19-54336877-A-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BP4_Strong

The NM_012276.5(LILRA4):​c.1219T>A​(p.Ser407Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0035 ( 0 hom., cov: 33)
Exomes 𝑓: 0.021 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

LILRA4
NM_012276.5 missense

Scores

16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.31
Variant links:
Genes affected
LILRA4 (HGNC:15503): (leukocyte immunoglobulin like receptor A4) This gene encodes an immunoglobulin-like cell surface protein that is expressed predominantly on plasmacytoid dendritic cells (PDCs) and modulates the function of these cells in the immune response. Expression of this gene is downregulated by interleukin 3 (IL3). This gene is one of a cluster of highly related genes located at chromosomal region 19q13.4. [provided by RefSeq, Jan 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009393901).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LILRA4NM_012276.5 linkuse as main transcriptc.1219T>A p.Ser407Thr missense_variant 6/8 ENST00000291759.5 NP_036408.4 P59901-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LILRA4ENST00000291759.5 linkuse as main transcriptc.1219T>A p.Ser407Thr missense_variant 6/82 NM_012276.5 ENSP00000291759.4 P59901-1
LILRA4ENST00000595581.1 linkuse as main transcriptn.316T>A non_coding_transcript_exon_variant 2/23 ENSP00000471722.1 A0A075B7A5
ENSG00000275210ENST00000616950.1 linkuse as main transcriptn.292T>A non_coding_transcript_exon_variant 1/83

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
418
AN:
119036
Hom.:
0
Cov.:
33
FAILED QC
Gnomad AFR
AF:
0.00496
Gnomad AMI
AF:
0.00434
Gnomad AMR
AF:
0.00384
Gnomad ASJ
AF:
0.00154
Gnomad EAS
AF:
0.00268
Gnomad SAS
AF:
0.00784
Gnomad FIN
AF:
0.00487
Gnomad MID
AF:
0.00410
Gnomad NFE
AF:
0.00220
Gnomad OTH
AF:
0.00635
GnomAD3 exomes
AF:
0.000123
AC:
31
AN:
251416
Hom.:
0
AF XY:
0.000125
AC XY:
17
AN XY:
135890
show subpopulations
Gnomad AFR exome
AF:
0.000739
Gnomad AMR exome
AF:
0.0000868
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000980
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000114
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0206
AC:
19473
AN:
945454
Hom.:
0
Cov.:
136
AF XY:
0.0268
AC XY:
12416
AN XY:
462446
show subpopulations
Gnomad4 AFR exome
AF:
0.0130
Gnomad4 AMR exome
AF:
0.0429
Gnomad4 ASJ exome
AF:
0.0689
Gnomad4 EAS exome
AF:
0.00794
Gnomad4 SAS exome
AF:
0.0892
Gnomad4 FIN exome
AF:
0.0388
Gnomad4 NFE exome
AF:
0.0150
Gnomad4 OTH exome
AF:
0.0196
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00351
AC:
418
AN:
119176
Hom.:
0
Cov.:
33
AF XY:
0.00413
AC XY:
239
AN XY:
57850
show subpopulations
Gnomad4 AFR
AF:
0.00494
Gnomad4 AMR
AF:
0.00383
Gnomad4 ASJ
AF:
0.00154
Gnomad4 EAS
AF:
0.00268
Gnomad4 SAS
AF:
0.00780
Gnomad4 FIN
AF:
0.00487
Gnomad4 NFE
AF:
0.00220
Gnomad4 OTH
AF:
0.00626
Alfa
AF:
0.126
Hom.:
0
ExAC
AF:
0.000140
AC:
17
EpiCase
AF:
0.000273
EpiControl
AF:
0.000178

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 GeneticsSep 24, 2024The c.1219T>A (p.S407T) alteration is located in exon 6 (coding exon 6) of the LILRA4 gene. This alteration results from a T to A substitution at nucleotide position 1219, causing the serine (S) at amino acid position 407 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
0.089
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
12
DANN
Benign
0.97
Eigen
Benign
-0.21
Eigen_PC
Benign
-0.43
FATHMM_MKL
Benign
0.16
N
M_CAP
Benign
0.0024
T
MetaRNN
Benign
0.0094
T
MetaSVM
Benign
-0.97
T
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-2.0
N
REVEL
Benign
0.039
Sift
Benign
0.079
T
Sift4G
Benign
0.074
T
Vest4
0.23
MVP
0.22
MPC
0.11
ClinPred
0.053
T
GERP RS
2.4
gMVP
0.48

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: rs568171065; hg19: chr19-54848148; COSMIC: COSV52491226; COSMIC: COSV52491226; API