4-127803800-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_014278.4(HSPA4L):​c.835G>A​(p.Ala279Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000806 in 1,613,816 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000083 ( 3 hom. )

Consequence

HSPA4L
NM_014278.4 missense

Scores

6
2
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.12
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.15163434).
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HSPA4LNM_014278.4 linkuse as main transcriptc.835G>A p.Ala279Thr missense_variant 7/19 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.835G>A p.Ala279Thr missense_variant 7/191 NM_014278.4 ENSP00000296464.3 O95757
HSPA4LENST00000508549.5 linkuse as main transcriptc.712G>A p.Ala238Thr missense_variant 6/131 ENSP00000427305.1 D6RJ96
HSPA4LENST00000508776.5 linkuse as main transcriptc.835G>A p.Ala279Thr missense_variant 8/202 ENSP00000422482.1 O95757
HSPA4LENST00000505726.1 linkuse as main transcriptc.757G>A p.Ala253Thr missense_variant 7/192 ENSP00000425645.1 E9PDE8

Frequencies

GnomAD3 genomes
AF:
0.0000592
AC:
9
AN:
152150
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000155
AC:
39
AN:
251130
Hom.:
1
AF XY:
0.000162
AC XY:
22
AN XY:
135738
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000947
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000881
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000828
AC:
121
AN:
1461548
Hom.:
3
Cov.:
32
AF XY:
0.000109
AC XY:
79
AN XY:
727078
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:
0.000812
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.0000414
Gnomad4 OTH exome
AF:
0.0000662
GnomAD4 genome
AF:
0.0000591
AC:
9
AN:
152268
Hom.:
0
Cov.:
32
AF XY:
0.0000537
AC XY:
4
AN XY:
74454
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000414
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.0000333
Hom.:
0
Bravo
AF:
0.0000151
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.000206
AC:
25

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 GeneticsApr 23, 2024The c.835G>A (p.A279T) alteration is located in exon 7 (coding exon 7) of the HSPA4L gene. This alteration results from a G to A substitution at nucleotide position 835, causing the alanine (A) at amino acid position 279 to be replaced by a threonine (T). 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
0.73
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.20
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.14
T;T;T;T
Eigen
Pathogenic
0.73
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
.;D;D;D
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.15
T;T;T;T
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
1.4
L;L;.;.
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-2.7
D;D;D;D
REVEL
Benign
0.29
Sift
Benign
0.093
T;T;D;D
Sift4G
Benign
0.087
T;T;T;T
Polyphen
1.0
D;D;.;D
Vest4
0.84
MutPred
0.65
Loss of helix (P = 0.079);Loss of helix (P = 0.079);.;.;
MVP
0.65
MPC
0.59
ClinPred
0.22
T
GERP RS
4.9
Varity_R
0.54
gMVP
0.66

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: rs200996353; hg19: chr4-128724955; API