4-114839431-C-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_022569.3(NDST4):​c.2233G>A​(p.Gly745Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,448 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

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

Consequence

NDST4
NM_022569.3 missense

Scores

14
4
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.52
Variant links:
Genes affected
NDST4 (HGNC:20779): (N-deacetylase and N-sulfotransferase 4) Predicted to enable [heparan sulfate]-glucosamine N-sulfotransferase activity and deacetylase activity. Predicted to be involved in heparan sulfate proteoglycan biosynthetic process, polysaccharide chain biosynthetic process. Predicted to be located in Golgi membrane. Predicted to be integral component of membrane. Predicted to be active in Golgi apparatus. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.993

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NDST4NM_022569.3 linkuse as main transcriptc.2233G>A p.Gly745Arg missense_variant 11/14 ENST00000264363.7 NP_072091.1 Q9H3R1-1A8K0V5
NDST4XM_017008545.3 linkuse as main transcriptc.1096G>A p.Gly366Arg missense_variant 10/13 XP_016864034.1
NDST4XM_017008546.2 linkuse as main transcriptc.1096G>A p.Gly366Arg missense_variant 9/12 XP_016864035.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NDST4ENST00000264363.7 linkuse as main transcriptc.2233G>A p.Gly745Arg missense_variant 11/141 NM_022569.3 ENSP00000264363.2 Q9H3R1-1
NDST4ENST00000504854.1 linkuse as main transcriptn.*84G>A non_coding_transcript_exon_variant 10/131 ENSP00000423218.1 Q9H3R1-2
NDST4ENST00000504854.1 linkuse as main transcriptn.*84G>A 3_prime_UTR_variant 10/131 ENSP00000423218.1 Q9H3R1-2
NDST4ENST00000613194 linkuse as main transcriptc.*84G>A 3_prime_UTR_variant 12/155 ENSP00000483949.1 Q9H3R1-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461448
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727024
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:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000329
Hom.:
0
Bravo
AF:
0.00000756

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 04, 2022The c.2233G>A (p.G745R) alteration is located in exon 11 (coding exon 10) of the NDST4 gene. This alteration results from a G to A substitution at nucleotide position 2233, causing the glycine (G) at amino acid position 745 to be replaced by an arginine (R). 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
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.37
D
BayesDel_noAF
Pathogenic
0.30
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.87
D
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
0.99
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Pathogenic
1.0
D
M_CAP
Pathogenic
0.34
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Uncertain
0.53
D
MutationAssessor
Pathogenic
4.4
H
PrimateAI
Uncertain
0.76
T
PROVEAN
Pathogenic
-6.4
D
REVEL
Pathogenic
0.76
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0020
D
Polyphen
1.0
D
Vest4
0.99
MutPred
0.96
Gain of MoRF binding (P = 0.0218);
MVP
0.91
MPC
0.73
ClinPred
1.0
D
GERP RS
6.1
Varity_R
0.90
gMVP
0.93

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: rs1446583230; hg19: chr4-115760587; API