20-44422121-T-G

Variant names:

• chr20-44422121-T-G
• rs1028583
• NM_175914.5:c.827-1897T>G

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_175914.5(HNF4A):​c.827-1897T>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.545 in 151,718 control chromosomes in the GnomAD database, including 22,844 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.54 (22844 hom., cov: 30)
• Consequence: HNF4A NM_175914.5 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.421
• Publications: 11 publications found

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]

HNF4A Gene-Disease associations (from GenCC):

• maturity-onset diabetes of the young type 1

  Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Ambry Genetics
• monogenic diabetes

  Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
• diabetes mellitus, noninsulin-dependent

  Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
• Fanconi renotubular syndrome 4 with maturity-onset diabetes of the young

  Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp, G2P
• hyperinsulinism due to HNF4A deficiency

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
• maturity-onset diabetes of the young

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.54).
• BA1: GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.587 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_175914.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	HNF4A	NM_175914.5	MANE Select	c.827-1897T>G		intron	N/A	NP_787110.2
	HNF4A	NM_000457.6		c.893-1897T>G		intron	N/A	NP_000448.3
	HNF4A	NM_001258355.2		c.872-1897T>G		intron	N/A	NP_001245284.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	HNF4A	ENST00000316673.9	TSL:1 MANE Select	c.827-1897T>G		intron	N/A	ENSP00000315180.4
	HNF4A	ENST00000316099.10	TSL:1	c.893-1897T>G		intron	N/A	ENSP00000312987.3
	HNF4A	ENST00000415691.2	TSL:1	c.893-1897T>G		intron	N/A	ENSP00000412111.1

Frequencies

GnomAD3 genomes AF: 0.545 AC: 82616 AN: 151600 Hom.: 22836 Cov.: 30

Gnomad AFR AF: 0.512

Gnomad AMI AF: 0.613

Gnomad AMR AF: 0.497

Gnomad ASJ AF: 0.702

Gnomad EAS AF: 0.313

Gnomad SAS AF: 0.477

Gnomad FIN AF: 0.523

Gnomad MID AF: 0.671

Gnomad NFE AF: 0.591

Gnomad OTH AF: 0.571

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.545 AC: 82664 AN: 151718 Hom.: 22844 Cov.: 30 AF XY: 0.539 AC XY: 39916 AN XY: 74116

African (AFR) AF: 0.512 AC: 21142 AN: 41302

American (AMR) AF: 0.496 AC: 7555 AN: 15234

Ashkenazi Jewish (ASJ) AF: 0.702 AC: 2437 AN: 3472

East Asian (EAS) AF: 0.313 AC: 1619 AN: 5168

South Asian (SAS) AF: 0.476 AC: 2293 AN: 4814

European-Finnish (FIN) AF: 0.523 AC: 5477 AN: 10476

Middle Eastern (MID) AF: 0.667 AC: 196 AN: 294

European-Non Finnish (NFE) AF: 0.591 AC: 40181 AN: 67942

Other (OTH) AF: 0.573 AC: 1205 AN: 2104

Alfa AF: 0.556 Hom.: 4483

Bravo AF: 0.542

Asia WGS AF: 0.394 AC: 1371 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.54
CADD	Benign	3.9
DANN	Benign	0.88
PhyloP100		-0.42
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs1028583; hg19: chr20-43050761;