20-44355761-C-T
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Variant summary
Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2
The NM_175914.5(HNF4A):c.-44C>T variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000121 in 1,601,216 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts 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: 0.00013 ( 4 hom. )
Consequence
HNF4A
NM_175914.5 5_prime_UTR
NM_175914.5 5_prime_UTR
Scores
2
Clinical Significance
Conservation
PhyloP100: 0.355
Genes affected
HNF4A (HGNC:5024): (hepatocyte nuclear factor 4 alpha) The protein encoded by this gene is a nuclear transcription factor which binds DNA as a homodimer. The encoded protein controls the expression of several genes, including hepatocyte nuclear factor 1 alpha, a transcription factor which regulates the expression of several hepatic genes. This gene may play a role in development of the liver, kidney, and intestines. Mutations in this gene have been associated with monogenic autosomal dominant non-insulin-dependent diabetes mellitus type I. Alternative splicing of this gene results in multiple transcript variants encoding several different isoforms. [provided by RefSeq, Apr 2012]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -9 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.78).
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.0000788 (12/152366) while in subpopulation SAS AF= 0.00165 (8/4834). AF 95% confidence interval is 0.000823. There are 0 homozygotes in gnomad4. There are 7 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 12 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | UniProt |
---|---|---|---|---|---|---|---|
HNF4A | NM_175914.5 | c.-44C>T | 5_prime_UTR_variant | 1/10 | ENST00000316673.9 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
HNF4A | ENST00000316673.9 | c.-44C>T | 5_prime_UTR_variant | 1/10 | 1 | NM_175914.5 | |||
HNF4A | ENST00000457232.5 | upstream_gene_variant | 1 | ||||||
HNF4A | ENST00000609262.5 | upstream_gene_variant | 1 | ||||||
HNF4A | ENST00000609795.5 | upstream_gene_variant | 1 |
Frequencies
GnomAD3 genomes AF: 0.0000788 AC: 12AN: 152248Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.000197 AC: 48AN: 243560Hom.: 1 AF XY: 0.000301 AC XY: 40AN XY: 132980
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GnomAD4 exome AF: 0.000126 AC: 182AN: 1448850Hom.: 4 Cov.: 29 AF XY: 0.000177 AC XY: 128AN XY: 721378
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GnomAD4 genome AF: 0.0000788 AC: 12AN: 152366Hom.: 0 Cov.: 32 AF XY: 0.0000939 AC XY: 7AN XY: 74514
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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 submitter | clinical testing | Genetic Services Laboratory, University of Chicago | Oct 02, 2018 | - - |
Computational scores
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Name
Calibrated prediction
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Prediction
BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at