14-74292356-G-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The ENST00000356924.9(ABCD4):ā€‹c.1049C>Gā€‹(p.Thr350Arg) variant causes a missense change. The variant allele was found at a frequency of 0.0241 in 1,614,040 control chromosomes in the GnomAD database, including 555 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T350M) has been classified as Uncertain significance.

Frequency

Genomes: š‘“ 0.019 ( 37 hom., cov: 33)
Exomes š‘“: 0.025 ( 518 hom. )

Consequence

ABCD4
ENST00000356924.9 missense

Scores

1
5
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 3.61
Variant links:
Genes affected
ABCD4 (HGNC:68): (ATP binding cassette subfamily D member 4) The protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ALD subfamily, which is involved in peroxisomal import of fatty acids and/or fatty acyl-CoAs in the organelle. All known peroxisomal ABC transporters are half transporters which require a partner half transporter molecule to form a functional homodimeric or heterodimeric transporter. The function of this peroxisomal membrane protein is unknown. However, it is speculated that it may function as a heterodimer for another peroxisomal ABC transporter and, therefore, may modify the adrenoleukodystrophy phenotype. It may also play a role in the process of peroxisome biogenesis. Alternative splicing results in several protein-coding and non-protein-coding variants. [provided by RefSeq, Jul 2017]

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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=0.006796807).
BP6
Variant 14-74292356-G-C is Benign according to our data. Variant chr14-74292356-G-C is described in ClinVar as [Benign]. Clinvar id is 380512.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0187 (2847/152310) while in subpopulation NFE AF= 0.0272 (1853/68046). AF 95% confidence interval is 0.0262. There are 37 homozygotes in gnomad4. There are 1358 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 37 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCD4NM_005050.4 linkuse as main transcriptc.1049C>G p.Thr350Arg missense_variant 11/19 ENST00000356924.9 NP_005041.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCD4ENST00000356924.9 linkuse as main transcriptc.1049C>G p.Thr350Arg missense_variant 11/191 NM_005050.4 ENSP00000349396 P1
ENST00000554532.2 linkuse as main transcriptn.1115+955C>G intron_variant, non_coding_transcript_variant 4

Frequencies

GnomAD3 genomes
AF:
0.0187
AC:
2848
AN:
152192
Hom.:
37
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00613
Gnomad AMI
AF:
0.0307
Gnomad AMR
AF:
0.0271
Gnomad ASJ
AF:
0.0202
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.0171
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0272
Gnomad OTH
AF:
0.0192
GnomAD3 exomes
AF:
0.0180
AC:
4514
AN:
251224
Hom.:
60
AF XY:
0.0175
AC XY:
2378
AN XY:
135778
show subpopulations
Gnomad AFR exome
AF:
0.00511
Gnomad AMR exome
AF:
0.0171
Gnomad ASJ exome
AF:
0.0244
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000555
Gnomad FIN exome
AF:
0.0165
Gnomad NFE exome
AF:
0.0272
Gnomad OTH exome
AF:
0.0214
GnomAD4 exome
AF:
0.0247
AC:
36069
AN:
1461730
Hom.:
518
Cov.:
34
AF XY:
0.0239
AC XY:
17394
AN XY:
727158
show subpopulations
Gnomad4 AFR exome
AF:
0.00358
Gnomad4 AMR exome
AF:
0.0173
Gnomad4 ASJ exome
AF:
0.0222
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000591
Gnomad4 FIN exome
AF:
0.0159
Gnomad4 NFE exome
AF:
0.0290
Gnomad4 OTH exome
AF:
0.0232
GnomAD4 genome
AF:
0.0187
AC:
2847
AN:
152310
Hom.:
37
Cov.:
33
AF XY:
0.0182
AC XY:
1358
AN XY:
74462
show subpopulations
Gnomad4 AFR
AF:
0.00611
Gnomad4 AMR
AF:
0.0270
Gnomad4 ASJ
AF:
0.0202
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.0171
Gnomad4 NFE
AF:
0.0272
Gnomad4 OTH
AF:
0.0190
Alfa
AF:
0.0227
Hom.:
43
Bravo
AF:
0.0190
ESP6500AA
AF:
0.00658
AC:
29
ESP6500EA
AF:
0.0263
AC:
226
ExAC
AF:
0.0175
AC:
2124
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.0298
EpiControl
AF:
0.0287

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Methylmalonic acidemia with homocystinuria, type cblJ Benign:2
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 16, 2023- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJan 21, 2016This 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. -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Uncertain
-0.050
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.062
T
Eigen
Benign
0.11
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.85
D
MetaRNN
Benign
0.0068
T
MetaSVM
Uncertain
0.19
D
MutationAssessor
Benign
2.0
M
MutationTaster
Benign
0.65
N;N
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-1.1
N
REVEL
Uncertain
0.34
Sift
Benign
0.18
T
Sift4G
Benign
0.33
T
Polyphen
0.10
B
Vest4
0.097
MPC
0.29
ClinPred
0.011
T
GERP RS
5.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.26
gMVP
0.86

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: rs35073715; hg19: chr14-74759059; API