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GeneBe

2-181493375-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_000885.6(ITGA4):c.1204A>G(p.Ile402Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,460,678 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

ITGA4
NM_000885.6 missense

Scores

5
4
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.43
Variant links:
Genes affected
ITGA4 (HGNC:6140): (integrin subunit alpha 4) The gene encodes a member of the integrin alpha chain family of proteins. Integrins are heterodimeric integral membrane proteins composed of an alpha chain and a beta chain that function in cell surface adhesion and signaling. The encoded preproprotein is proteolytically processed to generate light and heavy chains that comprise the alpha 4 subunit. This subunit associates with a beta 1 or beta 7 subunit to form an integrin that may play a role in cell motility and migration. This integrin is a therapeutic target for the treatment of multiple sclerosis, Crohn's disease and inflammatory bowel disease. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ITGA4NM_000885.6 linkuse as main transcriptc.1204A>G p.Ile402Val missense_variant 11/28 ENST00000397033.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ITGA4ENST00000397033.7 linkuse as main transcriptc.1204A>G p.Ile402Val missense_variant 11/281 NM_000885.6 P1P13612-1
ITGA4ENST00000233573.6 linkuse as main transcriptc.1204A>G p.Ile402Val missense_variant 11/161
ITGA4ENST00000473002.1 linkuse as main transcriptn.342A>G non_coding_transcript_exon_variant 1/43

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000402
AC:
1
AN:
248832
Hom.:
0
AF XY:
0.00000741
AC XY:
1
AN XY:
134996
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000291
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1460678
Hom.:
0
Cov.:
28
AF XY:
0.00000138
AC XY:
1
AN XY:
726688
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000224
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:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

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 17, 2023The c.1204A>G (p.I402V) alteration is located in exon 11 (coding exon 11) of the ITGA4 gene. This alteration results from a A to G substitution at nucleotide position 1204, causing the isoleucine (I) at amino acid position 402 to be replaced by a valine (V). 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
0.17
BayesDel_addAF
Benign
-0.015
T
BayesDel_noAF
Benign
-0.18
Cadd
Uncertain
25
Dann
Pathogenic
1.0
DEOGEN2
Benign
0.41
T;.
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.79
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.85
D;D
M_CAP
Benign
0.035
D
MetaRNN
Uncertain
0.55
D;D
MetaSVM
Benign
-0.37
T
MutationAssessor
Benign
1.8
L;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-0.89
N;N
REVEL
Uncertain
0.32
Sift
Pathogenic
0.0
D;D
Sift4G
Uncertain
0.029
D;D
Polyphen
1.0
D;.
Vest4
0.65
MutPred
0.62
Gain of methylation at R406 (P = 0.1037);Gain of methylation at R406 (P = 0.1037);
MVP
0.86
MPC
1.3
ClinPred
0.85
D
GERP RS
5.8
Varity_R
0.54
gMVP
0.75

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: rs908341302; hg19: chr2-182358102; API