2-77518656-A-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001134745.3(LRRTM4):​c.1213T>A​(p.Ser405Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000075 in 1,613,302 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. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000079 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000075 ( 0 hom. )

Consequence

LRRTM4
NM_001134745.3 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.15
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 Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008589417).
BS2
High AC in GnomAd4 at 12 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
LRRTM4NM_001134745.3 linkuse as main transcriptc.1213T>A p.Ser405Thr missense_variant 3/4 ENST00000409884.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
LRRTM4ENST00000409884.6 linkuse as main transcriptc.1213T>A p.Ser405Thr missense_variant 3/41 NM_001134745.3 P4Q86VH4-1

Frequencies

GnomAD3 genomes
AF:
0.0000790
AC:
12
AN:
151968
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00260
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000153
AC:
38
AN:
248708
Hom.:
0
AF XY:
0.000119
AC XY:
16
AN XY:
134936
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00309
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000266
Gnomad OTH exome
AF:
0.000664
GnomAD4 exome
AF:
0.0000746
AC:
109
AN:
1461334
Hom.:
0
Cov.:
34
AF XY:
0.0000674
AC XY:
49
AN XY:
726956
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00264
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000135
Gnomad4 OTH exome
AF:
0.000199
GnomAD4 genome
AF:
0.0000790
AC:
12
AN:
151968
Hom.:
0
Cov.:
32
AF XY:
0.0000674
AC XY:
5
AN XY:
74200
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00260
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000428
Hom.:
0
Bravo
AF:
0.000102
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000486
AC:
4
ExAC
AF:
0.000116
AC:
14
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

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 GeneticsSep 22, 2023The c.1213T>A (p.S405T) alteration is located in exon 3 (coding exon 2) of the LRRTM4 gene. This alteration results from a T to A substitution at nucleotide position 1213, causing the serine (S) at amino acid position 405 to be replaced by a threonine (T). 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
0.075
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
18
DANN
Benign
0.27
DEOGEN2
Benign
0.0053
T;T;T;.;T
Eigen
Benign
-0.39
Eigen_PC
Benign
-0.20
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.83
T;.;T;T;T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.0086
T;T;T;T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
0.55
.;N;N;N;.
MutationTaster
Benign
0.97
D;D;D;D;D
PrimateAI
Benign
0.43
T
PROVEAN
Benign
0.27
N;N;N;N;N
REVEL
Benign
0.074
Sift
Benign
1.0
T;T;T;T;T
Sift4G
Benign
0.95
T;T;T;T;T
Polyphen
0.0070, 0.0020
.;B;B;B;B
Vest4
0.11
MVP
0.15
MPC
0.51
ClinPred
0.041
T
GERP RS
3.2
Varity_R
0.069
gMVP
0.27

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: rs371191395; hg19: chr2-77745782; API