19-900859-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_138774.4(R3HDM4):​c.445G>A​(p.Gly149Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000356 in 1,403,456 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 28)
Exomes 𝑓: 0.0000036 ( 0 hom. )

Consequence

R3HDM4
NM_138774.4 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.10
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 Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.050257683).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
R3HDM4NM_138774.4 linkuse as main transcriptc.445G>A p.Gly149Ser missense_variant 4/8 ENST00000361574.10 NP_620129.2
R3HDM4XM_011528416.3 linkuse as main transcriptc.445G>A p.Gly149Ser missense_variant 4/8 XP_011526718.1
R3HDM4XM_024451771.2 linkuse as main transcriptc.79G>A p.Gly27Ser missense_variant 4/8 XP_024307539.1
R3HDM4XM_047439659.1 linkuse as main transcriptc.79G>A p.Gly27Ser missense_variant 3/7 XP_047295615.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
R3HDM4ENST00000361574.10 linkuse as main transcriptc.445G>A p.Gly149Ser missense_variant 4/81 NM_138774.4 ENSP00000355385 P1

Frequencies

GnomAD3 genomes
Cov.:
28
GnomAD4 exome
AF:
0.00000356
AC:
5
AN:
1403456
Hom.:
0
Cov.:
35
AF XY:
0.00000289
AC XY:
2
AN XY:
692904
show subpopulations
Gnomad4 AFR exome
AF:
0.0000932
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.24e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
28
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

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 GeneticsApr 04, 2024The c.445G>A (p.G149S) alteration is located in exon 4 (coding exon 4) of the R3HDM4 gene. This alteration results from a G to A substitution at nucleotide position 445, causing the glycine (G) at amino acid position 149 to be replaced by a serine (S). 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
0.10
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
11
DANN
Benign
0.73
DEOGEN2
Benign
0.0026
T;T
Eigen
Benign
-0.92
Eigen_PC
Benign
-0.90
FATHMM_MKL
Benign
0.47
N
LIST_S2
Benign
0.75
T;T
M_CAP
Benign
0.0034
T
MetaRNN
Benign
0.050
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.0
L;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-0.090
N;.
REVEL
Benign
0.048
Sift
Benign
0.85
T;.
Sift4G
Benign
0.77
T;T
Polyphen
0.026
B;.
Vest4
0.18
MutPred
0.35
Gain of phosphorylation at G149 (P = 0);.;
MVP
0.13
MPC
0.21
ClinPred
0.061
T
GERP RS
2.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.078
gMVP
0.28

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: rs1393281624; hg19: chr19-900859; API