4-119502654-A-G

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_ModerateBP6_ModerateBS2

The NM_001083.4(PDE5A):​c.2333T>C​(p.Ile778Thr) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00279 in 1,591,628 control chromosomes in the GnomAD database, including 14 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.0015 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0029 ( 14 hom. )

Consequence

PDE5A
NM_001083.4 missense, splice_region

Scores

4
7
7
Splicing: ADA: 0.7615
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 8.32

Publications

8 publications found
Variant links:
Genes affected
PDE5A (HGNC:8784): (phosphodiesterase 5A) This gene encodes a cGMP-binding, cGMP-specific phosphodiesterase, a member of the cyclic nucleotide phosphodiesterase family. This phosphodiesterase specifically hydrolyzes cGMP to 5'-GMP. It is involved in the regulation of intracellular concentrations of cyclic nucleotides and is important for smooth muscle relaxation in the cardiovascular system. Alternative splicing of this gene results in three transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17800876).
BP6
Variant 4-119502654-A-G is Benign according to our data. Variant chr4-119502654-A-G is described in ClinVar as Likely_benign. ClinVar VariationId is 779419.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 14 gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001083.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PDE5A
NM_001083.4
MANE Select
c.2333T>Cp.Ile778Thr
missense splice_region
Exon 19 of 21NP_001074.2O76074-1
PDE5A
NM_033430.3
c.2207T>Cp.Ile736Thr
missense splice_region
Exon 19 of 21NP_236914.2O76074-2
PDE5A
NM_033437.4
c.2177T>Cp.Ile726Thr
missense splice_region
Exon 19 of 21NP_246273.2G5E9C5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PDE5A
ENST00000354960.8
TSL:1 MANE Select
c.2333T>Cp.Ile778Thr
missense splice_region
Exon 19 of 21ENSP00000347046.3O76074-1
PDE5A
ENST00000264805.9
TSL:1
c.2207T>Cp.Ile736Thr
missense splice_region
Exon 19 of 21ENSP00000264805.5O76074-2
PDE5A
ENST00000925607.1
c.2330T>Cp.Ile777Thr
missense splice_region
Exon 19 of 21ENSP00000595666.1

Frequencies

GnomAD3 genomes
AF:
0.00147
AC:
223
AN:
152154
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000507
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00105
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00269
Gnomad OTH
AF:
0.000956
GnomAD2 exomes
AF:
0.00133
AC:
328
AN:
247158
AF XY:
0.00142
show subpopulations
Gnomad AFR exome
AF:
0.000618
Gnomad AMR exome
AF:
0.000708
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000140
Gnomad NFE exome
AF:
0.00240
Gnomad OTH exome
AF:
0.000167
GnomAD4 exome
AF:
0.00293
AC:
4224
AN:
1439356
Hom.:
14
Cov.:
26
AF XY:
0.00286
AC XY:
2053
AN XY:
716966
show subpopulations
African (AFR)
AF:
0.000638
AC:
21
AN:
32900
American (AMR)
AF:
0.000840
AC:
37
AN:
44068
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25898
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39472
South Asian (SAS)
AF:
0.000800
AC:
68
AN:
85032
European-Finnish (FIN)
AF:
0.000227
AC:
12
AN:
52946
Middle Eastern (MID)
AF:
0.000175
AC:
1
AN:
5712
European-Non Finnish (NFE)
AF:
0.00355
AC:
3888
AN:
1093786
Other (OTH)
AF:
0.00331
AC:
197
AN:
59542
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
171
342
514
685
856
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
154
308
462
616
770
<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:
0.00146
AC:
223
AN:
152272
Hom.:
0
Cov.:
32
AF XY:
0.00132
AC XY:
98
AN XY:
74460
show subpopulations
African (AFR)
AF:
0.000505
AC:
21
AN:
41570
American (AMR)
AF:
0.00105
AC:
16
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00269
AC:
183
AN:
68010
Other (OTH)
AF:
0.000946
AC:
2
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
10
20
29
39
49
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00206
Hom.:
6
Bravo
AF:
0.00146
TwinsUK
AF:
0.00351
AC:
13
ALSPAC
AF:
0.00389
AC:
15
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00361
AC:
31
ExAC
AF:
0.00122
AC:
148
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00240
EpiControl
AF:
0.00273

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Uncertain
0.057
T
BayesDel_noAF
Pathogenic
0.31
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.46
T
Eigen
Uncertain
0.63
Eigen_PC
Pathogenic
0.70
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.84
T
M_CAP
Benign
0.052
D
MetaRNN
Benign
0.18
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
0.87
L
PhyloP100
8.3
PrimateAI
Uncertain
0.77
T
PROVEAN
Uncertain
-3.0
D
REVEL
Pathogenic
0.72
Sift
Benign
0.034
D
Sift4G
Uncertain
0.037
D
Polyphen
0.87
P
Vest4
0.93
MVP
0.93
MPC
1.2
ClinPred
0.087
T
GERP RS
6.1
Varity_R
0.69
gMVP
0.60
Mutation Taster
=62/38
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.76
dbscSNV1_RF
Benign
0.56
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: rs114886951; hg19: chr4-120423809; COSMIC: COSV53351095; COSMIC: COSV53351095; API