18-31403566-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_177986.5(DSG4):​c.1568C>T​(p.Pro523Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0071 in 1,613,966 control chromosomes in the GnomAD database, including 96 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0054 ( 5 hom., cov: 32)
Exomes 𝑓: 0.0073 ( 91 hom. )

Consequence

DSG4
NM_177986.5 missense

Scores

4
8
6

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 4.12
Variant links:
Genes affected
DSG4 (HGNC:21307): (desmoglein 4) This gene encodes a member of the desmoglein subgroup of desmosomal cadherins. The encoded preproprotein is proteolytically processed to generate the mature protein. This protein is a transmembrane component of desmosomes and may play a role in cell-cell adhesion in epithelial cells. Mutations in the gene are associated with localized autosomal recessive hypotrichosis and monilethrix, characterized by impaired hair growth. [provided by RefSeq, May 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0106598735).
BP6
Variant 18-31403566-C-T is Benign according to our data. Variant chr18-31403566-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 235547.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00542 (825/152200) while in subpopulation SAS AF= 0.0197 (95/4818). AF 95% confidence interval is 0.0165. There are 5 homozygotes in gnomad4. There are 397 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
DSG4NM_177986.5 linkuse as main transcriptc.1568C>T p.Pro523Leu missense_variant 11/16 ENST00000308128.9 NP_817123.1 Q86SJ6-1
DSG4NM_001134453.3 linkuse as main transcriptc.1568C>T p.Pro523Leu missense_variant 11/15 NP_001127925.1 Q86SJ6-2
DSG1-AS1NR_110788.1 linkuse as main transcriptn.156+23267G>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
DSG4ENST00000308128.9 linkuse as main transcriptc.1568C>T p.Pro523Leu missense_variant 11/161 NM_177986.5 ENSP00000311859.4 Q86SJ6-1
DSG4ENST00000359747.4 linkuse as main transcriptc.1568C>T p.Pro523Leu missense_variant 11/151 ENSP00000352785.4 Q86SJ6-2
DSG1-AS1ENST00000578477.5 linkuse as main transcriptn.156+23267G>A intron_variant 3
DSG1-AS1ENST00000581856.5 linkuse as main transcriptn.95+23267G>A intron_variant 3

Frequencies

GnomAD3 genomes
AF:
0.00542
AC:
825
AN:
152082
Hom.:
5
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00113
Gnomad AMI
AF:
0.0154
Gnomad AMR
AF:
0.00557
Gnomad ASJ
AF:
0.0101
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.0197
Gnomad FIN
AF:
0.00123
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00766
Gnomad OTH
AF:
0.00575
GnomAD3 exomes
AF:
0.00794
AC:
1996
AN:
251402
Hom.:
23
AF XY:
0.00876
AC XY:
1190
AN XY:
135870
show subpopulations
Gnomad AFR exome
AF:
0.000800
Gnomad AMR exome
AF:
0.00509
Gnomad ASJ exome
AF:
0.00893
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.0208
Gnomad FIN exome
AF:
0.00162
Gnomad NFE exome
AF:
0.00873
Gnomad OTH exome
AF:
0.00831
GnomAD4 exome
AF:
0.00727
AC:
10633
AN:
1461766
Hom.:
91
Cov.:
32
AF XY:
0.00788
AC XY:
5730
AN XY:
727182
show subpopulations
Gnomad4 AFR exome
AF:
0.000777
Gnomad4 AMR exome
AF:
0.00525
Gnomad4 ASJ exome
AF:
0.00995
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0193
Gnomad4 FIN exome
AF:
0.00200
Gnomad4 NFE exome
AF:
0.00696
Gnomad4 OTH exome
AF:
0.00830
GnomAD4 genome
AF:
0.00542
AC:
825
AN:
152200
Hom.:
5
Cov.:
32
AF XY:
0.00533
AC XY:
397
AN XY:
74418
show subpopulations
Gnomad4 AFR
AF:
0.00113
Gnomad4 AMR
AF:
0.00556
Gnomad4 ASJ
AF:
0.0101
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.0197
Gnomad4 FIN
AF:
0.00123
Gnomad4 NFE
AF:
0.00766
Gnomad4 OTH
AF:
0.00569
Alfa
AF:
0.00686
Hom.:
2
Bravo
AF:
0.00552
TwinsUK
AF:
0.00566
AC:
21
ALSPAC
AF:
0.00752
AC:
29
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.0107
AC:
92
ExAC
AF:
0.00861
AC:
1046
Asia WGS
AF:
0.00635
AC:
22
AN:
3478
EpiCase
AF:
0.00976
EpiControl
AF:
0.0108

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 18, 2023- -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsDec 21, 2015- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Hypotrichosis 6 Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.42
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.16
CADD
Uncertain
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.62
D;.
Eigen
Pathogenic
0.79
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Uncertain
0.88
D
LIST_S2
Benign
0.85
D;D
MetaRNN
Benign
0.011
T;T
MetaSVM
Uncertain
-0.061
T
MutationAssessor
Pathogenic
3.7
H;H
PrimateAI
Benign
0.46
T
PROVEAN
Pathogenic
-7.7
D;D
REVEL
Uncertain
0.44
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0030
D;D
Polyphen
1.0
D;D
Vest4
0.67
MVP
0.93
MPC
0.25
ClinPred
0.089
T
GERP RS
6.0
Varity_R
0.43
gMVP
0.65

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs34620697; hg19: chr18-28983529; COSMIC: COSV57395297; COSMIC: COSV57395297; API