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GeneBe

15-40930073-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM2PP2BP4_Moderate

The NM_019074.4(DLL4):c.293G>C(p.Gly98Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000275 in 1,455,210 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

DLL4
NM_019074.4 missense

Scores

14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.74
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 Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant where missense usually causes diseases, DLL4
BP4
Computational evidence support a benign effect (MetaRNN=0.1369254).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
DLL4NM_019074.4 linkuse as main transcriptc.293G>C p.Gly98Ala missense_variant 2/11 ENST00000249749.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
DLL4ENST00000249749.7 linkuse as main transcriptc.293G>C p.Gly98Ala missense_variant 2/111 NM_019074.4 P1
DLL4ENST00000557876.1 linkuse as main transcriptn.622G>C non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000431
AC:
1
AN:
231954
Hom.:
0
AF XY:
0.00000785
AC XY:
1
AN XY:
127354
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000302
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000275
AC:
4
AN:
1455210
Hom.:
0
Cov.:
31
AF XY:
0.00000276
AC XY:
2
AN XY:
723550
show subpopulations
Gnomad4 AFR exome
AF:
0.0000300
Gnomad4 AMR exome
AF:
0.0000455
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:
9.01e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 15, 2022The c.293G>C (p.G98A) alteration is located in exon 2 (coding exon 2) of the DLL4 gene. This alteration results from a G to C substitution at nucleotide position 293, causing the glycine (G) at amino acid position 98 to be replaced by an alanine (A). 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
0.078
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Benign
-0.35
Cadd
Benign
21
Dann
Benign
0.90
DEOGEN2
Benign
0.40
T;T
Eigen
Benign
-0.13
Eigen_PC
Benign
0.033
FATHMM_MKL
Benign
0.61
D
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.14
T;T
MetaSVM
Benign
-0.39
T
MutationAssessor
Benign
1.0
L;L
MutationTaster
Benign
0.88
D
PrimateAI
Benign
0.41
T
Polyphen
0.0010
B;B
Vest4
0.10
MutPred
0.37
Loss of disorder (P = 0.1273);Loss of disorder (P = 0.1273);
MVP
0.70
MPC
1.2
ClinPred
0.13
T
GERP RS
4.6
Varity_R
0.19
gMVP
0.69

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: rs1365057838; hg19: chr15-41222271; API