndrome Pathogenic:1Uncertain:1Benign:1
Jul 23, 2019
Savagenome Genetic Health Clinic, Tarbiat Modares University
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.4822G>A (p.Val1608Ile) variant in CHD4 Gene has been previously reported as a pathogenic variant in clinvar (variation ID: 266123) and citation for this variant is one article with PMID: 27479907 number. controversially we found this variant in a healthy woman by Sanger sequencing, which shows it is just a benign variant. -

Dec 04, 2019
Centre for Mendelian Genomics, University Medical Centre Ljubljana
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was classified as: Uncertain significance. The available evidence on this variant's pathogenicity is insufficient or conflicting. The following ACMG criteria were applied in classifying this variant: PM6,PP5,BP4. -

Mar 14, 2025
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
17
DANN
Benign
0.93
DEOGEN2
Benign
0.017
.;T;.;T;.;.;.;.;.;.;.;.
Eigen
Benign
-0.79
Eigen_PC
Benign
-0.68
FATHMM_MKL
Benign
0.65
D
LIST_S2
Benign
0.30
T;T;T;T;T;T;T;T;T;T;T;T
M_CAP
Benign
0.043
D
MetaRNN
Benign
0.070
T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.62
T
MutationAssessor
Benign
0.34
.;.;.;N;.;.;.;.;.;.;.;.
PhyloP100
2.2
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-0.50
.;N;.;.;.;.;.;.;.;.;.;.
REVEL
Benign
0.17
Sift
Benign
0.18
.;T;.;.;.;.;.;.;.;.;.;.
Sift4G
Benign
0.19
.;T;.;.;.;.;.;.;.;.;.;.
Polyphen
0.012, 0.0070
.;.;B;B;.;.;.;.;B;.;.;.
Vest4
0.10
MutPred
0.25
.;.;.;Gain of sheet (P = 0.0344);.;.;.;.;.;.;Gain of sheet (P = 0.0344);.;
MVP
0.29
MPC
0.035
ClinPred
0.028
T
GERP RS
3.6
Varity_R
0.042
gMVP
0.057
Mutation Taster
=5/95
disease causing

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

Other links and lift over

dbSNP: rs201992075; hg19: chr12-6690297; COSMIC: COSV100539020; COSMIC: COSV100539020; API