4-73484340-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001133.2(AFM):ā€‹c.220A>Gā€‹(p.Lys74Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000685 in 1,460,750 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

AFM
NM_001133.2 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.910
Variant links:
Genes affected
AFM (HGNC:316): (afamin) This gene is a member of the albumin gene family, which is comprised of four genes that localize to chromosome 4 in a tandem arrangement. These four genes encode structurally-related serum transport proteins that are known to be evolutionarily related. The protein encoded by this gene is regulated developmentally, expressed in the liver and secreted into the bloodstream. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.20973441).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AFMNM_001133.2 linkuse as main transcriptc.220A>G p.Lys74Glu missense_variant 3/15 ENST00000226355.5 NP_001124.1 P43652
AFMXM_017007842.3 linkuse as main transcriptc.220A>G p.Lys74Glu missense_variant 3/13 XP_016863331.1
AFMXM_017007843.3 linkuse as main transcriptc.220A>G p.Lys74Glu missense_variant 3/11 XP_016863332.1
AFMXM_017007844.3 linkuse as main transcriptc.220A>G p.Lys74Glu missense_variant 3/11 XP_016863333.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AFMENST00000226355.5 linkuse as main transcriptc.220A>G p.Lys74Glu missense_variant 3/151 NM_001133.2 ENSP00000226355.3 P43652

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.85e-7
AC:
1
AN:
1460750
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
726690
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32

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 GeneticsOct 29, 2024The c.220A>G (p.K74E) alteration is located in exon 3 (coding exon 3) of the AFM gene. This alteration results from a A to G substitution at nucleotide position 220, causing the lysine (K) at amino acid position 74 to be replaced by a glutamic acid (E). 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
0.18
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
17
DANN
Benign
0.95
DEOGEN2
Benign
0.020
T
Eigen
Benign
-0.25
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.042
N
LIST_S2
Benign
0.49
T
M_CAP
Benign
0.0063
T
MetaRNN
Benign
0.21
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.99
N
REVEL
Benign
0.091
Sift
Benign
0.20
T
Sift4G
Benign
0.26
T
Polyphen
0.90
P
Vest4
0.21
MutPred
0.59
Loss of ubiquitination at K74 (P = 0.021);
MVP
0.44
MPC
0.037
ClinPred
0.35
T
GERP RS
3.9
Varity_R
0.31
gMVP
0.40

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr4-74350057; API