20-56437340-C-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_020356.4(CASS4):​c.213C>T​(p.Leu71=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00241 in 1,614,066 control chromosomes in the GnomAD database, including 67 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.011 ( 34 hom., cov: 32)
Exomes 𝑓: 0.0015 ( 33 hom. )

Consequence

CASS4
NM_020356.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.973
Variant links:
Genes affected
CASS4 (HGNC:15878): (Cas scaffold protein family member 4) Enables protein tyrosine kinase binding activity. Involved in several processes, including positive regulation of protein kinase B signaling; positive regulation of protein tyrosine kinase activity; and positive regulation of substrate adhesion-dependent cell spreading. Located in focal adhesion. Part of cytoplasm. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.7).
BP6
Variant 20-56437340-C-T is Benign according to our data. Variant chr20-56437340-C-T is described in ClinVar as [Benign]. Clinvar id is 778896.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.973 with no splicing effect.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.0112 (1713/152350) while in subpopulation AFR AF= 0.0373 (1551/41576). AF 95% confidence interval is 0.0358. There are 34 homozygotes in gnomad4. There are 813 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 34 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CASS4NM_020356.4 linkuse as main transcriptc.213C>T p.Leu71= synonymous_variant 2/6 ENST00000679887.1 NP_065089.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CASS4ENST00000679887.1 linkuse as main transcriptc.213C>T p.Leu71= synonymous_variant 2/6 NM_020356.4 ENSP00000506506 P2Q9NQ75-1

Frequencies

GnomAD3 genomes
AF:
0.0113
AC:
1713
AN:
152232
Hom.:
35
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0374
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00562
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000485
Gnomad OTH
AF:
0.0181
GnomAD3 exomes
AF:
0.00358
AC:
896
AN:
250574
Hom.:
14
AF XY:
0.00249
AC XY:
337
AN XY:
135564
show subpopulations
Gnomad AFR exome
AF:
0.0398
Gnomad AMR exome
AF:
0.00464
Gnomad ASJ exome
AF:
0.000299
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000583
Gnomad OTH exome
AF:
0.00344
GnomAD4 exome
AF:
0.00149
AC:
2172
AN:
1461716
Hom.:
33
Cov.:
32
AF XY:
0.00132
AC XY:
960
AN XY:
727148
show subpopulations
Gnomad4 AFR exome
AF:
0.0387
Gnomad4 AMR exome
AF:
0.00474
Gnomad4 ASJ exome
AF:
0.000268
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000337
Gnomad4 OTH exome
AF:
0.00396
GnomAD4 genome
AF:
0.0112
AC:
1713
AN:
152350
Hom.:
34
Cov.:
32
AF XY:
0.0109
AC XY:
813
AN XY:
74498
show subpopulations
Gnomad4 AFR
AF:
0.0373
Gnomad4 AMR
AF:
0.00562
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000485
Gnomad4 OTH
AF:
0.0180
Alfa
AF:
0.00630
Hom.:
12
Bravo
AF:
0.0129
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.000491
EpiControl
AF:
0.000949

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpMar 29, 2018- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.70
CADD
Benign
7.1
DANN
Benign
0.71

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: rs34102676; hg19: chr20-55012396; API