20-56437480-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_020356.4(CASS4):​c.353G>A​(p.Ser118Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00000274 in 1,459,992 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

CASS4
NM_020356.4 missense

Scores

1
4
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.36
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 Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2813839).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CASS4NM_020356.4 linkuse as main transcriptc.353G>A p.Ser118Asn missense_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.353G>A p.Ser118Asn missense_variant 2/6 NM_020356.4 ENSP00000506506 P2Q9NQ75-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000811
AC:
2
AN:
246602
Hom.:
0
AF XY:
0.00000746
AC XY:
1
AN XY:
134042
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000181
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1459992
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
726158
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.0000545
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 GeneticsMar 01, 2024The c.353G>A (p.S118N) alteration is located in exon 3 (coding exon 2) of the CASS4 gene. This alteration results from a G to A substitution at nucleotide position 353, causing the serine (S) at amino acid position 118 to be replaced by an asparagine (N). 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
0.14
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.64
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.018
T;.
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.54
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.73
T;T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.28
T;T
MetaSVM
Benign
-0.94
T
MutationAssessor
Uncertain
2.2
M;M
MutationTaster
Benign
0.81
N;N;N
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-1.3
N;N
REVEL
Benign
0.15
Sift
Benign
0.065
T;T
Sift4G
Benign
0.081
T;T
Polyphen
0.98
D;P
Vest4
0.082
MutPred
0.20
Loss of phosphorylation at S118 (P = 0.0313);Loss of phosphorylation at S118 (P = 0.0313);
MVP
0.23
ClinPred
0.89
D
GERP RS
5.6
Varity_R
0.19
gMVP
0.41

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: rs759957814; hg19: chr20-55012536; COSMIC: COSV64386267; API