19-46746181-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_013403.3(STRN4):​c.250G>A​(p.Ala84Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000133 in 1,538,268 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00015 ( 0 hom., cov: 30)
Exomes 𝑓: 0.00013 ( 0 hom. )

Consequence

STRN4
NM_013403.3 missense

Scores

3
2
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.718
Variant links:
Genes affected
STRN4 (HGNC:15721): (striatin 4) Enables armadillo repeat domain binding activity and protein phosphatase 2A binding activity. Part of FAR/SIN/STRIPAK complex. [provided by Alliance of Genome Resources, Apr 2022]
FKRP (HGNC:17997): (fukutin related protein) This gene encodes a protein which is targeted to the medial Golgi apparatus and is necessary for posttranslational modification of dystroglycan. Mutations in this gene have been associated with congenital muscular dystrophy, cognitive disability, and cerebellar cysts. Several alternatively spliced transcript variants of this gene have been described, but the full-length nature of some of these variants has not been determined. [provided by RefSeq, Oct 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.014166921).
BS2
High AC in GnomAd4 at 22 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
STRN4NM_013403.3 linkuse as main transcriptc.250G>A p.Ala84Thr missense_variant 1/18 ENST00000263280.11 NP_037535.2
FKRPNM_024301.5 linkuse as main transcriptc.-253+91C>T intron_variant ENST00000318584.10 NP_077277.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
STRN4ENST00000263280.11 linkuse as main transcriptc.250G>A p.Ala84Thr missense_variant 1/181 NM_013403.3 ENSP00000263280 P4Q9NRL3-1
FKRPENST00000318584.10 linkuse as main transcriptc.-253+91C>T intron_variant 1 NM_024301.5 ENSP00000326570 P1

Frequencies

GnomAD3 genomes
AF:
0.000145
AC:
22
AN:
151480
Hom.:
0
Cov.:
30
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00124
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000133
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000308
AC:
49
AN:
158834
Hom.:
0
AF XY:
0.000243
AC XY:
22
AN XY:
90614
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00117
Gnomad NFE exome
AF:
0.000493
Gnomad OTH exome
AF:
0.000531
GnomAD4 exome
AF:
0.000131
AC:
182
AN:
1386678
Hom.:
0
Cov.:
35
AF XY:
0.000112
AC XY:
77
AN XY:
688868
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00106
Gnomad4 NFE exome
AF:
0.000115
Gnomad4 OTH exome
AF:
0.000280
GnomAD4 genome
AF:
0.000145
AC:
22
AN:
151590
Hom.:
0
Cov.:
30
AF XY:
0.000229
AC XY:
17
AN XY:
74098
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00124
Gnomad4 NFE
AF:
0.000133
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000125
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.000399
AC:
46

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 26, 2024The c.250G>A (p.A84T) alteration is located in exon 1 (coding exon 1) of the STRN4 gene. This alteration results from a G to A substitution at nucleotide position 250, causing the alanine (A) at amino acid position 84 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.063
T;.
Eigen
Benign
-0.64
Eigen_PC
Benign
-0.59
FATHMM_MKL
Benign
0.21
N
LIST_S2
Pathogenic
0.99
D;D
M_CAP
Pathogenic
0.74
D
MetaRNN
Benign
0.014
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.83
L;L
MutationTaster
Benign
1.0
D;D;D;D;N;N
PrimateAI
Pathogenic
0.89
D
PROVEAN
Benign
-1.5
N;N
REVEL
Benign
0.024
Sift
Uncertain
0.0050
D;T
Sift4G
Benign
0.14
T;T
Polyphen
0.44
B;.
Vest4
0.14
MVP
0.36
MPC
0.40
ClinPred
0.077
T
GERP RS
0.93
Varity_R
0.18
gMVP
0.16

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: rs755899946; hg19: chr19-47249438; API