3-186790367-A-G

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5

The ENST00000296273.7(RFC4):ā€‹c.841T>Cā€‹(p.Cys281Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,586 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

RFC4
ENST00000296273.7 missense

Scores

5
9
5

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 1.65
Variant links:
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.943
PP5
Variant 3-186790367-A-G is Pathogenic according to our data. Variant chr3-186790367-A-G is described in ClinVar as [Pathogenic]. Clinvar id is 3376529.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RFC4NM_002916.5 linkuse as main transcriptc.841T>C p.Cys281Arg missense_variant 9/11 ENST00000296273.7 NP_002907.1
RFC4NM_181573.3 linkuse as main transcriptc.841T>C p.Cys281Arg missense_variant 9/11 NP_853551.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RFC4ENST00000296273.7 linkuse as main transcriptc.841T>C p.Cys281Arg missense_variant 9/111 NM_002916.5 ENSP00000296273 P1P35249-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251430
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135880
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000879
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461586
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727116
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

MORIMOTO-RYU-MALICDAN NEUROMUSCULAR SYNDROME Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMNov 13, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Uncertain
0.13
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.34
T;T;T
Eigen
Uncertain
0.60
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Benign
0.49
N
LIST_S2
Benign
0.79
T;.;T
M_CAP
Benign
0.062
D
MetaRNN
Pathogenic
0.94
D;D;D
MetaSVM
Uncertain
-0.13
T
MutationAssessor
Pathogenic
3.3
M;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Pathogenic
-9.4
D;D;D
REVEL
Uncertain
0.55
Sift
Uncertain
0.0030
D;D;D
Sift4G
Uncertain
0.023
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.87
MutPred
0.80
Gain of disorder (P = 0.0217);Gain of disorder (P = 0.0217);.;
MVP
0.83
MPC
0.40
ClinPred
1.0
D
GERP RS
5.3
Varity_R
0.95
gMVP
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1232020982; hg19: chr3-186508156; API