3-193514699-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_032279.4(ATP13A4):​c.233C>A​(p.Thr78Lys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000000684 in 1,461,832 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

ATP13A4
NM_032279.4 missense, splice_region

Scores

7
7
5
Splicing: ADA: 0.9743
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.70
Variant links:
Genes affected
ATP13A4 (HGNC:25422): (ATPase 13A4) Predicted to enable ATPase-coupled cation transmembrane transporter activity. Predicted to be involved in cellular calcium ion homeostasis. Predicted to be located in endoplasmic reticulum membrane and endosome membrane. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.783

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATP13A4NM_032279.4 linkuse as main transcriptc.233C>A p.Thr78Lys missense_variant, splice_region_variant 2/30 ENST00000342695.9 NP_115655.2
ATP13A4XM_047449063.1 linkuse as main transcriptc.362C>A p.Thr121Lys missense_variant, splice_region_variant 4/32 XP_047305019.1
ATP13A4XM_017007319.2 linkuse as main transcriptc.362C>A p.Thr121Lys missense_variant, splice_region_variant 4/27 XP_016862808.2
ATP13A4XR_007095757.1 linkuse as main transcriptn.626C>A splice_region_variant, non_coding_transcript_exon_variant 4/26

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATP13A4ENST00000342695.9 linkuse as main transcriptc.233C>A p.Thr78Lys missense_variant, splice_region_variant 2/301 NM_032279.4 ENSP00000339182 P1Q4VNC1-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461832
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727204
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 GeneticsJan 31, 2023The c.233C>A (p.T78K) alteration is located in exon 2 (coding exon 2) of the ATP13A4 gene. This alteration results from a C to A substitution at nucleotide position 233, causing the threonine (T) at amino acid position 78 to be replaced by a lysine (K). 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
0.13
BayesDel_addAF
Pathogenic
0.16
D
BayesDel_noAF
Uncertain
0.0
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.032
T;T;.
Eigen
Pathogenic
0.80
Eigen_PC
Pathogenic
0.80
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.87
D;T;D
M_CAP
Benign
0.018
T
MetaRNN
Pathogenic
0.78
D;D;D
MetaSVM
Benign
-0.88
T
MutationAssessor
Pathogenic
3.1
.;M;M
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.55
T
PROVEAN
Pathogenic
-4.7
D;D;D
REVEL
Uncertain
0.32
Sift
Uncertain
0.0010
D;D;D
Sift4G
Uncertain
0.040
D;T;D
Polyphen
1.0
.;D;.
Vest4
0.71
MutPred
0.49
Gain of ubiquitination at T78 (P = 0.0114);Gain of ubiquitination at T78 (P = 0.0114);Gain of ubiquitination at T78 (P = 0.0114);
MVP
0.52
MPC
0.60
ClinPred
1.0
D
GERP RS
5.8
Varity_R
0.82
gMVP
0.62

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.97
dbscSNV1_RF
Pathogenic
0.73
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

No publications associated with this variant yet.

Other links and lift over

hg19: chr3-193232488; API