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GeneBe

12-95710573-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_021229.4(NTN4):c.1048G>A(p.Ala350Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000285 in 1,614,054 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00030 ( 1 hom. )

Consequence

NTN4
NM_021229.4 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.38
Variant links:
Genes affected
NTN4 (HGNC:13658): (netrin 4) This gene encodes a member of the netrin family of proteins, which function in various biological processes including axon guidance, tumorogenesis, and angiogenesis. Netrins are laminin-related proteins that have an N-terminal laminin-type domain, epidermal growth factor-like repeat domain, and a positively charged heparin-binding domain at the C-terminus. The protein encoded by this gene is involved in processes including neurite growth and migration, angiogenesis and mural cell adhesion to endothelial cells. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3227272).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NTN4NM_021229.4 linkuse as main transcriptc.1048G>A p.Ala350Thr missense_variant 5/10 ENST00000343702.9
NTN4NM_001329700.2 linkuse as main transcriptc.1048G>A p.Ala350Thr missense_variant 5/9
NTN4NM_001329701.2 linkuse as main transcriptc.937G>A p.Ala313Thr missense_variant 5/10
NTN4NM_001329702.2 linkuse as main transcriptc.937G>A p.Ala313Thr missense_variant 5/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NTN4ENST00000343702.9 linkuse as main transcriptc.1048G>A p.Ala350Thr missense_variant 5/101 NM_021229.4 P1Q9HB63-1

Frequencies

GnomAD3 genomes
AF:
0.000177
AC:
27
AN:
152194
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
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:
0.000338
Gnomad OTH
AF:
0.000957
GnomAD3 exomes
AF:
0.000199
AC:
50
AN:
251390
Hom.:
0
AF XY:
0.000191
AC XY:
26
AN XY:
135862
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.0000868
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.000378
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000296
AC:
433
AN:
1461860
Hom.:
1
Cov.:
31
AF XY:
0.000319
AC XY:
232
AN XY:
727228
show subpopulations
Gnomad4 AFR exome
AF:
0.000119
Gnomad4 AMR exome
AF:
0.0000671
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000374
Gnomad4 NFE exome
AF:
0.000371
Gnomad4 OTH exome
AF:
0.000182
GnomAD4 genome
AF:
0.000177
AC:
27
AN:
152194
Hom.:
0
Cov.:
32
AF XY:
0.000161
AC XY:
12
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.0000483
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:
0.000338
Gnomad4 OTH
AF:
0.000957
Alfa
AF:
0.000305
Hom.:
0
Bravo
AF:
0.000185
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000115
AC:
14
EpiCase
AF:
0.000491
EpiControl
AF:
0.000415

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 GeneticsFeb 12, 2024The c.1048G>A (p.A350T) alteration is located in exon 5 (coding exon 5) of the NTN4 gene. This alteration results from a G to A substitution at nucleotide position 1048, causing the alanine (A) at amino acid position 350 to be replaced by a threonine (T). 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
0.084
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.31
Cadd
Uncertain
25
Dann
Uncertain
1.0
DEOGEN2
Benign
0.033
T;.;.;.
Eigen
Uncertain
0.27
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.89
D;.;D;D
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.32
T;T;T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Uncertain
2.6
M;.;.;M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-2.0
N;N;N;N
REVEL
Benign
0.11
Sift
Benign
0.040
D;T;T;D
Sift4G
Benign
0.43
T;T;T;T
Polyphen
0.63
P;.;.;P
Vest4
0.57
MVP
0.47
MPC
0.73
ClinPred
0.11
T
GERP RS
5.4
Varity_R
0.080
gMVP
0.42

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: rs138953479; hg19: chr12-96104351; API