4-127801834-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_014278.4(HSPA4L):​c.579G>T​(p.Glu193Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000223 in 1,611,006 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000024 ( 0 hom. )

Consequence

HSPA4L
NM_014278.4 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.12
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 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.2741431).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HSPA4LNM_014278.4 linkuse as main transcriptc.579G>T p.Glu193Asp missense_variant 6/19 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.579G>T p.Glu193Asp missense_variant 6/191 NM_014278.4 ENSP00000296464.3 O95757
HSPA4LENST00000508549.5 linkuse as main transcriptc.456G>T p.Glu152Asp missense_variant 5/131 ENSP00000427305.1 D6RJ96
HSPA4LENST00000508776.5 linkuse as main transcriptc.579G>T p.Glu193Asp missense_variant 7/202 ENSP00000422482.1 O95757
HSPA4LENST00000505726.1 linkuse as main transcriptc.501G>T p.Glu167Asp missense_variant 6/192 ENSP00000425645.1 E9PDE8

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152038
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000240
AC:
35
AN:
1458968
Hom.:
0
Cov.:
28
AF XY:
0.0000234
AC XY:
17
AN XY:
725860
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:
0.0000315
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
152038
Hom.:
0
Cov.:
31
AF XY:
0.0000135
AC XY:
1
AN XY:
74246
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000990
Hom.:
0
Bravo
AF:
0.0000113

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 GeneticsNov 03, 2022The c.579G>T (p.E193D) alteration is located in exon 6 (coding exon 6) of the HSPA4L gene. This alteration results from a G to T substitution at nucleotide position 579, causing the glutamic acid (E) at amino acid position 193 to be replaced by an aspartic acid (D). 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
Benign
0.16
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.093
T;T;T;T
Eigen
Uncertain
0.39
Eigen_PC
Uncertain
0.36
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Pathogenic
0.97
.;D;D;D
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.27
T;T;T;T
MetaSVM
Benign
-0.87
T
MutationAssessor
Benign
1.7
L;L;.;.
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.5
N;N;N;N
REVEL
Benign
0.19
Sift
Benign
0.21
T;T;T;T
Sift4G
Benign
0.23
T;T;T;T
Polyphen
1.0
D;D;.;D
Vest4
0.48
MutPred
0.35
Loss of methylation at K194 (P = 0.0794);Loss of methylation at K194 (P = 0.0794);.;.;
MVP
0.61
MPC
0.33
ClinPred
0.96
D
GERP RS
4.0
Varity_R
0.21
gMVP
0.40

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: rs759538186; hg19: chr4-128722989; API