4-1025103-G-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_001004356.3(FGFRL1):​c.1271G>T​(p.Arg424Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0216 in 1,610,698 control chromosomes in the GnomAD database, including 486 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R424C) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.017 ( 31 hom., cov: 34)
Exomes 𝑓: 0.022 ( 455 hom. )

Consequence

FGFRL1
NM_001004356.3 missense

Scores

1
4
13

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 2.83

Publications

10 publications found
Variant links:
Genes affected
FGFRL1 (HGNC:3693): (fibroblast growth factor receptor like 1) The protein encoded by this gene is a member of the fibroblast growth factor receptor (FGFR) family, where amino acid sequence is highly conserved between members and throughout evolution. FGFR family members differ from one another in their ligand affinities and tissue distribution. A full-length representative protein would consist of an extracellular region, composed of three immunoglobulin-like domains, a single hydrophobic membrane-spanning segment and a cytoplasmic tyrosine kinase domain. The extracellular portion of the protein interacts with fibroblast growth factors, setting in motion a cascade of downstream signals, ultimately influencing mitogenesis and differentiation. A marked difference between this gene product and the other family members is its lack of a cytoplasmic tyrosine kinase domain. The result is a transmembrane receptor that could interact with other family members and potentially inhibit signaling. Multiple alternatively spliced transcript variants encoding the same isoform have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0067801178).
BP6
Variant 4-1025103-G-T is Benign according to our data. Variant chr4-1025103-G-T is described in ClinVar as Benign. ClinVar VariationId is 1170311.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0174 (2656/152274) while in subpopulation NFE AF = 0.0243 (1653/67996). AF 95% confidence interval is 0.0233. There are 31 homozygotes in GnomAd4. There are 1377 alleles in the male GnomAd4 subpopulation. Median coverage is 34. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 31 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FGFRL1NM_001004356.3 linkc.1271G>T p.Arg424Leu missense_variant Exon 7 of 7 ENST00000510644.6 NP_001004356.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FGFRL1ENST00000510644.6 linkc.1271G>T p.Arg424Leu missense_variant Exon 7 of 7 1 NM_001004356.3 ENSP00000425025.1
FGFRL1ENST00000264748.6 linkc.1271G>T p.Arg424Leu missense_variant Exon 6 of 6 1 ENSP00000264748.6
FGFRL1ENST00000504138.5 linkc.1271G>T p.Arg424Leu missense_variant Exon 7 of 7 1 ENSP00000423091.1
FGFRL1ENST00000398484.6 linkc.1271G>T p.Arg424Leu missense_variant Exon 8 of 8 5 ENSP00000381498.2

Frequencies

GnomAD3 genomes
AF:
0.0175
AC:
2656
AN:
152156
Hom.:
31
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00480
Gnomad AMI
AF:
0.0702
Gnomad AMR
AF:
0.0158
Gnomad ASJ
AF:
0.00403
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00228
Gnomad FIN
AF:
0.0401
Gnomad MID
AF:
0.0253
Gnomad NFE
AF:
0.0243
Gnomad OTH
AF:
0.0191
GnomAD2 exomes
AF:
0.0183
AC:
4338
AN:
236502
AF XY:
0.0186
show subpopulations
Gnomad AFR exome
AF:
0.00534
Gnomad AMR exome
AF:
0.0110
Gnomad ASJ exome
AF:
0.00380
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0426
Gnomad NFE exome
AF:
0.0267
Gnomad OTH exome
AF:
0.0222
GnomAD4 exome
AF:
0.0221
AC:
32167
AN:
1458424
Hom.:
455
Cov.:
38
AF XY:
0.0216
AC XY:
15670
AN XY:
725412
show subpopulations
African (AFR)
AF:
0.00392
AC:
131
AN:
33438
American (AMR)
AF:
0.0116
AC:
517
AN:
44524
Ashkenazi Jewish (ASJ)
AF:
0.00422
AC:
110
AN:
26056
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39646
South Asian (SAS)
AF:
0.00208
AC:
179
AN:
86060
European-Finnish (FIN)
AF:
0.0397
AC:
2057
AN:
51786
Middle Eastern (MID)
AF:
0.0155
AC:
89
AN:
5750
European-Non Finnish (NFE)
AF:
0.0250
AC:
27812
AN:
1110930
Other (OTH)
AF:
0.0211
AC:
1271
AN:
60234
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
2272
4545
6817
9090
11362
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1016
2032
3048
4064
5080
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0174
AC:
2656
AN:
152274
Hom.:
31
Cov.:
34
AF XY:
0.0185
AC XY:
1377
AN XY:
74460
show subpopulations
African (AFR)
AF:
0.00479
AC:
199
AN:
41570
American (AMR)
AF:
0.0158
AC:
242
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00403
AC:
14
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5170
South Asian (SAS)
AF:
0.00228
AC:
11
AN:
4822
European-Finnish (FIN)
AF:
0.0401
AC:
426
AN:
10620
Middle Eastern (MID)
AF:
0.0238
AC:
7
AN:
294
European-Non Finnish (NFE)
AF:
0.0243
AC:
1653
AN:
67996
Other (OTH)
AF:
0.0189
AC:
40
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
142
284
427
569
711
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
32
64
96
128
160
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0165
Hom.:
17
Bravo
AF:
0.0161
TwinsUK
AF:
0.0154
AC:
57
ALSPAC
AF:
0.0249
AC:
96
ESP6500AA
AF:
0.00689
AC:
30
ESP6500EA
AF:
0.0263
AC:
223
ExAC
AF:
0.0178
AC:
2130

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Jan 15, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

FGFRL1-related disorder Benign:1
Mar 06, 2020
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.29
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Benign
0.20
T;T;T;T
Eigen
Benign
0.079
Eigen_PC
Benign
-0.034
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.77
.;.;.;T
MetaRNN
Benign
0.0068
T;T;T;T
MetaSVM
Benign
-0.72
T
MutationAssessor
Benign
1.8
L;L;L;L
PhyloP100
2.8
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-1.2
N;N;N;N
REVEL
Uncertain
0.31
Sift
Uncertain
0.0070
D;D;D;D
Sift4G
Benign
0.42
T;T;T;T
Polyphen
1.0
D;D;D;D
Vest4
0.12
MPC
0.68
ClinPred
0.017
T
GERP RS
3.5
Varity_R
0.17
gMVP
0.66
Mutation Taster
=99/1
polymorphism (auto)

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

Other links and lift over

dbSNP: rs4647931; hg19: chr4-1018891; COSMIC: COSV99063353; COSMIC: COSV99063353; API