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GeneBe

19-900855-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_138774.4(R3HDM4):c.449C>A(p.Pro150His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000243 in 1,525,520 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000048 ( 0 hom., cov: 28)
Exomes 𝑓: 0.000022 ( 0 hom. )

Consequence

R3HDM4
NM_138774.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.13
Variant links:
Genes affected
R3HDM4 (HGNC:28270): (R3H domain containing 4) Predicted to enable nucleic acid binding activity. Predicted to be located in nucleus. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2842951).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
R3HDM4NM_138774.4 linkuse as main transcriptc.449C>A p.Pro150His missense_variant 4/8 ENST00000361574.10
R3HDM4XM_011528416.3 linkuse as main transcriptc.449C>A p.Pro150His missense_variant 4/8
R3HDM4XM_024451771.2 linkuse as main transcriptc.83C>A p.Pro28His missense_variant 4/8
R3HDM4XM_047439659.1 linkuse as main transcriptc.83C>A p.Pro28His missense_variant 3/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
R3HDM4ENST00000361574.10 linkuse as main transcriptc.449C>A p.Pro150His missense_variant 4/81 NM_138774.4 P1

Frequencies

GnomAD3 genomes
AF:
0.0000478
AC:
7
AN:
146550
Hom.:
0
Cov.:
28
show subpopulations
Gnomad AFR
AF:
0.0000253
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000224
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000750
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000218
AC:
30
AN:
1378970
Hom.:
0
Cov.:
35
AF XY:
0.0000206
AC XY:
14
AN XY:
680256
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:
0.000101
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000206
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000478
AC:
7
AN:
146550
Hom.:
0
Cov.:
28
AF XY:
0.0000562
AC XY:
4
AN XY:
71196
show subpopulations
Gnomad4 AFR
AF:
0.0000253
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000224
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000750
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000302

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 GeneticsNov 01, 2022The c.449C>A (p.P150H) alteration is located in exon 4 (coding exon 4) of the R3HDM4 gene. This alteration results from a C to A substitution at nucleotide position 449, causing the proline (P) at amino acid position 150 to be replaced by a histidine (H). 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
0.14
BayesDel_addAF
Benign
-0.095
T
BayesDel_noAF
Benign
-0.37
Cadd
Uncertain
24
Dann
Uncertain
0.99
DEOGEN2
Benign
0.0089
T;T
Eigen
Benign
-0.0090
Eigen_PC
Benign
-0.21
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.61
T;T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.28
T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
1.3
L;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-2.3
N;.
REVEL
Benign
0.19
Sift
Benign
0.048
D;.
Sift4G
Uncertain
0.0080
D;D
Polyphen
1.0
D;.
Vest4
0.44
MutPred
0.33
Loss of glycosylation at P150 (P = 0.0579);.;
MVP
0.36
MPC
0.61
ClinPred
0.44
T
GERP RS
1.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.13
gMVP
0.31

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs913866296; hg19: chr19-900855; API