4-2988819-A-G

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_182982.3(GRK4):ā€‹c.241A>Gā€‹(p.Ile81Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000648 in 1,607,408 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0011 ( 1 hom., cov: 32)
Exomes š‘“: 0.00060 ( 3 hom. )

Consequence

GRK4
NM_182982.3 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.20
Variant links:
Genes affected
GRK4 (HGNC:4543): (G protein-coupled receptor kinase 4) This gene encodes a member of the guanine nucleotide-binding protein (G protein)-coupled receptor kinase subfamily of the Ser/Thr protein kinase family. The protein phosphorylates the activated forms of G protein-coupled receptors thus initiating its deactivation. This gene has been linked to both genetic and acquired hypertension. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2013]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008204997).
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
GRK4NM_182982.3 linkuse as main transcriptc.241A>G p.Ile81Val missense_variant 3/16 ENST00000398052.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
GRK4ENST00000398052.9 linkuse as main transcriptc.241A>G p.Ile81Val missense_variant 3/161 NM_182982.3 P1P32298-1
GRK4ENST00000345167.10 linkuse as main transcriptc.145A>G p.Ile49Val missense_variant 2/151 P32298-2
GRK4ENST00000504933.1 linkuse as main transcriptc.241A>G p.Ile81Val missense_variant 3/151 P32298-4
GRK4ENST00000398051.8 linkuse as main transcriptc.145A>G p.Ile49Val missense_variant 2/141 P32298-3

Frequencies

GnomAD3 genomes
AF:
0.00108
AC:
164
AN:
152180
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00125
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00353
Gnomad ASJ
AF:
0.000289
Gnomad EAS
AF:
0.000577
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000706
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000827
AC:
208
AN:
251400
Hom.:
1
AF XY:
0.000802
AC XY:
109
AN XY:
135874
show subpopulations
Gnomad AFR exome
AF:
0.000677
Gnomad AMR exome
AF:
0.00286
Gnomad ASJ exome
AF:
0.000595
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.000677
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.000600
AC:
873
AN:
1455110
Hom.:
3
Cov.:
27
AF XY:
0.000594
AC XY:
430
AN XY:
724366
show subpopulations
Gnomad4 AFR exome
AF:
0.000870
Gnomad4 AMR exome
AF:
0.00277
Gnomad4 ASJ exome
AF:
0.000345
Gnomad4 EAS exome
AF:
0.000151
Gnomad4 SAS exome
AF:
0.000163
Gnomad4 FIN exome
AF:
0.0000563
Gnomad4 NFE exome
AF:
0.000492
Gnomad4 OTH exome
AF:
0.00191
GnomAD4 genome
AF:
0.00110
AC:
168
AN:
152298
Hom.:
1
Cov.:
32
AF XY:
0.00114
AC XY:
85
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.00125
Gnomad4 AMR
AF:
0.00353
Gnomad4 ASJ
AF:
0.000289
Gnomad4 EAS
AF:
0.000579
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.000706
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.000968
Hom.:
0
Bravo
AF:
0.00133
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000585
AC:
71
Asia WGS
AF:
0.0150
AC:
52
AN:
3478
EpiCase
AF:
0.000600
EpiControl
AF:
0.000771

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 19, 2022The c.241A>G (p.I81V) alteration is located in exon 3 (coding exon 3) of the GRK4 gene. This alteration results from a A to G substitution at nucleotide position 241, causing the isoleucine (I) at amino acid position 81 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.64
CADD
Benign
0.56
DANN
Benign
0.49
DEOGEN2
Benign
0.089
.;T;.;.
Eigen
Benign
-0.88
Eigen_PC
Benign
-0.83
FATHMM_MKL
Benign
0.54
D
LIST_S2
Benign
0.74
T;T;T;T
M_CAP
Benign
0.0034
T
MetaRNN
Benign
0.0082
T;T;T;T
MetaSVM
Benign
-0.87
T
MutationAssessor
Benign
1.4
.;L;.;L
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-0.62
N;N;N;N
REVEL
Benign
0.076
Sift
Benign
0.57
T;T;T;T
Sift4G
Benign
0.53
T;T;T;T
Polyphen
0.056
B;B;B;B
Vest4
0.12
MVP
0.16
MPC
0.063
ClinPred
0.00083
T
GERP RS
1.7
Varity_R
0.15
gMVP
0.19

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs142548315; hg19: chr4-2990546; API