19-46746379-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_013403.3(STRN4):​c.52C>T​(p.Arg18Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000094 in 1,127,546 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000075 ( 0 hom., cov: 30)
Exomes 𝑓: 0.000097 ( 0 hom. )

Consequence

STRN4
NM_013403.3 missense

Scores

2
4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.19
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.16762576).
BS2
High AC in GnomAd4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
STRN4NM_013403.3 linkuse as main transcriptc.52C>T p.Arg18Cys missense_variant 1/18 ENST00000263280.11
FKRPNM_024301.5 linkuse as main transcriptc.-253+289G>A intron_variant ENST00000318584.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
STRN4ENST00000263280.11 linkuse as main transcriptc.52C>T p.Arg18Cys missense_variant 1/181 NM_013403.3 P4Q9NRL3-1
FKRPENST00000318584.10 linkuse as main transcriptc.-253+289G>A intron_variant 1 NM_024301.5 P1

Frequencies

GnomAD3 genomes
AF:
0.0000748
AC:
11
AN:
147038
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.0000247
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000671
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:
0.000136
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000969
AC:
95
AN:
980508
Hom.:
0
Cov.:
33
AF XY:
0.0000997
AC XY:
46
AN XY:
461526
show subpopulations
Gnomad4 AFR exome
AF:
0.0000514
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000602
Gnomad4 SAS exome
AF:
0.0000538
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000105
Gnomad4 OTH exome
AF:
0.0000548
GnomAD4 genome
AF:
0.0000748
AC:
11
AN:
147038
Hom.:
0
Cov.:
30
AF XY:
0.0000558
AC XY:
4
AN XY:
71712
show subpopulations
Gnomad4 AFR
AF:
0.0000247
Gnomad4 AMR
AF:
0.0000671
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000136
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000540
Hom.:
0
Bravo
AF:
0.0000529

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 GeneticsJul 20, 2021The c.52C>T (p.R18C) alteration is located in exon 1 (coding exon 1) of the STRN4 gene. This alteration results from a C to T substitution at nucleotide position 52, causing the arginine (R) at amino acid position 18 to be replaced by a cysteine (C). 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
Uncertain
0.36
BayesDel_addAF
Uncertain
0.061
T
BayesDel_noAF
Benign
-0.15
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.019
T;.
Eigen
Benign
-0.48
Eigen_PC
Benign
-0.53
FATHMM_MKL
Benign
0.027
N
LIST_S2
Benign
0.74
T;T
M_CAP
Pathogenic
0.58
D
MetaRNN
Benign
0.17
T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.34
N;N
MutationTaster
Benign
1.0
D;D;D;D;D;D
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
-0.65
N;N
REVEL
Benign
0.21
Sift
Uncertain
0.015
D;D
Sift4G
Benign
0.096
T;T
Polyphen
0.98
D;.
Vest4
0.18
MutPred
0.21
Loss of methylation at R18 (P = 0.0357);Loss of methylation at R18 (P = 0.0357);
MVP
0.30
MPC
1.3
ClinPred
0.83
D
GERP RS
2.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.15
gMVP
0.41

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: rs1204629776; hg19: chr19-47249636; API