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GeneBe

15-40929848-G-A

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 1P and 8B. PP2BP4_ModerateBP6_ModerateBS2

The NM_019074.4(DLL4):c.68G>A(p.Arg23His) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000875 in 1,610,786 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00035 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000060 ( 1 hom. )

Consequence

DLL4
NM_019074.4 missense, splice_region

Scores

3
11
Splicing: ADA: 0.01744
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 2.16
Variant links:
Genes affected
DLL4 (HGNC:2910): (delta like canonical Notch ligand 4) This gene is a homolog of the Drosophila delta gene. The delta gene family encodes Notch ligands that are characterized by a DSL domain, EGF repeats, and a transmembrane domain. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

PP2
Missense variant where missense usually causes diseases, DLL4
BP4
Computational evidence support a benign effect (MetaRNN=0.09132975).
BP6
Variant 15-40929848-G-A is Benign according to our data. Variant chr15-40929848-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 1583316.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd at 54 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DLL4NM_019074.4 linkuse as main transcriptc.68G>A p.Arg23His missense_variant, splice_region_variant 2/11 ENST00000249749.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DLL4ENST00000249749.7 linkuse as main transcriptc.68G>A p.Arg23His missense_variant, splice_region_variant 2/111 NM_019074.4 P1
DLL4ENST00000557876.1 linkuse as main transcriptn.397G>A splice_region_variant, non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
AF:
0.000355
AC:
54
AN:
152200
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00327
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:
0.00
GnomAD3 exomes
AF:
0.000133
AC:
32
AN:
240234
Hom.:
1
AF XY:
0.000107
AC XY:
14
AN XY:
131424
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000814
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:
0.0000375
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000596
AC:
87
AN:
1458586
Hom.:
1
Cov.:
32
AF XY:
0.0000496
AC XY:
36
AN XY:
725584
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000582
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000522
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.000355
AC:
54
AN:
152200
Hom.:
0
Cov.:
33
AF XY:
0.000551
AC XY:
41
AN XY:
74358
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00327
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000249
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000242
AC:
2
ExAC
AF:
0.0000166
AC:
2
EpiCase
AF:
0.000273
EpiControl
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingInvitaeJan 18, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.17
Cadd
Benign
20
Dann
Uncertain
0.99
DEOGEN2
Benign
0.33
T;T
Eigen
Benign
0.065
Eigen_PC
Benign
0.12
FATHMM_MKL
Uncertain
0.84
D
M_CAP
Benign
0.061
D
MetaRNN
Benign
0.091
T;T
MetaSVM
Benign
-0.44
T
MutationAssessor
Benign
1.0
L;L
MutationTaster
Benign
0.90
N
PrimateAI
Uncertain
0.60
T
Polyphen
0.91
P;P
Vest4
0.17
MVP
0.70
MPC
1.5
ClinPred
0.10
T
GERP RS
3.5
Varity_R
0.082
gMVP
0.41

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.017
dbscSNV1_RF
Benign
0.11
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: rs370744960; hg19: chr15-41222046; API