19-42249227-G-A
Variant names: 
Variant summary
Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2
The NM_006494.4(ERF):c.885C>T(p.Ser295Ser) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000329 in 1,612,968 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 Likely benign (★★).
Frequency
 Genomes: 𝑓 0.000053   (  0   hom.,  cov: 32) 
 Exomes 𝑓:  0.000031   (  0   hom.  ) 
Consequence
 ERF
NM_006494.4 synonymous
NM_006494.4 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  -1.14  
Publications
0 publications found 
Genes affected
 ERF  (HGNC:3444):  (ETS2 repressor factor) ETS2 is a transcription factor and protooncogene involved in development, apoptosis, and the regulation of telomerase. The protein encoded by this gene binds to the ETS2 promoter and is a strong repressor of ETS2 transcription. Several transcript variants encoding two different isoforms have been found for this gene. [provided by RefSeq, Aug 2015] 
ERF Gene-Disease associations (from GenCC):
- Chitayat syndromeInheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
 - craniosynostosis 4Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics, PanelApp Australia, ClinGen, Genomics England PanelApp
 - Crouzon syndromeInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 - isolated scaphocephalyInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -21 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.6). 
BP6
Variant 19-42249227-G-A is Benign according to our data. Variant chr19-42249227-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 435084.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. 
BP7
Synonymous conserved (PhyloP=-1.14 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0000526 (8/152158) while in subpopulation NFE AF = 0.0000882 (6/68018). AF 95% confidence interval is 0.0000376. There are 0 homozygotes in GnomAd4. There are 6 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check. 
BS2
High AC in GnomAd4 at 8 AD gene. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| ERF | NM_006494.4  | c.885C>T | p.Ser295Ser | synonymous_variant | Exon 4 of 4 | ENST00000222329.9 | NP_006485.2 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| ERF | ENST00000222329.9  | c.885C>T | p.Ser295Ser | synonymous_variant | Exon 4 of 4 | 1 | NM_006494.4 | ENSP00000222329.3 | ||
| ENSG00000268643 | ENST00000594664.1  | c.22+5751C>T | intron_variant | Intron 1 of 4 | 3 | ENSP00000470087.1 | ||||
| ERF | ENST00000440177.6  | c.660C>T | p.Ser220Ser | synonymous_variant | Exon 4 of 4 | 2 | ENSP00000388173.2 | |||
| ERF | ENST00000715593.1  | c.*74C>T | 3_prime_UTR_variant | Exon 3 of 3 | ENSP00000520487.1 | 
Frequencies
GnomAD3 genomes   AF:  0.0000526  AC: 8AN: 152158Hom.:  0  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
8
AN: 
152158
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: 
GnomAD2 exomes  AF:  0.0000326  AC: 8AN: 245176 AF XY:  0.0000299   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
8
AN: 
245176
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
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Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.0000308  AC: 45AN: 1460810Hom.:  0  Cov.: 34 AF XY:  0.0000316  AC XY: 23AN XY: 726702 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
45
AN: 
1460810
Hom.: 
Cov.: 
34
 AF XY: 
AC XY: 
23
AN XY: 
726702
show subpopulations 
African (AFR) 
 AF: 
AC: 
2
AN: 
33470
American (AMR) 
 AF: 
AC: 
0
AN: 
44640
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
1
AN: 
26110
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
39668
South Asian (SAS) 
 AF: 
AC: 
1
AN: 
86200
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
53042
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
5764
European-Non Finnish (NFE) 
 AF: 
AC: 
38
AN: 
1111624
Other (OTH) 
 AF: 
AC: 
3
AN: 
60292
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.467 
Heterozygous variant carriers
 0 
 4 
 7 
 11 
 14 
 18 
 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:  0.0000526  AC: 8AN: 152158Hom.:  0  Cov.: 32 AF XY:  0.0000807  AC XY: 6AN XY: 74336 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
8
AN: 
152158
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
6
AN XY: 
74336
show subpopulations 
African (AFR) 
 AF: 
AC: 
2
AN: 
41436
American (AMR) 
 AF: 
AC: 
0
AN: 
15276
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3468
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5184
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4832
European-Finnish (FIN) 
 AF: 
AC: 
0
AN: 
10622
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
316
European-Non Finnish (NFE) 
 AF: 
AC: 
6
AN: 
68018
Other (OTH) 
 AF: 
AC: 
0
AN: 
2094
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.525 
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
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: 
Hom.: 
Bravo 
 AF: 
ClinVar
Significance: Likely benign 
Submissions summary: Benign:2 
Revision: criteria provided, multiple submitters, no conflicts
LINK: link 
Submissions by phenotype
not specified    Benign:1 
Oct 20, 2015
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
TWIST1-related craniosynostosis    Benign:1 
Oct 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
- -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
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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