4-168878233-A-ACCG

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 1P and 16B. PM4_SupportingBP6_Very_StrongBS1BS2

The ENST00000507735.6(PALLD):​c.347_349dup​(p.Pro116dup) variant causes a inframe insertion change. The variant allele was found at a frequency of 0.00166 in 1,497,616 control chromosomes in the GnomAD database, including 36 homozygotes. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0099 ( 19 hom., cov: 32)
Exomes 𝑓: 0.00080 ( 17 hom. )

Consequence

PALLD
ENST00000507735.6 inframe_insertion

Scores

Not classified

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 5.32
Variant links:
Genes affected
PALLD (HGNC:17068): (palladin, cytoskeletal associated protein) This gene encodes a cytoskeletal protein that is required for organizing the actin cytoskeleton. The protein is a component of actin-containing microfilaments, and it is involved in the control of cell shape, adhesion, and contraction. Polymorphisms in this gene are associated with a susceptibility to pancreatic cancer type 1, and also with a risk for myocardial infarction. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2009]
CBR4 (HGNC:25891): (carbonyl reductase 4) Enables several functions, including 3-oxoacyl-[acyl-carrier-protein] reductase (NADPH) activity; NADPH binding activity; and NADPH dehydrogenase (quinone) activity. Involved in fatty acid biosynthetic process; glycoside metabolic process; and protein tetramerization. Located in mitochondrial matrix. Part of oxidoreductase complex. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

PM4
Nonframeshift variant in NON repetitive region in ENST00000507735.6. Strenght limited to Supporting due to length of the change: 1aa.
BP6
Variant 4-168878233-A-ACCG is Benign according to our data. Variant chr4-168878233-A-ACCG is described in ClinVar as [Benign]. Clinvar id is 416233.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00987 (1399/141794) while in subpopulation AFR AF= 0.0346 (1304/37698). AF 95% confidence interval is 0.033. There are 19 homozygotes in gnomad4. There are 668 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High AC in GnomAd4 at 1399 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PALLDNM_001166108.2 linkuse as main transcriptc.1965-12684_1965-12682dup intron_variant ENST00000505667.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PALLDENST00000505667.6 linkuse as main transcriptc.1965-12684_1965-12682dup intron_variant 1 NM_001166108.2 A2Q8WX93-9

Frequencies

GnomAD3 genomes
AF:
0.00983
AC:
1393
AN:
141710
Hom.:
19
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0345
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00451
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000240
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000260
Gnomad OTH
AF:
0.00669
GnomAD3 exomes
AF:
0.00111
AC:
127
AN:
113988
Hom.:
5
AF XY:
0.000715
AC XY:
45
AN XY:
62916
show subpopulations
Gnomad AFR exome
AF:
0.0256
Gnomad AMR exome
AF:
0.00116
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000489
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000702
Gnomad OTH exome
AF:
0.00172
GnomAD4 exome
AF:
0.000800
AC:
1084
AN:
1355822
Hom.:
17
Cov.:
46
AF XY:
0.000670
AC XY:
448
AN XY:
669068
show subpopulations
Gnomad4 AFR exome
AF:
0.0297
Gnomad4 AMR exome
AF:
0.00174
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000520
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000347
Gnomad4 OTH exome
AF:
0.00208
GnomAD4 genome
AF:
0.00987
AC:
1399
AN:
141794
Hom.:
19
Cov.:
32
AF XY:
0.00970
AC XY:
668
AN XY:
68884
show subpopulations
Gnomad4 AFR
AF:
0.0346
Gnomad4 AMR
AF:
0.00450
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000240
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000260
Gnomad4 OTH
AF:
0.00663
Alfa
AF:
0.00554
Hom.:
0
Asia WGS
AF:
0.00145
AC:
5
AN:
3466

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Pancreatic adenocarcinoma Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeJan 27, 2024- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
PALLD-related disorder Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesOct 10, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs200020758; hg19: chr4-169799384; API