19-11056151-G-A
Variant names: 
Variant summary
Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1
The NM_001387283.1(SMARCA4):c.4521-2104G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.249 in 152,100 control chromosomes in the GnomAD database, including 4,943 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: 𝑓 0.25   (  4942   hom.,  cov: 32) 
 Exomes 𝑓:  0.24   (  1   hom.  ) 
Consequence
 SMARCA4
NM_001387283.1 intron
NM_001387283.1 intron
Scores
 2
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  0.400  
Publications
18 publications found 
Genes affected
 SMARCA4  (HGNC:11100):  (SWI/SNF related, matrix associated, actin dependent regulator of chromatin, subfamily a, member 4) The protein encoded by this gene is a member of the SWI/SNF family of proteins and is similar to the brahma protein of Drosophila. Members of this family have helicase and ATPase activities and are thought to regulate transcription of certain genes by altering the chromatin structure around those genes. The encoded protein is part of the large ATP-dependent chromatin remodeling complex SNF/SWI, which is required for transcriptional activation of genes normally repressed by chromatin. In addition, this protein can bind BRCA1, as well as regulate the expression of the tumorigenic protein CD44. Mutations in this gene cause rhabdoid tumor predisposition syndrome type 2. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2012] 
SMARCA4 Gene-Disease associations (from GenCC):
- Coffin-Siris syndromeInheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: ClinGen, Orphanet, Illumina
 - intellectual disability, autosomal dominant 16Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
 - rhabdoid tumor predisposition syndrome 2Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, ClinGen, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), G2P
 - uterine corpus sarcomaInheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
 - familial rhabdoid tumorInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - hereditary nonpolyposis colon cancerInheritance: AD Classification: LIMITED Submitted by: ClinGen
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -12 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88). 
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.293  is higher than 0.05. 
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| SMARCA4 | ENST00000646693.2  | c.4521-2104G>A | intron_variant | Intron 31 of 35 | NM_001387283.1 | ENSP00000495368.1 | ||||
| SMARCA4 | ENST00000344626.10  | c.4425-2104G>A | intron_variant | Intron 30 of 34 | 1 | NM_003072.5 | ENSP00000343896.4 | |||
| SMARCA4 | ENST00000643549.1  | c.4431-2104G>A | intron_variant | Intron 30 of 34 | ENSP00000493975.1 | |||||
| SMARCA4 | ENST00000541122.6  | c.4335-2104G>A | intron_variant | Intron 30 of 34 | 5 | ENSP00000445036.2 | ||||
| SMARCA4 | ENST00000643296.1  | c.4335-2104G>A | intron_variant | Intron 29 of 33 | ENSP00000496635.1 | |||||
| SMARCA4 | ENST00000644737.1  | c.4335-2104G>A | intron_variant | Intron 29 of 33 | ENSP00000495548.1 | |||||
| SMARCA4 | ENST00000589677.5  | c.4335-2107G>A | intron_variant | Intron 30 of 34 | 5 | ENSP00000464778.1 | ||||
| SMARCA4 | ENST00000643995.1  | c.3846-2104G>A | intron_variant | Intron 27 of 31 | ENSP00000496004.1 | |||||
| SMARCA4 | ENST00000644963.1  | c.3078-2107G>A | intron_variant | Intron 23 of 27 | ENSP00000495599.1 | |||||
| SMARCA4 | ENST00000644065.1  | c.3060-2107G>A | intron_variant | Intron 22 of 26 | ENSP00000493615.1 | |||||
| SMARCA4 | ENST00000642350.1  | c.2919-2104G>A | intron_variant | Intron 22 of 26 | ENSP00000495355.1 | |||||
| SMARCA4 | ENST00000643857.1  | c.2787-2104G>A | intron_variant | Intron 21 of 24 | ENSP00000494159.1 | |||||
| SMARCA4 | ENST00000538456.4  | c.591-2104G>A | intron_variant | Intron 4 of 7 | 3 | ENSP00000495197.1 | 
Frequencies
GnomAD3 genomes   AF:  0.249  AC: 37803AN: 151940Hom.:  4948  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
37803
AN: 
151940
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD4 exome  AF:  0.238  AC: 10AN: 42Hom.:  1   AF XY:  0.321  AC XY: 9AN XY: 28 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
10
AN: 
42
Hom.: 
 AF XY: 
AC XY: 
9
AN XY: 
28
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
0
AN: 
2
American (AMR) 
AC: 
0
AN: 
0
Ashkenazi Jewish (ASJ) 
AC: 
0
AN: 
0
East Asian (EAS) 
AC: 
0
AN: 
0
South Asian (SAS) 
AC: 
0
AN: 
0
European-Finnish (FIN) 
 AF: 
AC: 
2
AN: 
6
Middle Eastern (MID) 
AC: 
0
AN: 
0
European-Non Finnish (NFE) 
 AF: 
AC: 
3
AN: 
24
Other (OTH) 
 AF: 
AC: 
5
AN: 
10
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000299060), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.388 
Heterozygous variant carriers
 0 
 1 
 2 
 2 
 3 
 4 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 2 
 4 
 6 
 8 
 10 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
GnomAD4 genome   AF:  0.249  AC: 37805AN: 152058Hom.:  4942  Cov.: 32 AF XY:  0.243  AC XY: 18065AN XY: 74320 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
37805
AN: 
152058
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
18065
AN XY: 
74320
show subpopulations 
African (AFR) 
 AF: 
AC: 
8710
AN: 
41470
American (AMR) 
 AF: 
AC: 
3091
AN: 
15270
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
885
AN: 
3470
East Asian (EAS) 
 AF: 
AC: 
525
AN: 
5168
South Asian (SAS) 
 AF: 
AC: 
1157
AN: 
4822
European-Finnish (FIN) 
 AF: 
AC: 
2452
AN: 
10576
Middle Eastern (MID) 
 AF: 
AC: 
61
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
20180
AN: 
67966
Other (OTH) 
 AF: 
AC: 
521
AN: 
2114
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.497 
Heterozygous variant carriers
 0 
 1414 
 2828 
 4241 
 5655 
 7069 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 410 
 820 
 1230 
 1640 
 2050 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
605
AN: 
3478
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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