20-963959-G-A

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_001029871.4(RSPO4):​c.571C>T​(p.Pro191Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000524 in 1,614,042 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (no stars).

Frequency

Genomes: 𝑓 0.0030 ( 5 hom., cov: 32)
Exomes 𝑓: 0.00027 ( 0 hom. )

Consequence

RSPO4
NM_001029871.4 missense

Scores

18

Clinical Significance

Benign no assertion criteria provided B:1

Conservation

PhyloP100: 0.337
Variant links:
Genes affected
RSPO4 (HGNC:16175): (R-spondin 4) This gene encodes a member of the R-spondin family of proteins that share a common domain organization consisting of a signal peptide, cysteine-rich/furin-like domain, thrombospondin domain and a C-terminal basic region. The encoded protein may be involved in activation of Wnt/beta-catenin signaling pathways. Mutations in this gene are associated with anonychia congenital. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0070375204).
BP6
Variant 20-963959-G-A is Benign according to our data. Variant chr20-963959-G-A is described in ClinVar as [Benign]. Clinvar id is 3040155.Status of the report is no_assertion_criteria_provided, 0 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00299 (455/152340) while in subpopulation AFR AF= 0.0104 (434/41570). AF 95% confidence interval is 0.00963. There are 5 homozygotes in gnomad4. There are 213 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RSPO4NM_001029871.4 linkuse as main transcriptc.571C>T p.Pro191Ser missense_variant 4/5 ENST00000217260.9 NP_001025042.2
RSPO4XM_017027839.2 linkuse as main transcriptc.571C>T p.Pro191Ser missense_variant 4/4 XP_016883328.1
RSPO4NM_001040007.3 linkuse as main transcriptc.409+3215C>T intron_variant NP_001035096.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RSPO4ENST00000217260.9 linkuse as main transcriptc.571C>T p.Pro191Ser missense_variant 4/51 NM_001029871.4 ENSP00000217260 P1Q2I0M5-1
RSPO4ENST00000400634.2 linkuse as main transcriptc.409+3215C>T intron_variant 1 ENSP00000383475 Q2I0M5-2

Frequencies

GnomAD3 genomes
AF:
0.00294
AC:
448
AN:
152222
Hom.:
4
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0103
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00111
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.000641
AC:
160
AN:
249430
Hom.:
1
AF XY:
0.000480
AC XY:
65
AN XY:
135360
show subpopulations
Gnomad AFR exome
AF:
0.00872
Gnomad AMR exome
AF:
0.000637
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:
0.00000884
Gnomad OTH exome
AF:
0.000330
GnomAD4 exome
AF:
0.000267
AC:
391
AN:
1461702
Hom.:
0
Cov.:
32
AF XY:
0.000227
AC XY:
165
AN XY:
727156
show subpopulations
Gnomad4 AFR exome
AF:
0.00989
Gnomad4 AMR exome
AF:
0.000693
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000540
Gnomad4 OTH exome
AF:
0.000364
GnomAD4 genome
AF:
0.00299
AC:
455
AN:
152340
Hom.:
5
Cov.:
32
AF XY:
0.00286
AC XY:
213
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.0104
Gnomad4 AMR
AF:
0.00111
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.000582
Hom.:
0
Bravo
AF:
0.00335
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00696
AC:
28
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000769
AC:
93
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

RSPO4-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 28, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.092
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
16
DANN
Benign
0.90
DEOGEN2
Benign
0.047
T
Eigen
Benign
-0.80
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.59
D
LIST_S2
Benign
0.60
T
MetaRNN
Benign
0.0070
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
1.1
L
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.37
T
PROVEAN
Benign
0.050
N
REVEL
Benign
0.095
Sift
Benign
0.44
T
Sift4G
Benign
0.63
T
Polyphen
0.0030
B
Vest4
0.29
MVP
0.40
MPC
0.054
ClinPred
0.0039
T
GERP RS
-0.54
Varity_R
0.027
gMVP
0.35

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: rs138935370; hg19: chr20-944602; API