4-1983990-G-A

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_005663.5(NELFA):​c.1160C>T​(p.Thr387Met) variant causes a missense change. The variant allele was found at a frequency of 0.000191 in 1,609,876 control chromosomes in the GnomAD database, including 3 homozygotes. 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 Likely benign (★).

Frequency

Genomes: 𝑓 0.00031 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00018 ( 3 hom. )

Consequence

NELFA
NM_005663.5 missense

Scores

4
15

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 6.24
Variant links:
Genes affected
NELFA (HGNC:12768): (negative elongation factor complex member A) This gene is expressed ubiquitously with higher levels in fetal than in adult tissues. It encodes a protein sharing 93% sequence identity with the mouse protein. Wolf-Hirschhorn syndrome (WHS) is a malformation syndrome associated with a hemizygous deletion of the distal short arm of chromosome 4. This gene is mapped to the 165 kb WHS critical region, and may play a role in the phenotype of the WHS or Pitt-Rogers-Danks syndrome. The encoded protein is found to be capable of reacting with HLA-A2-restricted and tumor-specific cytotoxic T lymphocytes, suggesting a target for use in specific immunotherapy for a large number of cancer patients. This protein has also been shown to be a member of the NELF (negative elongation factor) protein complex that participates in the regulation of RNA polymerase II transcription elongation. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008180648).
BP6
Variant 4-1983990-G-A is Benign according to our data. Variant chr4-1983990-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 734801.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NELFANM_005663.5 linkc.1160C>T p.Thr387Met missense_variant 9/11 ENST00000382882.9 NP_005654.4 Q9H3P2-1A0A0C4DFX9
NELFAXM_017008589.3 linkc.1244C>T p.Thr415Met missense_variant 10/12 XP_016864078.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NELFAENST00000382882.9 linkc.1160C>T p.Thr387Met missense_variant 9/111 NM_005663.5 ENSP00000372335.4 Q9H3P2-1

Frequencies

GnomAD3 genomes
AF:
0.000289
AC:
44
AN:
152038
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00561
Gnomad SAS
AF:
0.000829
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000374
AC:
91
AN:
243110
Hom.:
1
AF XY:
0.000356
AC XY:
47
AN XY:
132064
show subpopulations
Gnomad AFR exome
AF:
0.000316
Gnomad AMR exome
AF:
0.0000872
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00351
Gnomad SAS exome
AF:
0.000459
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000274
Gnomad OTH exome
AF:
0.000335
GnomAD4 exome
AF:
0.000178
AC:
260
AN:
1457720
Hom.:
3
Cov.:
32
AF XY:
0.000183
AC XY:
133
AN XY:
725414
show subpopulations
Gnomad4 AFR exome
AF:
0.000119
Gnomad4 AMR exome
AF:
0.0000672
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00348
Gnomad4 SAS exome
AF:
0.000650
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000720
Gnomad4 OTH exome
AF:
0.000829
GnomAD4 genome
AF:
0.000309
AC:
47
AN:
152156
Hom.:
0
Cov.:
33
AF XY:
0.000323
AC XY:
24
AN XY:
74394
show subpopulations
Gnomad4 AFR
AF:
0.000120
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00562
Gnomad4 SAS
AF:
0.000622
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00234
Hom.:
74
Bravo
AF:
0.000393
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000404
AC:
49
Asia WGS
AF:
0.0160
AC:
55
AN:
3476
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

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

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.46
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Benign
0.030
T;T;T;.
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.15
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.78
.;T;T;T
M_CAP
Benign
0.057
D
MetaRNN
Benign
0.0082
T;T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
1.4
.;.;L;.
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-1.8
N;.;N;N
REVEL
Benign
0.070
Sift
Uncertain
0.013
D;.;D;D
Sift4G
Uncertain
0.026
D;D;D;D
Polyphen
0.033
.;.;B;.
Vest4
0.32
MVP
0.64
MPC
0.24
ClinPred
0.030
T
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.043
gMVP
0.22

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: rs2234573; hg19: chr4-1985717; COSMIC: COSV56391518; COSMIC: COSV56391518; API