3-52813453-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_002218.5(ITIH4):​c.2761G>A​(p.Val921Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000342 in 1,461,822 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

ITIH4
NM_002218.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.323
Variant links:
Genes affected
ITIH4 (HGNC:6169): (inter-alpha-trypsin inhibitor heavy chain 4) The protein encoded by this gene is secreted into the blood, where it is cleaved by plasma kallikrein into two smaller forms. Expression of this gene has been detected only in liver, and it seems to be upregulated during surgical trauma. This gene is part of a cluster of similar genes on chromosome 3. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.100078344).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ITIH4NM_002218.5 linkuse as main transcriptc.2761G>A p.Val921Met missense_variant 24/24 ENST00000266041.9 NP_002209.2 Q14624-1B7ZKJ8B2RMS9
ITIH4NM_001166449.2 linkuse as main transcriptc.2671G>A p.Val891Met missense_variant 22/22 NP_001159921.1 Q14624-3B7ZKJ8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ITIH4ENST00000266041.9 linkuse as main transcriptc.2761G>A p.Val921Met missense_variant 24/241 NM_002218.5 ENSP00000266041.4 Q14624-1
ENSG00000243696ENST00000468472.1 linkuse as main transcriptn.*4397G>A non_coding_transcript_exon_variant 24/242 ENSP00000422253.1 D6R8Y8
ENSG00000243696ENST00000468472.1 linkuse as main transcriptn.*4397G>A 3_prime_UTR_variant 24/242 ENSP00000422253.1 D6R8Y8

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250746
Hom.:
0
AF XY:
0.00000738
AC XY:
1
AN XY:
135584
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:
0.00000885
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000342
AC:
5
AN:
1461822
Hom.:
0
Cov.:
30
AF XY:
0.00000550
AC XY:
4
AN XY:
727210
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:
0.00000450
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
Alfa
AF:
0.0000193
Hom.:
0

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 03, 2022The c.2761G>A (p.V921M) alteration is located in exon 24 (coding exon 24) of the ITIH4 gene. This alteration results from a G to A substitution at nucleotide position 2761, causing the valine (V) at amino acid position 921 to be replaced by a methionine (M). 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
0.083
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
5.9
DANN
Uncertain
0.99
DEOGEN2
Benign
0.074
T;T;.
Eigen
Benign
-0.91
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.0012
N
LIST_S2
Benign
0.70
T;T;T
M_CAP
Benign
0.0094
T
MetaRNN
Benign
0.10
T;T;T
MetaSVM
Benign
-0.98
T
MutationAssessor
Benign
0.69
N;.;.
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.31
N;N;N
REVEL
Benign
0.080
Sift
Benign
0.032
D;D;T
Sift4G
Benign
0.099
T;T;T
Polyphen
0.029
B;P;.
Vest4
0.055
MutPred
0.49
.;Loss of catalytic residue at V926 (P = 0.0462);.;
MVP
0.26
MPC
0.78
ClinPred
0.34
T
GERP RS
-2.5
Varity_R
0.039
gMVP
0.12

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: rs1275719887; hg19: chr3-52847469; API