20-885216-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_015985.4(ANGPT4):​c.697G>T​(p.Ala233Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000694 in 1,441,088 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000069 ( 0 hom. )

Consequence

ANGPT4
NM_015985.4 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.126
Variant links:
Genes affected
ANGPT4 (HGNC:487): (angiopoietin 4) Angiopoietins are proteins with important roles in vascular development and angiogenesis. All angiopoietins bind with similar affinity to an endothelial cell-specific tyrosine-protein kinase receptor. The mechanism by which they contribute to angiogenesis is thought to involve regulation of endothelial cell interactions with supporting perivascular cells. The protein encoded by this gene functions as an agonist and is an angiopoietin. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.115042984).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ANGPT4NM_015985.4 linkuse as main transcriptc.697G>T p.Ala233Ser missense_variant 4/9 ENST00000381922.5 NP_057069.1 Q9Y264-1
ANGPT4NM_001322809.2 linkuse as main transcriptc.697G>T p.Ala233Ser missense_variant 4/8 NP_001309738.1 Q9Y264-2
ANGPT4XM_011529239.4 linkuse as main transcriptc.541G>T p.Ala181Ser missense_variant 3/8 XP_011527541.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ANGPT4ENST00000381922.5 linkuse as main transcriptc.697G>T p.Ala233Ser missense_variant 4/91 NM_015985.4 ENSP00000371347.3 Q9Y264-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000948
AC:
2
AN:
210982
Hom.:
0
AF XY:
0.0000175
AC XY:
2
AN XY:
114346
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:
0.0000735
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000694
AC:
10
AN:
1441088
Hom.:
0
Cov.:
32
AF XY:
0.0000126
AC XY:
9
AN XY:
715258
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:
0.000108
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.07e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.0000165
AC:
2

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 GeneticsSep 24, 2024The c.697G>T (p.A233S) alteration is located in exon 4 (coding exon 4) of the ANGPT4 gene. This alteration results from a G to T substitution at nucleotide position 697, causing the alanine (A) at amino acid position 233 to be replaced by a serine (S). 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
0.095
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
11
DANN
Uncertain
0.99
DEOGEN2
Benign
0.023
T
Eigen
Benign
-0.78
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.40
T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.12
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.4
L
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-0.73
N
REVEL
Benign
0.034
Sift
Benign
0.096
T
Sift4G
Uncertain
0.050
T
Polyphen
0.35
B
Vest4
0.22
MutPred
0.27
Loss of stability (P = 0.0699);
MVP
0.47
MPC
0.23
ClinPred
0.093
T
GERP RS
0.39
Varity_R
0.094
gMVP
0.12

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: rs746772044; hg19: chr20-865859; API