19-8371316-G-A

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_139314.3(ANGPTL4):​c.833G>A​(p.Arg278Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00446 in 1,613,846 control chromosomes in the GnomAD database, including 204 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.019 ( 89 hom., cov: 32)
Exomes 𝑓: 0.0030 ( 115 hom. )

Consequence

ANGPTL4
NM_139314.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.51

Publications

15 publications found
Variant links:
Genes affected
ANGPTL4 (HGNC:16039): (angiopoietin like 4) This gene encodes a glycosylated, secreted protein containing a C-terminal fibrinogen domain. The encoded protein is induced by peroxisome proliferation activators and functions as a serum hormone that regulates glucose homeostasis, lipid metabolism, and insulin sensitivity. This protein can also act as an apoptosis survival factor for vascular endothelial cells and can prevent metastasis by inhibiting vascular growth and tumor cell invasion. The C-terminal domain may be proteolytically-cleaved from the full-length secreted protein. Decreased expression of this gene has been associated with type 2 diabetes. Alternative splicing results in multiple transcript variants. This gene was previously referred to as ANGPTL2 but has been renamed ANGPTL4. [provided by RefSeq, Sep 2013]
RAB11B-AS1 (HGNC:44178): (RAB11B antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005083561).
BP6
Variant 19-8371316-G-A is Benign according to our data. Variant chr19-8371316-G-A is described in ClinVar as [Benign]. Clinvar id is 768962.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0594 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ANGPTL4NM_139314.3 linkc.833G>A p.Arg278Gln missense_variant Exon 6 of 7 ENST00000301455.7 NP_647475.1 Q9BY76-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ANGPTL4ENST00000301455.7 linkc.833G>A p.Arg278Gln missense_variant Exon 6 of 7 1 NM_139314.3 ENSP00000301455.1 Q9BY76-1

Frequencies

GnomAD3 genomes
AF:
0.0185
AC:
2817
AN:
152176
Hom.:
89
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0611
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00523
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0183
Gnomad SAS
AF:
0.0141
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000265
Gnomad OTH
AF:
0.0110
GnomAD2 exomes
AF:
0.00751
AC:
1882
AN:
250742
AF XY:
0.00680
show subpopulations
Gnomad AFR exome
AF:
0.0620
Gnomad AMR exome
AF:
0.00286
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0173
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000212
Gnomad OTH exome
AF:
0.00278
GnomAD4 exome
AF:
0.00298
AC:
4358
AN:
1461552
Hom.:
115
Cov.:
34
AF XY:
0.00315
AC XY:
2294
AN XY:
727108
show subpopulations
African (AFR)
AF:
0.0655
AC:
2192
AN:
33480
American (AMR)
AF:
0.00302
AC:
135
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26130
East Asian (EAS)
AF:
0.00821
AC:
326
AN:
39700
South Asian (SAS)
AF:
0.0134
AC:
1158
AN:
86256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53106
Middle Eastern (MID)
AF:
0.00520
AC:
30
AN:
5768
European-Non Finnish (NFE)
AF:
0.000147
AC:
164
AN:
1112000
Other (OTH)
AF:
0.00585
AC:
353
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
319
637
956
1274
1593
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
92
184
276
368
460
<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:
0.0186
AC:
2832
AN:
152294
Hom.:
89
Cov.:
32
AF XY:
0.0179
AC XY:
1334
AN XY:
74464
show subpopulations
African (AFR)
AF:
0.0613
AC:
2549
AN:
41558
American (AMR)
AF:
0.00523
AC:
80
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.0184
AC:
95
AN:
5172
South Asian (SAS)
AF:
0.0139
AC:
67
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000265
AC:
18
AN:
68012
Other (OTH)
AF:
0.0109
AC:
23
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
138
276
414
552
690
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
32
64
96
128
160
<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:
0.00693
Hom.:
42
Bravo
AF:
0.0213
ESP6500AA
AF:
0.0570
AC:
251
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00859
AC:
1043
Asia WGS
AF:
0.0150
AC:
52
AN:
3478
EpiCase
AF:
0.000436
EpiControl
AF:
0.000296

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Jun 21, 2018
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.054
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
6.7
DANN
Benign
0.92
DEOGEN2
Benign
0.026
T;.
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.070
N
LIST_S2
Benign
0.56
.;T
MetaRNN
Benign
0.0051
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.34
N;.
PhyloP100
1.5
PrimateAI
Benign
0.20
T
PROVEAN
Benign
1.5
N;N
REVEL
Benign
0.12
Sift
Benign
0.98
T;T
Sift4G
Benign
0.64
T;T
Polyphen
0.017
B;.
Vest4
0.058
MVP
0.60
MPC
0.23
ClinPred
0.0029
T
GERP RS
-1.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.069
gMVP
0.20
Mutation Taster
=96/4
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs35061979; hg19: chr19-8436200; API