20-63356470-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000744.7(CHRNA4):​c.229-55G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0799 in 1,528,598 control chromosomes in the GnomAD database, including 5,730 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.096 ( 753 hom., cov: 31)
Exomes 𝑓: 0.078 ( 4977 hom. )

Consequence

CHRNA4
NM_000744.7 intron

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.892
Variant links:
Genes affected
CHRNA4 (HGNC:1958): (cholinergic receptor nicotinic alpha 4 subunit) This gene encodes a nicotinic acetylcholine receptor, which belongs to a superfamily of ligand-gated ion channels that play a role in fast signal transmission at synapses. These pentameric receptors can bind acetylcholine, which causes an extensive change in conformation that leads to the opening of an ion-conducting channel across the plasma membrane. This protein is an integral membrane receptor subunit that can interact with either nAChR beta-2 or nAChR beta-4 to form a functional receptor. Mutations in this gene cause nocturnal frontal lobe epilepsy type 1. Polymorphisms in this gene that provide protection against nicotine addiction have been described. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Feb 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.89).
BP6
Variant 20-63356470-C-T is Benign according to our data. Variant chr20-63356470-C-T is described in ClinVar as [Benign]. Clinvar id is 1238055.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr20-63356470-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.155 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CHRNA4NM_000744.7 linkuse as main transcriptc.229-55G>A intron_variant ENST00000370263.9
CHRNA4NM_001256573.2 linkuse as main transcriptc.-318-55G>A intron_variant
CHRNA4NR_046317.2 linkuse as main transcriptn.413-55G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CHRNA4ENST00000370263.9 linkuse as main transcriptc.229-55G>A intron_variant 1 NM_000744.7 P1P43681-1

Frequencies

GnomAD3 genomes
AF:
0.0962
AC:
14600
AN:
151792
Hom.:
751
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.134
Gnomad AMI
AF:
0.0813
Gnomad AMR
AF:
0.0766
Gnomad ASJ
AF:
0.0885
Gnomad EAS
AF:
0.130
Gnomad SAS
AF:
0.165
Gnomad FIN
AF:
0.0873
Gnomad MID
AF:
0.184
Gnomad NFE
AF:
0.0713
Gnomad OTH
AF:
0.105
GnomAD4 exome
AF:
0.0781
AC:
107574
AN:
1376688
Hom.:
4977
Cov.:
24
AF XY:
0.0805
AC XY:
54932
AN XY:
682258
show subpopulations
Gnomad4 AFR exome
AF:
0.145
Gnomad4 AMR exome
AF:
0.0543
Gnomad4 ASJ exome
AF:
0.102
Gnomad4 EAS exome
AF:
0.124
Gnomad4 SAS exome
AF:
0.162
Gnomad4 FIN exome
AF:
0.0877
Gnomad4 NFE exome
AF:
0.0671
Gnomad4 OTH exome
AF:
0.0859
GnomAD4 genome
AF:
0.0963
AC:
14625
AN:
151910
Hom.:
753
Cov.:
31
AF XY:
0.0972
AC XY:
7220
AN XY:
74258
show subpopulations
Gnomad4 AFR
AF:
0.134
Gnomad4 AMR
AF:
0.0766
Gnomad4 ASJ
AF:
0.0885
Gnomad4 EAS
AF:
0.130
Gnomad4 SAS
AF:
0.164
Gnomad4 FIN
AF:
0.0873
Gnomad4 NFE
AF:
0.0713
Gnomad4 OTH
AF:
0.104
Alfa
AF:
0.0838
Hom.:
159
Bravo
AF:
0.0949
Asia WGS
AF:
0.148
AC:
512
AN:
3476

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxJun 26, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.89
CADD
Benign
12
DANN
Benign
0.65

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.080
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: rs2273502; hg19: chr20-61987822; COSMIC: COSV64718293; COSMIC: COSV64718293; API