19-55857719-G-A

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_134444.5(NLRP4):​c.326G>A​(p.Arg109His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000442 in 1,613,496 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.00034 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00045 ( 7 hom. )

Consequence

NLRP4
NM_134444.5 missense

Scores

19

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -2.16
Variant links:
Genes affected
NLRP4 (HGNC:22943): (NLR family pyrin domain containing 4) The protein encoded by this gene is a member of the nucleotide-binding and leucine-rich repeat receptor (NLR) family, and is predicted to contain an N-terminal pyrin effector domain (PYD), a centrally-located nucleotide-binding and oligomerization domain (NACHT) and C-terminal leucine-rich repeats (LRR). This gene product has a demonstrated role as a negative regulator of autophagy and type I interferon signaling pathways as a result of protein interactions with its NACHT domain. The PYD domain has also been shown to be important in the inhibition of NF-kB (nuclear factor kappa-light-chain-enhancer of activated B cells). [provided by RefSeq, Dec 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.004376352).
BP6
Variant 19-55857719-G-A is Benign according to our data. Variant chr19-55857719-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 2650543.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NLRP4NM_134444.5 linkuse as main transcriptc.326G>A p.Arg109His missense_variant 3/10 ENST00000301295.11 NP_604393.2
NLRP4XM_017026344.1 linkuse as main transcriptc.326G>A p.Arg109His missense_variant 2/8 XP_016881833.1
NLRP4XM_017026345.1 linkuse as main transcriptc.326G>A p.Arg109His missense_variant 2/8 XP_016881834.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NLRP4ENST00000301295.11 linkuse as main transcriptc.326G>A p.Arg109His missense_variant 3/101 NM_134444.5 ENSP00000301295.4 Q96MN2-1
NLRP4ENST00000587891.5 linkuse as main transcriptc.101G>A p.Arg34His missense_variant 1/82 ENSP00000465463.1 Q96MN2-3
NLRP4ENST00000587464.1 linkuse as main transcriptc.326G>A p.Arg109His missense_variant 3/32 ENSP00000468496.1 K7ES09

Frequencies

GnomAD3 genomes
AF:
0.000342
AC:
52
AN:
152170
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.00248
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000382
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.000677
AC:
170
AN:
251288
Hom.:
2
AF XY:
0.000780
AC XY:
106
AN XY:
135818
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.000116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.00369
Gnomad FIN exome
AF:
0.0000465
Gnomad NFE exome
AF:
0.000352
Gnomad OTH exome
AF:
0.000815
GnomAD4 exome
AF:
0.000452
AC:
661
AN:
1461208
Hom.:
7
Cov.:
32
AF XY:
0.000571
AC XY:
415
AN XY:
726924
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00356
Gnomad4 FIN exome
AF:
0.0000375
Gnomad4 NFE exome
AF:
0.000262
Gnomad4 OTH exome
AF:
0.000646
GnomAD4 genome
AF:
0.000341
AC:
52
AN:
152288
Hom.:
1
Cov.:
32
AF XY:
0.000376
AC XY:
28
AN XY:
74472
show subpopulations
Gnomad4 AFR
AF:
0.000144
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.00249
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000382
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.000354
Hom.:
0
Bravo
AF:
0.000298
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000698
AC:
6
ExAC
AF:
0.000700
AC:
85
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.000654
EpiControl
AF:
0.000119

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMar 01, 2023NLRP4: BP4, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.076
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
0.043
DANN
Benign
0.38
DEOGEN2
Benign
0.011
T;.;.
Eigen
Benign
-1.9
Eigen_PC
Benign
-2.0
FATHMM_MKL
Benign
0.00046
N
LIST_S2
Benign
0.29
T;T;T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.0044
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.20
N;.;.
PrimateAI
Benign
0.24
T
PROVEAN
Benign
1.4
N;.;.
REVEL
Benign
0.081
Sift
Benign
0.79
T;.;.
Sift4G
Benign
0.50
T;T;T
Polyphen
0.0010
B;.;B
Vest4
0.034
MVP
0.36
MPC
0.050
ClinPred
0.0031
T
GERP RS
-6.6
Varity_R
0.017
gMVP
0.044

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs145740276; hg19: chr19-56369085; API