2-76748829-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001134745.3(LRRTM4):ā€‹c.1639A>Cā€‹(p.Thr547Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000657 in 152,132 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: š‘“ 0.0000066 ( 0 hom., cov: 32)

Consequence

LRRTM4
NM_001134745.3 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.82
Variant links:
Genes affected
LRRTM4 (HGNC:19411): (leucine rich repeat transmembrane neuronal 4) Predicted to enable heparan sulfate proteoglycan binding activity. Predicted to be involved in regulation of synapse assembly. Predicted to act upstream of or within AMPA glutamate receptor clustering; positive regulation of synapse assembly; and regulation of presynaptic membrane organization. Predicted to be located in postsynaptic membrane. Predicted to be part of AMPA glutamate receptor complex. Predicted to be active in extracellular matrix; extracellular space; and glutamatergic synapse. Predicted to be integral component of postsynaptic density membrane. [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 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.080237985).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LRRTM4NM_001134745.3 linkuse as main transcriptc.1639A>C p.Thr547Pro missense_variant 4/4 ENST00000409884.6 NP_001128217.1 Q86VH4-1Q6ZT31
LRRTM4NM_001330370.2 linkuse as main transcriptc.1642A>C p.Thr548Pro missense_variant 3/3 NP_001317299.1 B8ZZ84
LRRTM4NM_001282924.3 linkuse as main transcriptc.1639A>C p.Thr547Pro missense_variant 4/4 NP_001269853.1 Q86VH4-1B3KV11
LRRTM4NR_146416.2 linkuse as main transcriptn.356A>C non_coding_transcript_exon_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LRRTM4ENST00000409884.6 linkuse as main transcriptc.1639A>C p.Thr547Pro missense_variant 4/41 NM_001134745.3 ENSP00000387297.1 Q86VH4-1
LRRTM4ENST00000409911.5 linkuse as main transcriptc.1642A>C p.Thr548Pro missense_variant 3/35 ENSP00000387228.1 B8ZZ84
LRRTM4ENST00000409093.1 linkuse as main transcriptc.1639A>C p.Thr547Pro missense_variant 4/42 ENSP00000386357.1 Q86VH4-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152132
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
34
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152132
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74316
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
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 GeneticsAug 27, 2024The c.1639A>C (p.T547P) alteration is located in exon 4 (coding exon 3) of the LRRTM4 gene. This alteration results from a A to C substitution at nucleotide position 1639, causing the threonine (T) at amino acid position 547 to be replaced by a proline (P). 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
0.060
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
14
DANN
Benign
0.65
DEOGEN2
Benign
0.0070
T;T;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-0.97
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.56
T;.;T
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.080
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.0
.;N;N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.37
N;N;N
REVEL
Benign
0.093
Sift
Uncertain
0.022
D;D;D
Sift4G
Uncertain
0.040
D;D;D
Polyphen
0.0020
.;B;B
Vest4
0.20
MutPred
0.20
.;Gain of disorder (P = 0.0548);Gain of disorder (P = 0.0548);
MVP
0.068
MPC
0.74
ClinPred
0.069
T
GERP RS
-0.93
Varity_R
0.089
gMVP
0.62

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: rs1301381502; hg19: chr2-76975955; API