17-49973042-G-A

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001934.4(DLX4):​c.37G>A​(p.Ala13Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000653 in 1,606,950 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/15 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000066 ( 0 hom. )

Consequence

DLX4
NM_001934.4 missense

Scores

1
14

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: -0.939
Variant links:
Genes affected
DLX4 (HGNC:2917): (distal-less homeobox 4) Many vertebrate homeo box-containing genes have been identified on the basis of their sequence similarity with Drosophila developmental genes. Members of the Dlx gene family contain a homeobox that is related to that of Distal-less (Dll), a gene expressed in the head and limbs of the developing fruit fly. The Distal-less (Dlx) family of genes comprises at least 6 different members, DLX1-DLX6. The DLX proteins are postulated to play a role in forebrain and craniofacial development. Three transcript variants have been described for this gene, however, the full length nature of one variant has not been described. Studies of the two splice variants revealed that one encoded isoform functions as a repressor of the beta-globin gene while the other isoform lacks that function. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.020981848).
BP6
Variant 17-49973042-G-A is Benign according to our data. Variant chr17-49973042-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 3032189.Status of the report is no_assertion_criteria_provided, 0 stars.
BS2
High AC in GnomAd4 at 9 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DLX4NM_138281.3 linkc.284-31G>A intron_variant ENST00000240306.5 NP_612138.1 Q92988-1
DLX4NM_001934.4 linkc.37G>A p.Ala13Thr missense_variant 1/2 NP_001925.2 Q92988-2
DLX4XM_047435517.1 linkc.37G>A p.Ala13Thr missense_variant 2/3 XP_047291473.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DLX4ENST00000240306.5 linkc.284-31G>A intron_variant 1 NM_138281.3 ENSP00000240306.3 Q92988-1

Frequencies

GnomAD3 genomes
AF:
0.0000592
AC:
9
AN:
151942
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000484
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000578
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:
0.0000844
AC:
21
AN:
248712
Hom.:
0
AF XY:
0.0000818
AC XY:
11
AN XY:
134458
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000981
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000268
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000660
AC:
96
AN:
1455008
Hom.:
0
Cov.:
31
AF XY:
0.0000623
AC XY:
45
AN XY:
722340
show subpopulations
Gnomad4 AFR exome
AF:
0.0000300
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000279
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000732
Gnomad4 OTH exome
AF:
0.0000333
GnomAD4 genome
AF:
0.0000592
AC:
9
AN:
151942
Hom.:
0
Cov.:
32
AF XY:
0.0000943
AC XY:
7
AN XY:
74196
show subpopulations
Gnomad4 AFR
AF:
0.0000484
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000578
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000113
Hom.:
0
Bravo
AF:
0.0000907
ExAC
AF:
0.0000906
AC:
11
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

DLX4-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMar 25, 2023This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
2.4
DANN
Benign
0.92
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.088
N
LIST_S2
Benign
0.36
T;T
M_CAP
Uncertain
0.096
D
MetaRNN
Benign
0.021
T;T
MetaSVM
Benign
-0.55
T
PROVEAN
Benign
-0.75
N;.
REVEL
Benign
0.17
Sift
Benign
0.20
T;.
Sift4G
Benign
0.22
T;T
Polyphen
0.0
B;.
Vest4
0.068
MutPred
0.16
Gain of phosphorylation at A13 (P = 0.0348);Gain of phosphorylation at A13 (P = 0.0348);
MVP
0.79
ClinPred
0.0095
T
GERP RS
-1.3

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: rs749783136; hg19: chr17-48050406; COSMIC: COSV53591193; COSMIC: COSV53591193; API