17-7218550-C-A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The ENST00000648172.9(DLG4):​c.109G>T​(p.Ala37Ser) variant causes a missense change. The variant allele was found at a frequency of 0.0000163 in 1,408,266 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 10/17 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A37T) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000016 ( 0 hom. )

Consequence

DLG4
ENST00000648172.9 missense

Scores

1
2
13

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 4.04

Publications

1 publications found
Variant links:
Genes affected
DLG4 (HGNC:2903): (discs large MAGUK scaffold protein 4) This gene encodes a member of the membrane-associated guanylate kinase (MAGUK) family. It heteromultimerizes with another MAGUK protein, DLG2, and is recruited into NMDA receptor and potassium channel clusters. These two MAGUK proteins may interact at postsynaptic sites to form a multimeric scaffold for the clustering of receptors, ion channels, and associated signaling proteins. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
ACADVL (HGNC:92): (acyl-CoA dehydrogenase very long chain) The protein encoded by this gene is targeted to the inner mitochondrial membrane where it catalyzes the first step of the mitochondrial fatty acid beta-oxidation pathway. This acyl-Coenzyme A dehydrogenase is specific to long-chain and very-long-chain fatty acids. A deficiency in this gene product reduces myocardial fatty acid beta-oxidation and is associated with cardiomyopathy. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2008]
ACADVL Gene-Disease associations (from GenCC):
  • very long chain acyl-CoA dehydrogenase deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: G2P, Orphanet, ClinGen, PanelApp Australia, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.18596801).
BS2
High AC in GnomAdExome4 at 23 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
DLG4NM_001365.5 linkc.109G>T p.Ala37Ser missense_variant Exon 2 of 22 NP_001356.1 P78352-2B7Z647B9EGL1
DLG4NM_001321074.1 linkc.109G>T p.Ala37Ser missense_variant Exon 2 of 22 NP_001308003.1 B9EGL1
DLG4NR_135527.1 linkn.1310G>T non_coding_transcript_exon_variant Exon 2 of 21
ACADVLNM_001270447.2 linkc.131+732C>A intron_variant Intron 2 of 20 NP_001257376.1 P49748-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
DLG4ENST00000648172.9 linkc.109G>T p.Ala37Ser missense_variant Exon 2 of 22 ENSP00000497806.3 P78352-2
DLG4ENST00000491753.2 linkn.109G>T non_coding_transcript_exon_variant Exon 2 of 21 2 ENSP00000467897.2 B7Z3U2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000596
AC:
1
AN:
167756
AF XY:
0.0000112
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:
0.0000146
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000163
AC:
23
AN:
1408266
Hom.:
0
Cov.:
31
AF XY:
0.0000144
AC XY:
10
AN XY:
695424
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31962
American (AMR)
AF:
0.00
AC:
0
AN:
36616
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25258
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36456
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79758
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49788
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5704
European-Non Finnish (NFE)
AF:
0.0000194
AC:
21
AN:
1084286
Other (OTH)
AF:
0.0000342
AC:
2
AN:
58438
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
2
3
5
6
8
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

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.27
.;T
Eigen
Benign
0.021
Eigen_PC
Benign
0.16
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Benign
0.75
T;T
M_CAP
Benign
0.0094
T
MetaRNN
Benign
0.19
T;T
MetaSVM
Benign
-1.1
T
PhyloP100
4.0
PROVEAN
Benign
-0.40
.;N
REVEL
Benign
0.056
Sift
Pathogenic
0.0
.;D
Sift4G
Benign
0.13
.;T
Polyphen
0.76
P;B
Vest4
0.51
MutPred
0.59
Loss of stability (P = 0.0598);Loss of stability (P = 0.0598);
MVP
0.56
MPC
1.0
ClinPred
0.85
D
GERP RS
4.4
gMVP
0.35

Splicing

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

Publications

Other links and lift over

dbSNP: rs372479041; hg19: chr17-7121869; API