3-52814021-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_002218.5(ITIH4):​c.2677G>A​(p.Gly893Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00574 in 1,613,802 control chromosomes in the GnomAD database, including 62 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0039 ( 3 hom., cov: 32)
Exomes 𝑓: 0.0059 ( 59 hom. )

Consequence

ITIH4
NM_002218.5 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.239
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 Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0028267205).
BP6
Variant 3-52814021-C-T is Benign according to our data. Variant chr3-52814021-C-T is described in ClinVar as [Benign]. Clinvar id is 776472.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.00593 (8669/1461500) while in subpopulation SAS AF= 0.0177 (1526/86202). AF 95% confidence interval is 0.017. There are 59 homozygotes in gnomad4_exome. There are 4599 alleles in male gnomad4_exome subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ITIH4NM_002218.5 linkuse as main transcriptc.2677G>A p.Gly893Ser missense_variant 23/24 ENST00000266041.9 NP_002209.2
ITIH4NM_001166449.2 linkuse as main transcriptc.2587G>A p.Gly863Ser missense_variant 21/22 NP_001159921.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ITIH4ENST00000266041.9 linkuse as main transcriptc.2677G>A p.Gly893Ser missense_variant 23/241 NM_002218.5 ENSP00000266041 P2Q14624-1

Frequencies

GnomAD3 genomes
AF:
0.00394
AC:
599
AN:
152184
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00111
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00373
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.0155
Gnomad FIN
AF:
0.00264
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00553
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00522
AC:
1306
AN:
250400
Hom.:
11
AF XY:
0.00601
AC XY:
814
AN XY:
135450
show subpopulations
Gnomad AFR exome
AF:
0.00117
Gnomad AMR exome
AF:
0.00214
Gnomad ASJ exome
AF:
0.00169
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.0177
Gnomad FIN exome
AF:
0.00241
Gnomad NFE exome
AF:
0.00513
Gnomad OTH exome
AF:
0.00343
GnomAD4 exome
AF:
0.00593
AC:
8669
AN:
1461500
Hom.:
59
Cov.:
32
AF XY:
0.00633
AC XY:
4599
AN XY:
727028
show subpopulations
Gnomad4 AFR exome
AF:
0.000747
Gnomad4 AMR exome
AF:
0.00215
Gnomad4 ASJ exome
AF:
0.00161
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0177
Gnomad4 FIN exome
AF:
0.00227
Gnomad4 NFE exome
AF:
0.00585
Gnomad4 OTH exome
AF:
0.00545
GnomAD4 genome
AF:
0.00392
AC:
597
AN:
152302
Hom.:
3
Cov.:
32
AF XY:
0.00406
AC XY:
302
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.00111
Gnomad4 AMR
AF:
0.00373
Gnomad4 ASJ
AF:
0.00202
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.0153
Gnomad4 FIN
AF:
0.00264
Gnomad4 NFE
AF:
0.00551
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00436
Hom.:
7
Bravo
AF:
0.00313
TwinsUK
AF:
0.00458
AC:
17
ALSPAC
AF:
0.00493
AC:
19
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00558
AC:
48
ExAC
AF:
0.00577
AC:
700
Asia WGS
AF:
0.00549
AC:
19
AN:
3478
EpiCase
AF:
0.00453
EpiControl
AF:
0.00587

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJun 06, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
0.36
DANN
Benign
0.43
DEOGEN2
Benign
0.035
T;T;.
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.0024
N
LIST_S2
Benign
0.57
T;T;T
MetaRNN
Benign
0.0028
T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
-1.7
N;.;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Benign
0.25
T
PROVEAN
Benign
1.1
N;N;N
REVEL
Benign
0.022
Sift
Benign
1.0
T;T;T
Sift4G
Benign
0.80
T;T;T
Polyphen
0.0
B;B;.
Vest4
0.057
MVP
0.32
MPC
0.27
ClinPred
0.00027
T
GERP RS
-0.98
Varity_R
0.031
gMVP
0.16

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs151083454; hg19: chr3-52848037; API