4-17486663-T-G

Position:

• chr4-17486663-T-G

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_Strong BP6_Very_Strong BA1

The NM_000320.3(QDPR):​c.*468A>C variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.656 in 187,164 control chromosomes in the GnomAD database, including 40,738 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

• Frequency:
  • Genomes: 𝑓 0.65 (32688 hom., cov: 33)
  • Exomes 𝑓: 0.67 (8050 hom.)
• Consequence: QDPR NM_000320.3 3_prime_UTR
• Clinical Significance: Benign criteria provided, multiple submitters, no conflicts B:2
• Conservation: PhyloP100: 0.769

Genes affected

QDPR (HGNC:9752): (quinoid dihydropteridine reductase) This gene encodes the enzyme dihydropteridine reductase, which catalyzes the NADH-mediated reduction of quinonoid dihydrobiopterin. This enzyme is an essential component of the pterin-dependent aromatic amino acid hydroxylating systems. Mutations in this gene resulting in QDPR deficiency include aberrant splicing, amino acid substitutions, insertions, or premature terminations. Dihydropteridine reductase deficiency presents as atypical phenylketonuria due to insufficient production of biopterin, a cofactor for phenylalanine hydroxylase. [provided by RefSeq, Jul 2008]

ACMG classification

Verdict is Benign. Variant got -20 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.92).
• BP6: Variant 4-17486663-T-G is Benign according to our data. Variant chr4-17486663-T-G is described in ClinVar as [Benign]. Clinvar id is 348142.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BA1: GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.747 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
QDPR	NM_000320.3	c.*468A>C		3_prime_UTR_variant	7/7	ENST00000281243.10
QDPR	NM_001306140.2	c.*468A>C		3_prime_UTR_variant	6/6
QDPR	NR_156494.2	n.1130A>C		non_coding_transcript_exon_variant	6/6

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
QDPR	ENST00000281243.10	c.*468A>C		3_prime_UTR_variant	7/7	1	NM_000320.3	P1

Frequencies

GnomAD3 genomes AF: 0.652 AC: 99075 AN: 152028 Hom.: 32660 Cov.: 33

Gnomad AFR AF: 0.566

Gnomad AMI AF: 0.661

Gnomad AMR AF: 0.602

Gnomad ASJ AF: 0.560

Gnomad EAS AF: 0.766

Gnomad SAS AF: 0.683

Gnomad FIN AF: 0.794

Gnomad MID AF: 0.706

Gnomad NFE AF: 0.686

Gnomad OTH AF: 0.648

GnomAD4 exome AF: 0.673 AC: 23563 AN: 35018 Hom.: 8050 Cov.: 0 AF XY: 0.676 AC XY: 12450 AN XY: 18414

Gnomad4 AFR exome AF: 0.579

Gnomad4 AMR exome AF: 0.557

Gnomad4 ASJ exome AF: 0.570

Gnomad4 EAS exome AF: 0.755

Gnomad4 SAS exome AF: 0.695

Gnomad4 FIN exome AF: 0.775

Gnomad4 NFE exome AF: 0.681

Gnomad4 OTH exome AF: 0.690

GnomAD4 genome AF: 0.652 AC: 99150 AN: 152146 Hom.: 32688 Cov.: 33 AF XY: 0.660 AC XY: 49074 AN XY: 74388

Gnomad4 AFR AF: 0.567

Gnomad4 AMR AF: 0.601

Gnomad4 ASJ AF: 0.560

Gnomad4 EAS AF: 0.767

Gnomad4 SAS AF: 0.683

Gnomad4 FIN AF: 0.794

Gnomad4 NFE AF: 0.686

Gnomad4 OTH AF: 0.649

Alfa AF: 0.671 Hom.: 27889

Bravo AF: 0.629

Asia WGS AF: 0.710 AC: 2470 AN: 3478

ClinVar

Significance: Benign

Submissions summary: Benign:2

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Dihydropteridine reductase deficiency Benign:1

Benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jan 12, 2018

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

not provided Benign:1

Benign, criteria provided, single submitter

not provided

Breakthrough Genomics, Breakthrough Genomics

-

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.92
CADD	Benign	9.1
DANN	Benign	0.41
RBP_binding_hub_radar		0.0
RBP_regulation_power_radar		0.98

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

Other links and lift over

dbSNP: rs699460; hg19: chr4-17488286;