14-23571338-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001146028.2(JPH4):​c.1393G>A​(p.Ala465Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000814 in 1,597,184 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000053 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000084 ( 0 hom. )

Consequence

JPH4
NM_001146028.2 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.958
Variant links:
Genes affected
JPH4 (HGNC:20156): (junctophilin 4) This gene encodes a member of the junctophilin family of transmembrane proteins that are involved in the formation of the junctional membrane complexes between the plasma membrane and the endoplasmic/sarcoplasmic reticulum in excitable cells. The encoded protein contains a conserved N-terminal repeat region called the membrane occupation and recognition nexus sequence that is found in other members of the junctophilin family. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Mar 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06497544).
BS2
High AC in GnomAd4 at 8 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
JPH4NM_001146028.2 linkc.1393G>A p.Ala465Thr missense_variant 5/6 ENST00000356300.9 NP_001139500.1 Q96JJ6
JPH4NM_032452.3 linkc.1393G>A p.Ala465Thr missense_variant 6/7 NP_115828.2 Q96JJ6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
JPH4ENST00000356300.9 linkc.1393G>A p.Ala465Thr missense_variant 5/61 NM_001146028.2 ENSP00000348648.4 Q96JJ6
JPH4ENST00000397118.7 linkc.1393G>A p.Ala465Thr missense_variant 6/71 ENSP00000380307.3 Q96JJ6
JPH4ENST00000544177.1 linkc.388G>A p.Ala130Thr missense_variant 3/42 ENSP00000439562.1 F5H1L9

Frequencies

GnomAD3 genomes
AF:
0.0000526
AC:
8
AN:
152174
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:
0.0000882
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000550
AC:
13
AN:
236318
Hom.:
0
AF XY:
0.0000546
AC XY:
7
AN XY:
128264
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000120
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000844
AC:
122
AN:
1445010
Hom.:
0
Cov.:
32
AF XY:
0.0000849
AC XY:
61
AN XY:
718308
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:
0.000108
Gnomad4 OTH exome
AF:
0.0000334
GnomAD4 genome
AF:
0.0000526
AC:
8
AN:
152174
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74330
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:
0.0000882
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000959
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.0000659
AC:
8

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 GeneticsDec 20, 2023The c.1393G>A (p.A465T) alteration is located in exon 6 (coding exon 4) of the JPH4 gene. This alteration results from a G to A substitution at nucleotide position 1393, causing the alanine (A) at amino acid position 465 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
0.072
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0069
.;T;T;.
Eigen
Benign
-0.36
Eigen_PC
Benign
-0.22
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.56
T;.;T;T
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.065
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.34
.;N;N;.
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.66
.;N;N;N
REVEL
Benign
0.053
Sift
Benign
0.16
.;T;T;T
Sift4G
Benign
0.48
T;T;T;T
Polyphen
0.027, 0.0040
.;B;B;B
Vest4
0.080
MutPred
0.17
.;Gain of phosphorylation at A465 (P = 0.005);Gain of phosphorylation at A465 (P = 0.005);.;
MVP
0.32
MPC
0.15
ClinPred
0.059
T
GERP RS
2.1
Varity_R
0.049
gMVP
0.15

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: rs748718100; hg19: chr14-24040547; API