19-1104528-C-G

Variant summary

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

The NM_002085.5(GPX4):​c.84+401C>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00463 in 639,778 control chromosomes in the GnomAD database, including 79 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.015 ( 59 hom., cov: 33)
Exomes 𝑓: 0.0014 ( 20 hom. )

Consequence

GPX4
NM_002085.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.625
Variant links:
Genes affected
GPX4 (HGNC:4556): (glutathione peroxidase 4) The protein encoded by this gene belongs to the glutathione peroxidase family, members of which catalyze the reduction of hydrogen peroxide, organic hydroperoxides and lipid hydroperoxides, and thereby protect cells against oxidative damage. Several isozymes of this gene family exist in vertebrates, which vary in cellular location and substrate specificity. This isozyme has a high preference for lipid hydroperoxides and protects cells against membrane lipid peroxidation and cell death. It is also required for normal sperm development; thus, it has been identified as a 'moonlighting' protein because of its ability to serve dual functions as a peroxidase, as well as a structural protein in mature spermatozoa. Mutations in this gene are associated with Sedaghatian type of spondylometaphyseal dysplasia (SMDS). This isozyme is also a selenoprotein, containing the rare amino acid selenocysteine (Sec) at its active site. Sec is encoded by the UGA codon, which normally signals translation termination. The 3' UTRs of selenoprotein mRNAs contain a conserved stem-loop structure, designated the Sec insertion sequence (SECIS) element, that is necessary for the recognition of UGA as a Sec codon, rather than as a stop signal. Transcript variants resulting from alternative splicing or use of alternate promoters have been described to encode isoforms with different subcellular localization. [provided by RefSeq, Dec 2018]

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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 (BayesDel_noAF=-0.79).
BP6
Variant 19-1104528-C-G is Benign according to our data. Variant chr19-1104528-C-G is described in ClinVar as [Benign]. Clinvar id is 1241253.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.015 (2278/151944) while in subpopulation AFR AF= 0.0509 (2112/41492). AF 95% confidence interval is 0.0491. There are 59 homozygotes in gnomad4. There are 1096 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 59 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GPX4NM_002085.5 linkuse as main transcriptc.84+401C>G intron_variant ENST00000354171.13 NP_002076.2
GPX4NM_001039847.3 linkuse as main transcriptc.84+401C>G intron_variant NP_001034936.1
GPX4NM_001367832.1 linkuse as main transcriptc.3+401C>G intron_variant NP_001354761.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GPX4ENST00000354171.13 linkuse as main transcriptc.84+401C>G intron_variant 1 NM_002085.5 ENSP00000346103 P3P36969-1

Frequencies

GnomAD3 genomes
AF:
0.0150
AC:
2271
AN:
151836
Hom.:
58
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0509
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00734
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00955
Gnomad NFE
AF:
0.000324
Gnomad OTH
AF:
0.0139
GnomAD4 exome
AF:
0.00140
AC:
681
AN:
487834
Hom.:
20
Cov.:
7
AF XY:
0.00141
AC XY:
325
AN XY:
229964
show subpopulations
Gnomad4 AFR exome
AF:
0.0531
Gnomad4 AMR exome
AF:
0.00396
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000210
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000212
Gnomad4 OTH exome
AF:
0.00340
GnomAD4 genome
AF:
0.0150
AC:
2278
AN:
151944
Hom.:
59
Cov.:
33
AF XY:
0.0148
AC XY:
1096
AN XY:
74296
show subpopulations
Gnomad4 AFR
AF:
0.0509
Gnomad4 AMR
AF:
0.00733
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000324
Gnomad4 OTH
AF:
0.0138
Alfa
AF:
0.0105
Hom.:
6
Bravo
AF:
0.0174
Asia WGS
AF:
0.00680
AC:
23
AN:
3396

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxMay 21, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.79
CADD
Benign
5.4
DANN
Benign
0.38

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: rs566928862; hg19: chr19-1104527; API