2-241653595-C-T

Variant summary

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

The ENST00000404914.8(ATG4B):​c.268C>T​(p.Arg90Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000198 in 1,569,232 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000019 ( 0 hom. )

Consequence

ATG4B
ENST00000404914.8 missense

Scores

2
10
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.09
Variant links:
Genes affected
ATG4B (HGNC:20790): (autophagy related 4B cysteine peptidase) Autophagy is the process by which endogenous proteins and damaged organelles are destroyed intracellularly. Autophagy is postulated to be essential for cell homeostasis and cell remodeling during differentiation, metamorphosis, non-apoptotic cell death, and aging. Reduced levels of autophagy have been described in some malignant tumors, and a role for autophagy in controlling the unregulated cell growth linked to cancer has been proposed. This gene encodes a member of the autophagin protein family. The encoded protein is also designated as a member of the C-54 family of cysteine proteases. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

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 Protein UniProt
ATG4BNM_013325.5 linkuse as main transcriptc.268C>T p.Arg90Trp missense_variant 4/13 ENST00000404914.8 NP_037457.3 Q9Y4P1-1B3KVU2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATG4BENST00000404914.8 linkuse as main transcriptc.268C>T p.Arg90Trp missense_variant 4/131 NM_013325.5 ENSP00000384259.3 Q9Y4P1-1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152170
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000171
AC:
3
AN:
175794
Hom.:
0
AF XY:
0.0000106
AC XY:
1
AN XY:
93932
show subpopulations
Gnomad AFR exome
AF:
0.000102
Gnomad AMR exome
AF:
0.0000373
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:
0.0000138
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000191
AC:
27
AN:
1417062
Hom.:
0
Cov.:
32
AF XY:
0.0000186
AC XY:
13
AN XY:
700546
show subpopulations
Gnomad4 AFR exome
AF:
0.0000308
Gnomad4 AMR exome
AF:
0.0000263
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000269
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000199
Gnomad4 NFE exome
AF:
0.0000193
Gnomad4 OTH exome
AF:
0.0000170
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152170
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74344
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000508
Hom.:
0
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 GeneticsOct 03, 2022The c.268C>T (p.R90W) alteration is located in exon 4 (coding exon 4) of the ATG4B gene. This alteration results from a C to T substitution at nucleotide position 268, causing the arginine (R) at amino acid position 90 to be replaced by a tryptophan (W). 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
0.19
BayesDel_addAF
Uncertain
0.070
D
BayesDel_noAF
Benign
-0.14
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.47
.;.;T;T;.;T;.;T
Eigen
Uncertain
0.29
Eigen_PC
Uncertain
0.36
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Uncertain
0.96
D;D;D;D;.;D;.;.
M_CAP
Benign
0.012
T
MetaRNN
Uncertain
0.49
T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Uncertain
2.6
M;.;M;.;.;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Pathogenic
0.84
D
PROVEAN
Pathogenic
-4.5
D;D;D;D;D;D;D;D
REVEL
Benign
0.15
Sift
Uncertain
0.0080
D;D;D;T;D;D;T;D
Sift4G
Benign
0.16
T;T;T;T;T;T;T;T
Polyphen
0.36, 0.24
.;B;B;.;.;.;.;.
Vest4
0.67
MutPred
0.66
Gain of catalytic residue at R90 (P = 0.0067);.;Gain of catalytic residue at R90 (P = 0.0067);.;Gain of catalytic residue at R90 (P = 0.0067);Gain of catalytic residue at R90 (P = 0.0067);.;.;
MVP
0.45
MPC
1.2
ClinPred
0.85
D
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.51
gMVP
0.81

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: rs910224471; hg19: chr2-242593010; API