19-40570712-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 3P and 1B. PM2PP5BP4

The NM_020971.3(SPTBN4):​c.7303C>T​(p.Arg2435Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000143 in 1,608,256 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 Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000014 ( 0 hom. )

Consequence

SPTBN4
NM_020971.3 missense

Scores

3
4
12

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 1.64
Variant links:
Genes affected
SPTBN4 (HGNC:14896): (spectrin beta, non-erythrocytic 4) Spectrin is an actin crosslinking and molecular scaffold protein that links the plasma membrane to the actin cytoskeleton, and functions in the determination of cell shape, arrangement of transmembrane proteins, and organization of organelles. It is composed of two antiparallel dimers of alpha- and beta- subunits. This gene is one member of a family of beta-spectrin genes. The encoded protein localizes to the nuclear matrix, PML nuclear bodies, and cytoplasmic vesicles. A highly similar gene in the mouse is required for localization of specific membrane proteins in polarized regions of neurons. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 19-40570712-C-T is Pathogenic according to our data. Variant chr19-40570712-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 559548.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr19-40570712-C-T is described in Lovd as [Pathogenic].
BP4
Computational evidence support a benign effect (MetaRNN=0.0737026). . Strength limited to SUPPORTING due to the PP5.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SPTBN4NM_020971.3 linkuse as main transcriptc.7303C>T p.Arg2435Cys missense_variant 33/36 ENST00000598249.6 NP_066022.2 Q9H254-1
SPTBN4XM_017027049.2 linkuse as main transcriptc.7303C>T p.Arg2435Cys missense_variant 33/36 XP_016882538.1 Q9H254-1
SPTBN4XM_017027050.2 linkuse as main transcriptc.6961C>T p.Arg2321Cys missense_variant 31/34 XP_016882539.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SPTBN4ENST00000598249.6 linkuse as main transcriptc.7303C>T p.Arg2435Cys missense_variant 33/361 NM_020971.3 ENSP00000469242.1 Q9H254-1
SPTBN4ENST00000352632.7 linkuse as main transcriptc.7303C>T p.Arg2435Cys missense_variant 33/365 ENSP00000263373.2 Q9H254-1
SPTBN4ENST00000597389.5 linkuse as main transcriptn.*3459C>T non_coding_transcript_exon_variant 21/245 ENSP00000472136.1 M0R1V6
SPTBN4ENST00000597389.5 linkuse as main transcriptn.*3459C>T 3_prime_UTR_variant 21/245 ENSP00000472136.1 M0R1V6

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152256
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000100
AC:
23
AN:
229398
Hom.:
0
AF XY:
0.0000394
AC XY:
5
AN XY:
126782
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000620
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:
0.0000201
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000144
AC:
21
AN:
1456000
Hom.:
0
Cov.:
31
AF XY:
0.00000690
AC XY:
5
AN XY:
724184
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000428
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152256
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74386
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000924
AC:
11

ClinVar

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

Submissions by phenotype

Neurodevelopmental disorder with hypotonia, neuropathy, and deafness Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMAug 13, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.57
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.35
CADD
Pathogenic
33
DANN
Uncertain
1.0
DEOGEN2
Benign
0.13
T;D;D;T
Eigen
Benign
-0.34
Eigen_PC
Benign
-0.26
FATHMM_MKL
Benign
0.75
D
LIST_S2
Uncertain
0.89
.;.;D;D
M_CAP
Benign
0.045
D
MetaRNN
Benign
0.074
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.1
.;L;L;.
PrimateAI
Uncertain
0.79
T
PROVEAN
Uncertain
-3.8
.;D;.;.
REVEL
Benign
0.20
Sift
Pathogenic
0.0
.;D;.;.
Sift4G
Pathogenic
0.0
D;D;D;D
Polyphen
0.034
.;B;B;.
Vest4
0.42
MutPred
0.49
Loss of MoRF binding (P = 0.0198);Loss of MoRF binding (P = 0.0198);Loss of MoRF binding (P = 0.0198);Loss of MoRF binding (P = 0.0198);
MVP
0.39
ClinPred
0.28
T
GERP RS
3.6
Varity_R
0.44
gMVP
0.53

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs777273785; hg19: chr19-41076618; API