22-42692965-C-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_017436.7(A4GALT):​c.987G>A​(p.Thr329=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.361 in 1,612,248 control chromosomes in the GnomAD database, including 107,518 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.38 ( 11655 hom., cov: 33)
Exomes 𝑓: 0.36 ( 95863 hom. )

Consequence

A4GALT
NM_017436.7 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.745
Variant links:
Genes affected
A4GALT (HGNC:18149): (alpha 1,4-galactosyltransferase (P1PK blood group)) The protein encoded by this gene catalyzes the transfer of galactose to lactosylceramide to form globotriaosylceramide, which has been identified as the P(k) antigen of the P blood group system. This protein, a type II membrane protein found in the Golgi, is also required for the synthesis of the bacterial verotoxins receptor. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Dec 2015]
CYB5R3 (HGNC:2873): (cytochrome b5 reductase 3) This gene encodes cytochrome b5 reductase, which includes a membrane-bound form in somatic cells (anchored in the endoplasmic reticulum, mitochondrial and other membranes) and a soluble form in erythrocytes. The membrane-bound form exists mainly on the cytoplasmic side of the endoplasmic reticulum and functions in desaturation and elongation of fatty acids, in cholesterol biosynthesis, and in drug metabolism. The erythrocyte form is located in a soluble fraction of circulating erythrocytes and is involved in methemoglobin reduction. The membrane-bound form has both membrane-binding and catalytic domains, while the soluble form has only the catalytic domain. Alternate splicing results in multiple transcript variants. Mutations in this gene cause methemoglobinemias. [provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.56).
BP6
Variant 22-42692965-C-T is Benign according to our data. Variant chr22-42692965-C-T is described in ClinVar as [Benign]. Clinvar id is 1600484.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.745 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.475 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
A4GALTNM_017436.7 linkuse as main transcriptc.987G>A p.Thr329= synonymous_variant 3/3 ENST00000642412.2 NP_059132.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
A4GALTENST00000642412.2 linkuse as main transcriptc.987G>A p.Thr329= synonymous_variant 3/3 NM_017436.7 ENSP00000494127 P1

Frequencies

GnomAD3 genomes
AF:
0.384
AC:
58383
AN:
151938
Hom.:
11658
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.481
Gnomad AMI
AF:
0.152
Gnomad AMR
AF:
0.377
Gnomad ASJ
AF:
0.388
Gnomad EAS
AF:
0.131
Gnomad SAS
AF:
0.314
Gnomad FIN
AF:
0.310
Gnomad MID
AF:
0.427
Gnomad NFE
AF:
0.366
Gnomad OTH
AF:
0.374
GnomAD3 exomes
AF:
0.350
AC:
87481
AN:
249724
Hom.:
16091
AF XY:
0.348
AC XY:
47085
AN XY:
135366
show subpopulations
Gnomad AFR exome
AF:
0.480
Gnomad AMR exome
AF:
0.390
Gnomad ASJ exome
AF:
0.389
Gnomad EAS exome
AF:
0.145
Gnomad SAS exome
AF:
0.334
Gnomad FIN exome
AF:
0.305
Gnomad NFE exome
AF:
0.361
Gnomad OTH exome
AF:
0.373
GnomAD4 exome
AF:
0.358
AC:
523029
AN:
1460192
Hom.:
95863
Cov.:
68
AF XY:
0.356
AC XY:
258576
AN XY:
726508
show subpopulations
Gnomad4 AFR exome
AF:
0.483
Gnomad4 AMR exome
AF:
0.386
Gnomad4 ASJ exome
AF:
0.387
Gnomad4 EAS exome
AF:
0.136
Gnomad4 SAS exome
AF:
0.331
Gnomad4 FIN exome
AF:
0.302
Gnomad4 NFE exome
AF:
0.365
Gnomad4 OTH exome
AF:
0.357
GnomAD4 genome
AF:
0.384
AC:
58395
AN:
152056
Hom.:
11655
Cov.:
33
AF XY:
0.379
AC XY:
28148
AN XY:
74336
show subpopulations
Gnomad4 AFR
AF:
0.481
Gnomad4 AMR
AF:
0.377
Gnomad4 ASJ
AF:
0.388
Gnomad4 EAS
AF:
0.131
Gnomad4 SAS
AF:
0.313
Gnomad4 FIN
AF:
0.310
Gnomad4 NFE
AF:
0.366
Gnomad4 OTH
AF:
0.370
Alfa
AF:
0.379
Hom.:
16539
Bravo
AF:
0.393
Asia WGS
AF:
0.264
AC:
920
AN:
3478
EpiCase
AF:
0.364
EpiControl
AF:
0.380

ClinVar

Significance: Benign
Submissions summary: Benign:3
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), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
A4GALT-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 17, 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
BayesDel_noAF
Benign
-0.56
CADD
Benign
1.0
DANN
Benign
0.58

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: rs9623659; hg19: chr22-43088971; COSMIC: COSV50744367; COSMIC: COSV50744367; API