17-41807972-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_006455.3(P3H4):​c.949G>A​(p.Ala317Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000479 in 1,461,614 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 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: 0.0000048 ( 0 hom. )

Consequence

P3H4
NM_006455.3 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.10

Publications

2 publications found
Variant links:
Genes affected
P3H4 (HGNC:16946): (prolyl 3-hydroxylase family member 4 (inactive)) This nucleolar protein was first characterized because it was an autoantigen in cases on interstitial cystitis. The protein, with a predicted molecular weight of 50 kDa, appears to be localized in the particulate compartment of the interphase nucleolus, with a distribution distinct from that of nucleolar protein B23. During mitosis it is associated with chromosomes. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.4014625).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
P3H4NM_006455.3 linkc.949G>A p.Ala317Thr missense_variant Exon 5 of 8 ENST00000393928.6 NP_006446.1 Q92791
P3H4XM_047435137.1 linkc.1132G>A p.Ala378Thr missense_variant Exon 5 of 8 XP_047291093.1
P3H4XM_047435138.1 linkc.1132G>A p.Ala378Thr missense_variant Exon 5 of 7 XP_047291094.1
P3H4XM_006721640.5 linkc.949G>A p.Ala317Thr missense_variant Exon 5 of 7 XP_006721703.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
P3H4ENST00000393928.6 linkc.949G>A p.Ala317Thr missense_variant Exon 5 of 8 1 NM_006455.3 ENSP00000377505.1 Q92791
P3H4ENST00000355468.7 linkc.949G>A p.Ala317Thr missense_variant Exon 6 of 9 2 ENSP00000347649.2 Q92791
P3H4ENST00000592026.1 linkc.463G>A p.Ala155Thr missense_variant Exon 4 of 5 5 ENSP00000468174.1 K7ERA3
P3H4ENST00000587455.1 linkn.482-1093G>A intron_variant Intron 1 of 1 3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000797
AC:
2
AN:
250812
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000479
AC:
7
AN:
1461614
Hom.:
0
Cov.:
30
AF XY:
0.00000413
AC XY:
3
AN XY:
727104
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33472
American (AMR)
AF:
0.00
AC:
0
AN:
44700
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26120
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39666
South Asian (SAS)
AF:
0.0000348
AC:
3
AN:
86236
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53410
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.00000360
AC:
4
AN:
1111874
Other (OTH)
AF:
0.00
AC:
0
AN:
60372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000824
AC:
1

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
May 17, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.949G>A (p.A317T) alteration is located in exon 5 (coding exon 5) of the P3H4 gene. This alteration results from a G to A substitution at nucleotide position 949, causing the alanine (A) at amino acid position 317 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
0.14
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.38
CADD
Pathogenic
29
DANN
Uncertain
0.99
DEOGEN2
Benign
0.096
T;T
Eigen
Benign
-0.42
Eigen_PC
Benign
-0.41
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Uncertain
0.87
.;D
M_CAP
Benign
0.043
D
MetaRNN
Benign
0.40
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Uncertain
2.3
M;M
PhyloP100
2.1
PrimateAI
Uncertain
0.51
T
PROVEAN
Benign
-1.6
N;N
REVEL
Benign
0.14
Sift
Benign
0.26
T;T
Sift4G
Benign
0.20
T;T
Polyphen
0.86
P;P
Vest4
0.62
MutPred
0.29
Gain of phosphorylation at A317 (P = 0.0598);Gain of phosphorylation at A317 (P = 0.0598);
MVP
0.072
MPC
0.86
ClinPred
0.68
D
GERP RS
3.2
Varity_R
0.14
gMVP
0.38
Mutation Taster
=87/13
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs782520454; hg19: chr17-39964224; API