20-51790623-T-C

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_020436.5(SALL4):​c.1860A>G​(p.Thr620Thr) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.35 in 1,613,806 control chromosomes in the GnomAD database, including 101,222 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.32 ( 8331 hom., cov: 32)
Exomes 𝑓: 0.35 ( 92891 hom. )

Consequence

SALL4
NM_020436.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -1.84

Publications

24 publications found
Variant links:
Genes affected
SALL4 (HGNC:15924): (spalt like transcription factor 4) This gene encodes a zinc finger transcription factor thought to play a role in the development of abducens motor neurons. Defects in this gene are a cause of Duane-radial ray syndrome (DRRS). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2015]
SALL4 Gene-Disease associations (from GenCC):
  • Duane-radial ray syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), PanelApp Australia
  • Duane retraction syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • IVIC syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 20-51790623-T-C is Benign according to our data. Variant chr20-51790623-T-C is described in ClinVar as Benign. ClinVar VariationId is 261260.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.84 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.569 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SALL4NM_020436.5 linkc.1860A>G p.Thr620Thr synonymous_variant Exon 2 of 4 ENST00000217086.9 NP_065169.1
SALL4XM_047440318.1 linkc.1554A>G p.Thr518Thr synonymous_variant Exon 2 of 4 XP_047296274.1
SALL4NM_001318031.2 linkc.1150+710A>G intron_variant Intron 2 of 3 NP_001304960.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SALL4ENST00000217086.9 linkc.1860A>G p.Thr620Thr synonymous_variant Exon 2 of 4 1 NM_020436.5 ENSP00000217086.4
SALL4ENST00000395997.3 linkc.1150+710A>G intron_variant Intron 2 of 3 1 ENSP00000379319.3
SALL4ENST00000371539.7 linkc.131-1482A>G intron_variant Intron 1 of 2 1 ENSP00000360594.3

Frequencies

GnomAD3 genomes
AF:
0.322
AC:
48852
AN:
151872
Hom.:
8341
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.217
Gnomad AMI
AF:
0.349
Gnomad AMR
AF:
0.350
Gnomad ASJ
AF:
0.425
Gnomad EAS
AF:
0.587
Gnomad SAS
AF:
0.436
Gnomad FIN
AF:
0.317
Gnomad MID
AF:
0.354
Gnomad NFE
AF:
0.344
Gnomad OTH
AF:
0.377
GnomAD2 exomes
AF:
0.357
AC:
89799
AN:
251362
AF XY:
0.364
show subpopulations
Gnomad AFR exome
AF:
0.208
Gnomad AMR exome
AF:
0.292
Gnomad ASJ exome
AF:
0.412
Gnomad EAS exome
AF:
0.600
Gnomad FIN exome
AF:
0.317
Gnomad NFE exome
AF:
0.345
Gnomad OTH exome
AF:
0.363
GnomAD4 exome
AF:
0.353
AC:
515945
AN:
1461818
Hom.:
92891
Cov.:
75
AF XY:
0.355
AC XY:
258514
AN XY:
727208
show subpopulations
African (AFR)
AF:
0.207
AC:
6933
AN:
33480
American (AMR)
AF:
0.296
AC:
13244
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.413
AC:
10804
AN:
26136
East Asian (EAS)
AF:
0.546
AC:
21693
AN:
39700
South Asian (SAS)
AF:
0.408
AC:
35208
AN:
86258
European-Finnish (FIN)
AF:
0.321
AC:
17137
AN:
53398
Middle Eastern (MID)
AF:
0.343
AC:
1976
AN:
5768
European-Non Finnish (NFE)
AF:
0.348
AC:
387049
AN:
1111962
Other (OTH)
AF:
0.363
AC:
21901
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.481
Heterozygous variant carriers
0
24760
49521
74281
99042
123802
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
12610
25220
37830
50440
63050
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.321
AC:
48852
AN:
151988
Hom.:
8331
Cov.:
32
AF XY:
0.324
AC XY:
24086
AN XY:
74294
show subpopulations
African (AFR)
AF:
0.217
AC:
8990
AN:
41476
American (AMR)
AF:
0.350
AC:
5339
AN:
15264
Ashkenazi Jewish (ASJ)
AF:
0.425
AC:
1473
AN:
3466
East Asian (EAS)
AF:
0.587
AC:
3019
AN:
5144
South Asian (SAS)
AF:
0.433
AC:
2087
AN:
4816
European-Finnish (FIN)
AF:
0.317
AC:
3344
AN:
10550
Middle Eastern (MID)
AF:
0.361
AC:
106
AN:
294
European-Non Finnish (NFE)
AF:
0.344
AC:
23390
AN:
67966
Other (OTH)
AF:
0.374
AC:
788
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
Heterozygous variant carriers
0
1660
3320
4981
6641
8301
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
498
996
1494
1992
2490
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.325
Hom.:
4479
Bravo
AF:
0.321
Asia WGS
AF:
0.510
AC:
1772
AN:
3478
EpiCase
AF:
0.357
EpiControl
AF:
0.362

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Apr 08, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Duane-radial ray syndrome Benign:2
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:2
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Oculootoradial syndrome Benign:1
Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
0.037
DANN
Benign
0.34
PhyloP100
-1.8
Mutation Taster
=99/1
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

Publications

Other links and lift over

dbSNP: rs6021437; hg19: chr20-50407162; COSMIC: COSV53851571; COSMIC: COSV53851571; API