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GeneBe

2-172988220-C-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_007023.4(RAPGEF4):c.1175C>T(p.Thr392Ile) variant causes a missense change. The variant allele was found at a frequency of 0.000448 in 1,609,902 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00024 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00047 ( 0 hom. )

Consequence

RAPGEF4
NM_007023.4 missense

Scores

6
8
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.66
Variant links:
Genes affected
RAPGEF4 (HGNC:16626): (Rap guanine nucleotide exchange factor 4) Enables guanyl-nucleotide exchange factor activity. Predicted to be involved in regulation of neurotransmitter receptor localization to postsynaptic specialization membrane and regulation of postsynapse organization. Predicted to act upstream of or within adenylate cyclase-activating G protein-coupled receptor signaling pathway; regulation of exocytosis; and secretion by cell. Predicted to be located in plasma membrane. Predicted to be active in glutamatergic synapse; hippocampal mossy fiber to CA3 synapse; and postsynaptic density. Implicated in autistic disorder. [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 -4 ACMG points.

BS2
High AC in GnomAd at 36 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RAPGEF4NM_007023.4 linkuse as main transcriptc.1175C>T p.Thr392Ile missense_variant 13/31 ENST00000397081.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RAPGEF4ENST00000397081.8 linkuse as main transcriptc.1175C>T p.Thr392Ile missense_variant 13/311 NM_007023.4 P1Q8WZA2-1

Frequencies

GnomAD3 genomes
AF:
0.000237
AC:
36
AN:
152082
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000382
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000216
AC:
53
AN:
245412
Hom.:
0
AF XY:
0.000233
AC XY:
31
AN XY:
133194
show subpopulations
Gnomad AFR exome
AF:
0.000390
Gnomad AMR exome
AF:
0.000210
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000357
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000470
AC:
685
AN:
1457702
Hom.:
0
Cov.:
30
AF XY:
0.000452
AC XY:
328
AN XY:
725128
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.000252
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:
0.000582
Gnomad4 OTH exome
AF:
0.000399
GnomAD4 genome
AF:
0.000237
AC:
36
AN:
152200
Hom.:
0
Cov.:
32
AF XY:
0.000282
AC XY:
21
AN XY:
74420
show subpopulations
Gnomad4 AFR
AF:
0.000193
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000382
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000333
Hom.:
0
Bravo
AF:
0.000227
ESP6500AA
AF:
0.000549
AC:
2
ESP6500EA
AF:
0.000490
AC:
4
ExAC
AF:
0.000215
AC:
26
EpiCase
AF:
0.000495
EpiControl
AF:
0.000299

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 08, 2022The c.1175C>T (p.T392I) alteration is located in exon 13 (coding exon 13) of the RAPGEF4 gene. This alteration results from a C to T substitution at nucleotide position 1175, causing the threonine (T) at amino acid position 392 to be replaced by an isoleucine (I). 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
Pathogenic
0.57
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Pathogenic
0.29
Cadd
Uncertain
24
Dann
Uncertain
1.0
DEOGEN2
Uncertain
0.79
D;.;.;.;.;D
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.60
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Pathogenic
0.98
D;D;D;D;D;D
M_CAP
Benign
0.068
D
MetaRNN
Uncertain
0.61
D;D;D;D;D;D
MetaSVM
Uncertain
0.38
D
MutationAssessor
Benign
1.6
L;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D
PrimateAI
Pathogenic
0.89
D
PROVEAN
Uncertain
-3.8
D;D;D;D;D;D
REVEL
Pathogenic
0.74
Sift
Benign
0.064
T;T;T;T;T;T
Sift4G
Benign
0.22
T;T;T;T;T;T
Polyphen
0.62
P;.;P;.;.;.
Vest4
0.91
MVP
0.87
MPC
1.1
ClinPred
0.057
T
GERP RS
5.5
Varity_R
0.39
gMVP
0.68

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: rs34347501; hg19: chr2-173852948; API