19-10287321-C-A

Variant summary

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

The NM_001544.5(ICAM4):​c.309C>A​(p.Asp103Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,276 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 (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

ICAM4
NM_001544.5 missense

Scores

1
4
14

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: -1.36
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)

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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=0.28610697).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ICAM4NM_001544.5 linkuse as main transcriptc.309C>A p.Asp103Glu missense_variant 1/3 ENST00000380770.5
ICAM4NM_001039132.3 linkuse as main transcriptc.309C>A p.Asp103Glu missense_variant 1/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ICAM4ENST00000380770.5 linkuse as main transcriptc.309C>A p.Asp103Glu missense_variant 1/31 NM_001544.5 P2Q14773-1
ICAM4ENST00000340992.4 linkuse as main transcriptc.309C>A p.Asp103Glu missense_variant 1/31 Q14773-3
ICAM4-AS1ENST00000589379.1 linkuse as main transcriptn.1699G>T non_coding_transcript_exon_variant 1/1
ICAM4ENST00000393717.2 linkuse as main transcriptc.309C>A p.Asp103Glu missense_variant 1/22 A2Q14773-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461276
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726960
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:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Landsteiner-Wiener phenotype Uncertain:1
Uncertain significance, no assertion criteria providedresearchAustralian Red Cross Blood Service-The c.309C>A (p.Asp103Glu) SNV in the ICAM4 gene was detected in a family study of 5 siblings. Three were heterozygous for c.309C>A and two were homozygous for c.309C>A. One of two homozygous individuals developed an antibody against a high-prevalence antigen carried on ICAM4 glycoprotein expressed on the surface of red blood cells. The c.309C>A SNP is in cis with c.299A, the molecular basis for blood group antigen LW(a) of the LW blood group system. Consanguinity between the parents is not known. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.51
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.22
T;.;.
Eigen
Benign
-0.16
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.32
N
LIST_S2
Benign
0.54
T;T;T
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.29
T;T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Uncertain
2.5
M;M;M
MutationTaster
Benign
0.96
N;N;N
PrimateAI
Benign
0.45
T
PROVEAN
Uncertain
-2.4
N;D;N
REVEL
Benign
0.17
Sift
Benign
0.040
D;D;D
Sift4G
Pathogenic
0.0
D;D;D
Polyphen
1.0
D;.;D
Vest4
0.34
MutPred
0.60
Loss of sheet (P = 0.1158);Loss of sheet (P = 0.1158);Loss of sheet (P = 0.1158);
MVP
0.35
MPC
1.5
ClinPred
0.90
D
GERP RS
-2.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.26
gMVP
0.26

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

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

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-10397997; API