3-186790139-T-TAA
Variant summary
Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PVS1_StrongPM2
The NM_002916.5(RFC4):c.996+2_996+3insTT variant causes a splice donor, intron change. The variant allele was found at a frequency of 0.00000206 in 1,457,758 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )
Consequence
RFC4
NM_002916.5 splice_donor, intron
NM_002916.5 splice_donor, intron
Scores
Not classified
Clinical Significance
Not reported in ClinVar
Conservation
PhyloP100: 6.94
Genes affected
RFC4 (HGNC:9972): (replication factor C subunit 4) The elongation of primed DNA templates by DNA polymerase delta and DNA polymerase epsilon requires the accessory proteins proliferating cell nuclear antigen (PCNA) and replication factor C (RFC). RFC, also named activator 1, is a protein complex consisting of five distinct subunits of 140, 40, 38, 37, and 36 kD. This gene encodes the 37 kD subunit. This subunit forms a core complex with the 36 and 40 kDa subunits. The core complex possesses DNA-dependent ATPase activity, which was found to be stimulated by PCNA in an in vitro system. Alternatively spliced transcript variants encoding the same protein have been reported. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Likely_pathogenic. Variant got 6 ACMG points.
PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.104395606 fraction of the gene. Cryptic splice site detected, with MaxEntScore 4.2, offset of 6, new splice context is: taaGTaggt. Cryptic site results in inframe change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change.
PM2
Very rare variant in population databases, with high coverage;
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
RFC4 | NM_002916.5 | c.996+2_996+3insTT | splice_donor_variant, intron_variant | Intron 10 of 10 | ENST00000296273.7 | NP_002907.1 | ||
RFC4 | NM_181573.3 | c.996+2_996+3insTT | splice_donor_variant, intron_variant | Intron 10 of 10 | NP_853551.1 |
Ensembl
Frequencies
GnomAD3 genomes Cov.: 32
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Cov.:
32
GnomAD3 exomes AF: 0.00000398 AC: 1AN: 250968Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135604
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GnomAD4 exome AF: 0.00000206 AC: 3AN: 1457758Hom.: 0 Cov.: 31 AF XY: 0.00 AC XY: 0AN XY: 725408
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GnomAD4 genome Cov.: 32
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32
ClinVar
Not reported inComputational scores
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Prediction
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at