16-399089-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_005009.3(NME4):​c.191G>A​(p.Arg64Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00119 in 1,599,014 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00089 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0012 ( 1 hom. )

Consequence

NME4
NM_005009.3 missense

Scores

2
10
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.50
Variant links:
Genes affected
NME4 (HGNC:7852): (NME/NM23 nucleoside diphosphate kinase 4) The nucleoside diphosphate (NDP) kinases (EC 2.7.4.6) are ubiquitous enzymes that catalyze transfer of gamma-phosphates, via a phosphohistidine intermediate, between nucleoside and dioxynucleoside tri- and diphosphates. The enzymes are products of the nm23 gene family, which includes NME4 (Milon et al., 1997 [PubMed 9099850]).[supplied by OMIM, May 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.09358117).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NME4NM_005009.3 linkuse as main transcriptc.191G>A p.Arg64Gln missense_variant 2/5 ENST00000219479.7 NP_005000.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NME4ENST00000219479.7 linkuse as main transcriptc.191G>A p.Arg64Gln missense_variant 2/51 NM_005009.3 ENSP00000219479 P2O00746-1

Frequencies

GnomAD3 genomes
AF:
0.000887
AC:
135
AN:
152192
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000753
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00141
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.000779
AC:
184
AN:
236218
Hom.:
1
AF XY:
0.000778
AC XY:
100
AN XY:
128592
show subpopulations
Gnomad AFR exome
AF:
0.000250
Gnomad AMR exome
AF:
0.000471
Gnomad ASJ exome
AF:
0.000217
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000676
Gnomad NFE exome
AF:
0.00139
Gnomad OTH exome
AF:
0.000171
GnomAD4 exome
AF:
0.00122
AC:
1763
AN:
1446704
Hom.:
1
Cov.:
31
AF XY:
0.00119
AC XY:
858
AN XY:
719654
show subpopulations
Gnomad4 AFR exome
AF:
0.000210
Gnomad4 AMR exome
AF:
0.000430
Gnomad4 ASJ exome
AF:
0.000196
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000117
Gnomad4 FIN exome
AF:
0.000863
Gnomad4 NFE exome
AF:
0.00148
Gnomad4 OTH exome
AF:
0.000933
GnomAD4 genome
AF:
0.000886
AC:
135
AN:
152310
Hom.:
0
Cov.:
33
AF XY:
0.000819
AC XY:
61
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.000481
Gnomad4 AMR
AF:
0.000392
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000753
Gnomad4 NFE
AF:
0.00141
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00115
Hom.:
0
Bravo
AF:
0.000922
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00105
AC:
9
ExAC
AF:
0.000753
AC:
91

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 GeneticsJan 08, 2024The c.191G>A (p.R64Q) alteration is located in exon 2 (coding exon 2) of the NME4 gene. This alteration results from a G to A substitution at nucleotide position 191, causing the arginine (R) at amino acid position 64 to be replaced by a glutamine (Q). 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
0.27
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.27
CADD
Uncertain
26
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.080
T;T;T
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.22
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Pathogenic
0.98
D;D;D
M_CAP
Uncertain
0.096
D
MetaRNN
Benign
0.094
T;T;T
MetaSVM
Benign
-0.48
T
MutationAssessor
Uncertain
2.6
.;.;M
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.52
T
PROVEAN
Uncertain
-2.7
.;D;D
REVEL
Uncertain
0.39
Sift
Uncertain
0.0020
.;D;D
Sift4G
Uncertain
0.0020
D;D;D
Polyphen
1.0
.;.;D
Vest4
0.60
MVP
0.66
MPC
0.49
ClinPred
0.081
T
GERP RS
2.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.97
gMVP
0.49

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: rs117078323; hg19: chr16-449089; COSMIC: COSV54791045; COSMIC: COSV54791045; API