19-10287055-G-T

Variant summary

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

The NM_001544.5(ICAM4):​c.43G>T​(p.Ala15Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000041 in 1,413,876 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000041 ( 0 hom. )

Consequence

ICAM4
NM_001544.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.286
Variant links:
Genes affected
ICAM4 (HGNC:5347): (intercellular adhesion molecule 4 (Landsteiner-Wiener blood group)) This gene encodes the Landsteiner-Wiener (LW) blood group antigen(s) that belongs to the immunoglobulin (Ig) superfamily, and that shares similarity with the intercellular adhesion molecule (ICAM) protein family. This ICAM protein contains 2 Ig-like C2-type domains and binds to the leukocyte adhesion LFA-1 protein. The molecular basis of the LW(A)/LW(B) blood group antigens is a single aa variation at position 100; Gln-100=LW(A) and Arg-100=LW(B). Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2008]

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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=0.09656277).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ICAM4NM_001544.5 linkuse as main transcriptc.43G>T p.Ala15Ser missense_variant 1/3 ENST00000380770.5 NP_001535.1 Q14773-1
ICAM4NM_001039132.3 linkuse as main transcriptc.43G>T p.Ala15Ser missense_variant 1/3 NP_001034221.1 Q14773-3U5U6P8
ICAM4-AS1NR_186335.1 linkuse as main transcriptn.1965C>A non_coding_transcript_exon_variant 1/1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ICAM4ENST00000380770.5 linkuse as main transcriptc.43G>T p.Ala15Ser missense_variant 1/31 NM_001544.5 ENSP00000370147.2 Q14773-1
ICAM4ENST00000340992.4 linkuse as main transcriptc.43G>T p.Ala15Ser missense_variant 1/31 ENSP00000342114.3 Q14773-3
ICAM4ENST00000393717.2 linkuse as main transcriptc.43G>T p.Ala15Ser missense_variant 1/22 ENSP00000377320.1 Q14773-2
ICAM4-AS1ENST00000589379.1 linkuse as main transcriptn.1965C>A non_coding_transcript_exon_variant 1/16

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000475
AC:
10
AN:
210532
Hom.:
0
AF XY:
0.0000429
AC XY:
5
AN XY:
116540
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 SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000163
Gnomad NFE exome
AF:
0.0000625
Gnomad OTH exome
AF:
0.000200
GnomAD4 exome
AF:
0.0000410
AC:
58
AN:
1413876
Hom.:
0
Cov.:
31
AF XY:
0.0000415
AC XY:
29
AN XY:
698982
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000203
Gnomad4 NFE exome
AF:
0.0000432
Gnomad4 OTH exome
AF:
0.0000173
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000421
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000417
AC:
5

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 GeneticsNov 26, 2024The c.43G>T (p.A15S) alteration is located in exon 1 (coding exon 1) of the ICAM4 gene. This alteration results from a G to T substitution at nucleotide position 43, causing the alanine (A) at amino acid position 15 to be replaced by a serine (S). 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
0.13
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.56
CADD
Benign
9.7
DANN
Benign
0.89
DEOGEN2
Benign
0.22
T;.;.
Eigen
Benign
-0.91
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.24
N
LIST_S2
Benign
0.38
T;T;T
M_CAP
Benign
0.0094
T
MetaRNN
Benign
0.097
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.2
L;L;L
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.42
N;N;N
REVEL
Benign
0.018
Sift
Uncertain
0.026
D;D;D
Sift4G
Benign
0.15
T;T;T
Polyphen
0.44
B;.;P
Vest4
0.33
MutPred
0.22
Gain of disorder (P = 0.0345);Gain of disorder (P = 0.0345);Gain of disorder (P = 0.0345);
MVP
0.18
MPC
0.54
ClinPred
0.050
T
GERP RS
0.91
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.2
Varity_R
0.040
gMVP
0.22

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: rs768896774; hg19: chr19-10397731; API