13-108211243-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_206937.2(LIG4):​c.26C>T​(p.Thr9Ile) variant causes a missense change. The variant allele was found at a frequency of 0.165 in 1,610,136 control chromosomes in the GnomAD database, including 23,469 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.16 ( 2252 hom., cov: 32)
Exomes 𝑓: 0.16 ( 21217 hom. )

Consequence

LIG4
NM_206937.2 missense

Scores

8
10

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:13O:1

Conservation

PhyloP100: 4.05
Variant links:
Genes affected
LIG4 (HGNC:6601): (DNA ligase 4) The protein encoded by this gene is a DNA ligase that joins single-strand breaks in a double-stranded polydeoxynucleotide in an ATP-dependent reaction. This protein is essential for V(D)J recombination and DNA double-strand break (DSB) repair through nonhomologous end joining (NHEJ). This protein forms a complex with the X-ray repair cross complementing protein 4 (XRCC4), and further interacts with the DNA-dependent protein kinase (DNA-PK). Both XRCC4 and DNA-PK are known to be required for NHEJ. The crystal structure of the complex formed by this protein and XRCC4 has been resolved. Defects in this gene are the cause of LIG4 syndrome. Alternatively spliced transcript variants encoding the same protein have been observed. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0015589893).
BP6
Variant 13-108211243-G-A is Benign according to our data. Variant chr13-108211243-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 7677.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr13-108211243-G-A is described in Lovd as [Benign]. Variant chr13-108211243-G-A is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.208 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LIG4NM_206937.2 linkuse as main transcriptc.26C>T p.Thr9Ile missense_variant 3/3 ENST00000442234.6 NP_996820.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LIG4ENST00000442234.6 linkuse as main transcriptc.26C>T p.Thr9Ile missense_variant 3/31 NM_206937.2 ENSP00000402030 P1

Frequencies

GnomAD3 genomes
AF:
0.163
AC:
24709
AN:
151982
Hom.:
2250
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.104
Gnomad AMI
AF:
0.284
Gnomad AMR
AF:
0.205
Gnomad ASJ
AF:
0.0977
Gnomad EAS
AF:
0.219
Gnomad SAS
AF:
0.0892
Gnomad FIN
AF:
0.295
Gnomad MID
AF:
0.0918
Gnomad NFE
AF:
0.172
Gnomad OTH
AF:
0.131
GnomAD3 exomes
AF:
0.177
AC:
43666
AN:
247176
Hom.:
4384
AF XY:
0.170
AC XY:
22884
AN XY:
134540
show subpopulations
Gnomad AFR exome
AF:
0.107
Gnomad AMR exome
AF:
0.235
Gnomad ASJ exome
AF:
0.0859
Gnomad EAS exome
AF:
0.227
Gnomad SAS exome
AF:
0.0877
Gnomad FIN exome
AF:
0.284
Gnomad NFE exome
AF:
0.172
Gnomad OTH exome
AF:
0.159
GnomAD4 exome
AF:
0.165
AC:
240295
AN:
1458036
Hom.:
21217
Cov.:
34
AF XY:
0.162
AC XY:
117597
AN XY:
725348
show subpopulations
Gnomad4 AFR exome
AF:
0.102
Gnomad4 AMR exome
AF:
0.231
Gnomad4 ASJ exome
AF:
0.0894
Gnomad4 EAS exome
AF:
0.166
Gnomad4 SAS exome
AF:
0.0865
Gnomad4 FIN exome
AF:
0.280
Gnomad4 NFE exome
AF:
0.168
Gnomad4 OTH exome
AF:
0.151
GnomAD4 genome
AF:
0.163
AC:
24721
AN:
152100
Hom.:
2252
Cov.:
32
AF XY:
0.168
AC XY:
12458
AN XY:
74332
show subpopulations
Gnomad4 AFR
AF:
0.104
Gnomad4 AMR
AF:
0.205
Gnomad4 ASJ
AF:
0.0977
Gnomad4 EAS
AF:
0.219
Gnomad4 SAS
AF:
0.0895
Gnomad4 FIN
AF:
0.295
Gnomad4 NFE
AF:
0.172
Gnomad4 OTH
AF:
0.132
Alfa
AF:
0.160
Hom.:
4295
Bravo
AF:
0.154
TwinsUK
AF:
0.169
AC:
628
ALSPAC
AF:
0.174
AC:
670
ESP6500AA
AF:
0.103
AC:
450
ESP6500EA
AF:
0.155
AC:
1310
ExAC
AF:
0.169
AC:
20477
Asia WGS
AF:
0.152
AC:
531
AN:
3478
EpiCase
AF:
0.152
EpiControl
AF:
0.156

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:13Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpDec 03, 2021- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 29, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency, Clinvar assertions are benign and protective (not pathogenic) -
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanNov 12, 2023This variant is classified as Benign based on local population frequency. This variant was detected in 39% of patients studied by a panel of primary immunodeficiencies. Number of patients: 37. Only high quality variants are reported. -
Benign, criteria provided, single submitterclinical testingGeneDxJan 31, 2013This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
DNA ligase IV deficiency Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -
Benign, criteria provided, single submitterclinical testingKCCC/NGS Laboratory, Kuwait Cancer Control CenterJul 07, 2023- -
not provided Benign:2Other:1
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
not provided, no classification providedphenotyping onlyGenomeConnect, ClinGen-Variant interpreted as Benign and reported on 04-27-2020 by Lab or GTR ID 500031. GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. This variant was reported in an individual referred for clinical diagnostic genetic testing. -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Multiple myeloma, resistance to Benign:1
protective, no assertion criteria providedliterature onlyOMIMMay 18, 2015- -
Severe combined immunodeficiency due to DCLRE1C deficiency Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.24
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.50
D;D;D;D
Eigen
Benign
-0.093
Eigen_PC
Benign
0.045
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.74
.;.;.;T
MetaRNN
Benign
0.0016
T;T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Uncertain
2.0
M;M;M;M
MutationTaster
Benign
0.19
P;P;P
PrimateAI
Uncertain
0.57
T
PROVEAN
Uncertain
-2.7
D;.;D;D
REVEL
Benign
0.073
Sift
Uncertain
0.0030
D;.;D;D
Sift4G
Uncertain
0.013
D;D;D;D
Polyphen
0.52
P;P;P;P
Vest4
0.089
MPC
0.059
ClinPred
0.030
T
GERP RS
4.1
Varity_R
0.16
gMVP
0.45

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: rs1805388; hg19: chr13-108863591; COSMIC: COSV63597095; API