3-146199841-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM1BS2

The NM_020353.3(PLSCR4):​c.596G>T​(p.Cys199Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000229 in 1,613,336 control chromosomes in the GnomAD database, including 5 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000092 ( 5 hom., cov: 32)
Exomes 𝑓: 0.000016 ( 0 hom. )

Consequence

PLSCR4
NM_020353.3 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.12
Variant links:
Genes affected
PLSCR4 (HGNC:16497): (phospholipid scramblase 4) Enables CD4 receptor binding activity and enzyme binding activity. Predicted to be involved in plasma membrane phospholipid scrambling. Predicted to act upstream of or within cellular response to lipopolysaccharide. Located in plasma membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM1
In a lipid_moiety_binding_region S-palmitoyl cysteine (size 0) in uniprot entity PLS4_HUMAN
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PLSCR4NM_020353.3 linkuse as main transcriptc.596G>T p.Cys199Phe missense_variant 6/9 ENST00000354952.7 NP_065086.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PLSCR4ENST00000354952.7 linkuse as main transcriptc.596G>T p.Cys199Phe missense_variant 6/91 NM_020353.3 ENSP00000347038 P1Q9NRQ2-1

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152034
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.000478
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
250734
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135486
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000163
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000157
AC:
23
AN:
1461184
Hom.:
0
Cov.:
31
AF XY:
0.0000110
AC XY:
8
AN XY:
726870
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.000298
GnomAD4 genome
AF:
0.0000920
AC:
14
AN:
152152
Hom.:
5
Cov.:
32
AF XY:
0.0000941
AC XY:
7
AN XY:
74374
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
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:
0.00662
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.0000165
AC:
2
Asia WGS
AF:
0.00895
AC:
31
AN:
3478

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 GeneticsAug 04, 2023The c.596G>T (p.C199F) alteration is located in exon 6 (coding exon 5) of the PLSCR4 gene. This alteration results from a G to T substitution at nucleotide position 596, causing the cysteine (C) at amino acid position 199 to be replaced by a phenylalanine (F). 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
0.34
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.40
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.014
T;T;T;T;.
Eigen
Benign
-0.0022
Eigen_PC
Benign
0.088
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Benign
0.76
.;.;T;T;T
M_CAP
Benign
0.021
T
MetaRNN
Uncertain
0.73
D;D;D;D;D
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.91
L;L;L;.;.
MutationTaster
Benign
0.82
D;D;D;D;D
PrimateAI
Uncertain
0.61
T
PROVEAN
Uncertain
-4.0
D;D;D;D;D
REVEL
Benign
0.13
Sift
Benign
0.069
T;T;T;T;T
Sift4G
Benign
0.21
T;T;T;T;T
Polyphen
0.25
B;B;B;.;.
Vest4
0.68
MutPred
0.89
Gain of glycosylation at T196 (P = 0.0342);Gain of glycosylation at T196 (P = 0.0342);Gain of glycosylation at T196 (P = 0.0342);Gain of glycosylation at T196 (P = 0.0342);Gain of glycosylation at T196 (P = 0.0342);
MVP
0.44
MPC
0.52
ClinPred
0.55
D
GERP RS
4.0
Varity_R
0.25
gMVP
0.65

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: rs779281159; hg19: chr3-145917628; API