4-127801196-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_014278.4(HSPA4L):​c.488C>T​(p.Ala163Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,460,608 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

HSPA4L
NM_014278.4 missense

Scores

4
9
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.21
Variant links:
Genes affected
HSPA4L (HGNC:17041): (heat shock protein family A (Hsp70) member 4 like) The protein encoded by this gene is heat shock inducible and may act as a chaperone. The encoded protein can protect the heat-shocked cell against the harmful effects of aggregated proteins. This gene is highly expressed in leukemia cells and may be a good target for therapeutic intervention. Several transcripts encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.839

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HSPA4LNM_014278.4 linkuse as main transcriptc.488C>T p.Ala163Val missense_variant 5/19 ENST00000296464.9 NP_055093.2 O95757A0A140VKE7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HSPA4LENST00000296464.9 linkuse as main transcriptc.488C>T p.Ala163Val missense_variant 5/191 NM_014278.4 ENSP00000296464.3 O95757
HSPA4LENST00000508549.5 linkuse as main transcriptc.365C>T p.Ala122Val missense_variant 4/131 ENSP00000427305.1 D6RJ96
HSPA4LENST00000508776.5 linkuse as main transcriptc.488C>T p.Ala163Val missense_variant 6/202 ENSP00000422482.1 O95757
HSPA4LENST00000505726.1 linkuse as main transcriptc.410C>T p.Ala137Val missense_variant 5/192 ENSP00000425645.1 E9PDE8

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000800
AC:
2
AN:
249980
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135132
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000582
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1460608
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
726636
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000449
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.0000165
AC:
2

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 GeneticsSep 11, 2024The c.488C>T (p.A163V) alteration is located in exon 5 (coding exon 5) of the HSPA4L gene. This alteration results from a C to T substitution at nucleotide position 488, causing the alanine (A) at amino acid position 163 to be replaced by a valine (V). 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
Uncertain
0.36
BayesDel_addAF
Uncertain
0.096
D
BayesDel_noAF
Uncertain
0.080
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T;T;T;T
Eigen
Pathogenic
0.83
Eigen_PC
Pathogenic
0.78
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.91
.;D;D;D
M_CAP
Benign
0.0036
T
MetaRNN
Pathogenic
0.84
D;D;D;D
MetaSVM
Benign
-1.2
T
MutationAssessor
Pathogenic
3.1
M;M;.;.
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-3.0
D;D;D;D
REVEL
Uncertain
0.41
Sift
Benign
0.21
T;T;T;T
Sift4G
Benign
0.13
T;T;T;T
Polyphen
1.0
D;D;.;D
Vest4
0.98
MutPred
0.84
Loss of sheet (P = 0.302);Loss of sheet (P = 0.302);.;.;
MVP
0.69
MPC
0.58
ClinPred
0.99
D
GERP RS
5.2
Varity_R
0.56
gMVP
0.84

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs769231787; hg19: chr4-128722351; API