4-154744334-A-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 4P and 10B. PM1PM2BP4_StrongBP6_ModerateBS1

The NM_004744.5(LRAT):ā€‹c.8A>Gā€‹(p.Asn3Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000843 in 1,614,064 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…).

Frequency

Genomes: š‘“ 0.00023 ( 0 hom., cov: 31)
Exomes š‘“: 0.000069 ( 1 hom. )

Consequence

LRAT
NM_004744.5 missense

Scores

2
17

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 1.59
Variant links:
Genes affected
LRAT (HGNC:6685): (lecithin retinol acyltransferase) The protein encoded by this gene localizes to the endoplasmic reticulum, where it catalyzes the esterification of all-trans-retinol into all-trans-retinyl ester. This reaction is an important step in vitamin A metabolism in the visual system. Mutations in this gene have been associated with early-onset severe retinal dystrophy and Leber congenital amaurosis 14. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

PM1
In a topological_domain Cytoplasmic (size 193) in uniprot entity LRAT_HUMAN there are 15 pathogenic changes around while only 3 benign (83%) in NM_004744.5
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.008615285).
BP6
Variant 4-154744334-A-G is Benign according to our data. Variant chr4-154744334-A-G is described in ClinVar as [Benign]. Clinvar id is 798159.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population amr. gnomad4 allele frequency = 0.00023 (35/152248) while in subpopulation AMR AF= 0.00222 (34/15298). AF 95% confidence interval is 0.00163. There are 0 homozygotes in gnomad4. There are 23 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LRATNM_004744.5 linkuse as main transcriptc.8A>G p.Asn3Ser missense_variant 2/3 ENST00000336356.4 NP_004735.2
LRATNM_001301645.2 linkuse as main transcriptc.8A>G p.Asn3Ser missense_variant 2/3 NP_001288574.1
LRATXM_047416405.1 linkuse as main transcriptc.8A>G p.Asn3Ser missense_variant 2/3 XP_047272361.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LRATENST00000336356.4 linkuse as main transcriptc.8A>G p.Asn3Ser missense_variant 2/31 NM_004744.5 ENSP00000337224 P1

Frequencies

GnomAD3 genomes
AF:
0.000230
AC:
35
AN:
152130
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00223
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:
0.00
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000326
AC:
82
AN:
251186
Hom.:
1
AF XY:
0.000221
AC XY:
30
AN XY:
135808
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00234
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:
0.000163
GnomAD4 exome
AF:
0.0000691
AC:
101
AN:
1461816
Hom.:
1
Cov.:
31
AF XY:
0.0000550
AC XY:
40
AN XY:
727198
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00224
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:
0.0000166
GnomAD4 genome
AF:
0.000230
AC:
35
AN:
152248
Hom.:
0
Cov.:
31
AF XY:
0.000309
AC XY:
23
AN XY:
74420
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00222
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.0000557
Hom.:
0
Bravo
AF:
0.000253
ExAC
AF:
0.000157
AC:
19

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 18, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
.;T;T
Eigen
Benign
-0.23
Eigen_PC
Benign
-0.12
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.82
T;.;T
M_CAP
Benign
0.0098
T
MetaRNN
Benign
0.0086
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.4
.;M;M
MutationTaster
Benign
0.89
N;N
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-1.4
N;N;N
REVEL
Benign
0.047
Sift
Benign
0.12
T;T;T
Sift4G
Benign
0.34
T;T;T
Polyphen
0.018
.;B;B
Vest4
0.11
MVP
0.51
MPC
0.53
ClinPred
0.087
T
GERP RS
4.0
Varity_R
0.087
gMVP
0.70

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs199634166; hg19: chr4-155665486; API