19-38414877-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_170604.3(RASGRP4):​c.1201G>A​(p.Ala401Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000187 in 1,600,668 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000019 ( 0 hom. )

Consequence

RASGRP4
NM_170604.3 missense

Scores

10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.89

Publications

0 publications found
Variant links:
Genes affected
RASGRP4 (HGNC:18958): (RAS guanyl releasing protein 4) The protein encoded by this gene is a member of the Ras guanyl nucleotide-releasing protein (RasGRP) family of Ras guanine nucleotide exchange factors. It contains a Ras exchange motif, a diacylglycerol-binding domain, and two calcium-binding EF hands. This protein was shown to activate H-Ras in a cation-dependent manner in vitro. Expression of this protein in myeloid cell lines was found to be correlated with elevated level of activated RAS protein, and the RAS activation can be greatly enhanced by phorbol ester treatment, which suggested a role of this protein in diacylglycerol regulated cell signaling pathways. Studies of a mast cell leukemia cell line expressing substantial amounts of abnormal transcripts of this gene indicated that this gene may play an important role in the final stages of mast cell development. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2009]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_170604.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RASGRP4
NM_170604.3
MANE Select
c.1201G>Ap.Ala401Thr
missense
Exon 9 of 17NP_733749.1Q8TDF6-1
RASGRP4
NM_001146202.2
c.1159G>Ap.Ala387Thr
missense
Exon 9 of 17NP_001139674.1Q8TDF6-2
RASGRP4
NM_001146205.2
c.1099G>Ap.Ala367Thr
missense
Exon 9 of 17NP_001139677.1Q8TDF6-8

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RASGRP4
ENST00000615439.5
TSL:1 MANE Select
c.1201G>Ap.Ala401Thr
missense
Exon 9 of 17ENSP00000479844.1Q8TDF6-1
RASGRP4
ENST00000587738.2
TSL:5
c.1201G>Ap.Ala401Thr
missense
Exon 9 of 17ENSP00000465772.1Q8TDF6-1
RASGRP4
ENST00000586305.5
TSL:1
c.1159G>Ap.Ala387Thr
missense
Exon 9 of 17ENSP00000467604.1Q8TDF6-2

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152230
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000384
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000897
AC:
2
AN:
223074
AF XY:
0.00000823
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000619
Gnomad FIN exome
AF:
0.0000507
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000186
AC:
27
AN:
1448438
Hom.:
0
Cov.:
31
AF XY:
0.0000139
AC XY:
10
AN XY:
719384
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33276
American (AMR)
AF:
0.0000237
AC:
1
AN:
42258
Ashkenazi Jewish (ASJ)
AF:
0.0000388
AC:
1
AN:
25778
East Asian (EAS)
AF:
0.0000256
AC:
1
AN:
39096
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84190
European-Finnish (FIN)
AF:
0.0000192
AC:
1
AN:
52090
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5680
European-Non Finnish (NFE)
AF:
0.0000199
AC:
22
AN:
1106238
Other (OTH)
AF:
0.0000167
AC:
1
AN:
59832
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
2
4
6
8
10
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:
0.0000197
AC:
3
AN:
152230
Hom.:
0
Cov.:
33
AF XY:
0.0000134
AC XY:
1
AN XY:
74378
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41466
American (AMR)
AF:
0.00
AC:
0
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.000384
AC:
2
AN:
5204
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000166
AC:
2

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.39
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.091
T
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.88
D
M_CAP
Benign
0.020
T
MetaRNN
Uncertain
0.46
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.1
M
PhyloP100
3.9
PrimateAI
Benign
0.48
T
PROVEAN
Uncertain
-2.9
D
REVEL
Benign
0.12
Sift
Uncertain
0.014
D
Sift4G
Uncertain
0.043
D
Polyphen
0.97
D
Vest4
0.54
MutPred
0.51
Gain of catalytic residue at A401 (P = 0.0457)
MVP
0.66
MPC
0.77
ClinPred
0.95
D
GERP RS
5.0
Varity_R
0.34
gMVP
0.51
Mutation Taster
=47/53
disease causing

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

Other links and lift over

dbSNP: rs756231469; hg19: chr19-38905517; API