3-147391159-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_032153.6(ZIC4):ā€‹c.776C>Gā€‹(p.Thr259Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,459,616 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.9e-7 ( 0 hom. )

Consequence

ZIC4
NM_032153.6 missense

Scores

3
6
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.93
Variant links:
Genes affected
ZIC4 (HGNC:20393): (Zic family member 4) This gene encodes a member of the ZIC family of C2H2-type zinc finger proteins. Members of this family are important during development, and have been associated with X-linked visceral heterotaxy and holoprosencephaly type 5. This gene is closely linked to the gene encoding zinc finger protein of the cerebellum 1, a related family member on chromosome 3. Heterozygous deletion of these linked genes is involved in Dandy-Walker malformation, which is a congenital cerebellar malformation. Multiple transcript variants have been identified for this gene. [provided by RefSeq, Dec 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ZIC4NM_032153.6 linkuse as main transcriptc.776C>G p.Thr259Ser missense_variant 4/5 ENST00000383075.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ZIC4ENST00000383075.8 linkuse as main transcriptc.776C>G p.Thr259Ser missense_variant 4/51 NM_032153.6 P2Q8N9L1-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1459616
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
725582
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsOct 13, 2023The c.926C>G (p.T309S) alteration is located in exon 4 (coding exon 4) of the ZIC4 gene. This alteration results from a C to G substitution at nucleotide position 926, causing the threonine (T) at amino acid position 309 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
Pathogenic
0.59
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.38
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.59
D;.;.;D;D;.
Eigen
Uncertain
0.37
Eigen_PC
Uncertain
0.45
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.83
.;T;T;.;T;T
M_CAP
Benign
0.018
T
MetaRNN
Uncertain
0.53
D;D;D;D;D;D
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.055
N;.;.;N;N;.
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-3.5
D;D;D;D;D;D
REVEL
Benign
0.21
Sift
Benign
0.063
T;T;T;T;T;T
Sift4G
Benign
0.086
T;T;T;T;T;T
Polyphen
0.99
D;.;.;D;D;.
Vest4
0.71
MutPred
0.22
Gain of phosphorylation at S260 (P = 0.1229);.;.;Gain of phosphorylation at S260 (P = 0.1229);Gain of phosphorylation at S260 (P = 0.1229);.;
MVP
0.61
MPC
1.1
ClinPred
0.98
D
GERP RS
4.8
Varity_R
0.41
gMVP
0.51

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr3-147108946; API