4-1983990-G-A
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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
NM_005663.5 missense
Scores
4
15
Clinical Significance
Conservation
PhyloP100: 6.24
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]
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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 |
---|---|---|---|---|---|---|---|---|
NELFA | NM_005663.5 | c.1160C>T | p.Thr387Met | missense_variant | 9/11 | ENST00000382882.9 | NP_005654.4 | |
NELFA | XM_017008589.3 | c.1244C>T | p.Thr415Met | missense_variant | 10/12 | XP_016864078.2 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000289 AC: 44AN: 152038Hom.: 0 Cov.: 33
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GnomAD3 exomes AF: 0.000374 AC: 91AN: 243110Hom.: 1 AF XY: 0.000356 AC XY: 47AN XY: 132064
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GnomAD4 exome AF: 0.000178 AC: 260AN: 1457720Hom.: 3 Cov.: 32 AF XY: 0.000183 AC XY: 133AN XY: 725414
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GnomAD4 genome AF: 0.000309 AC: 47AN: 152156Hom.: 0 Cov.: 33 AF XY: 0.000323 AC XY: 24AN XY: 74394
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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 submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Dec 31, 2019 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
T;T;T;.
Eigen
Benign
Eigen_PC
Benign
FATHMM_MKL
Uncertain
D
LIST_S2
Benign
.;T;T;T
M_CAP
Benign
D
MetaRNN
Benign
T;T;T;T
MetaSVM
Benign
T
MutationAssessor
Benign
.;.;L;.
PrimateAI
Benign
T
PROVEAN
Benign
N;.;N;N
REVEL
Benign
Sift
Uncertain
D;.;D;D
Sift4G
Uncertain
D;D;D;D
Polyphen
0.033
.;.;B;.
Vest4
MVP
MPC
ClinPred
T
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RBP_binding_hub_radar
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Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at