19-10287157-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_001544.5(ICAM4):ā€‹c.145T>Cā€‹(p.Trp49Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000026 in 1,458,970 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.000026 ( 0 hom. )

Consequence

ICAM4
NM_001544.5 missense

Scores

1
6
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.918
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]
ICAM4-AS1 (HGNC:55990): (ICAM4 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.37386265).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ICAM4NM_001544.5 linkuse as main transcriptc.145T>C p.Trp49Arg missense_variant 1/3 ENST00000380770.5
ICAM4NM_001039132.3 linkuse as main transcriptc.145T>C p.Trp49Arg missense_variant 1/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ICAM4ENST00000380770.5 linkuse as main transcriptc.145T>C p.Trp49Arg missense_variant 1/31 NM_001544.5 P2Q14773-1
ICAM4ENST00000340992.4 linkuse as main transcriptc.145T>C p.Trp49Arg missense_variant 1/31 Q14773-3
ICAM4-AS1ENST00000589379.1 linkuse as main transcriptn.1863A>G non_coding_transcript_exon_variant 1/1
ICAM4ENST00000393717.2 linkuse as main transcriptc.145T>C p.Trp49Arg missense_variant 1/22 A2Q14773-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000818
AC:
2
AN:
244370
Hom.:
0
AF XY:
0.0000150
AC XY:
2
AN XY:
133176
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:
0.00
Gnomad NFE exome
AF:
0.0000183
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000260
AC:
38
AN:
1458970
Hom.:
0
Cov.:
31
AF XY:
0.0000303
AC XY:
22
AN XY:
725468
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:
0.00
Gnomad4 NFE exome
AF:
0.0000333
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000508
Hom.:
0
Bravo
AF:
0.0000113
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
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
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 21, 2023The c.145T>C (p.W49R) alteration is located in exon 1 (coding exon 1) of the ICAM4 gene. This alteration results from a T to C substitution at nucleotide position 145, causing the tryptophan (W) at amino acid position 49 to be replaced by an arginine (R). 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
0.27
BayesDel_addAF
Benign
-0.046
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.23
T;.;.
Eigen
Uncertain
0.29
Eigen_PC
Benign
0.21
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.52
T;T;T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.37
T;T;T
MetaSVM
Benign
-0.87
T
MutationAssessor
Uncertain
2.7
M;M;M
MutationTaster
Benign
0.66
D;D;D
PrimateAI
Uncertain
0.56
T
PROVEAN
Pathogenic
-4.7
D;D;D
REVEL
Benign
0.14
Sift
Benign
0.14
T;T;T
Sift4G
Uncertain
0.0030
D;D;D
Polyphen
0.97
D;.;D
Vest4
0.37
MutPred
0.48
Loss of catalytic residue at M52 (P = 0.0058);Loss of catalytic residue at M52 (P = 0.0058);Loss of catalytic residue at M52 (P = 0.0058);
MVP
0.31
MPC
2.1
ClinPred
0.93
D
GERP RS
4.1
Varity_R
0.52
gMVP
0.29

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: rs370626504; hg19: chr19-10397833; API