4-78466310-A-G

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_025074.7(FRAS1):​c.7132A>G​(p.Lys2378Glu) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.994 in 1,613,966 control chromosomes in the GnomAD database, including 797,199 homozygotes. In-silico tool predicts a benign outcome for this variant. 10/17 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.97 ( 72262 hom., cov: 31)
Exomes 𝑓: 1.0 ( 724937 hom. )

Consequence

FRAS1
NM_025074.7 missense

Scores

1
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 7.76

Publications

26 publications found
Variant links:
Genes affected
FRAS1 (HGNC:19185): (Fraser extracellular matrix complex subunit 1) This gene encodes an extracellular matrix protein that appears to function in the regulation of epidermal-basement membrane adhesion and organogenesis during development. Mutations in this gene cause Fraser syndrome, a multisystem malformation that can include craniofacial, urogenital and respiratory system abnormalities. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2009]
FRAS1 Gene-Disease associations (from GenCC):
  • Fraser syndrome
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • Fraser syndrome 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • renal agenesis, unilateral
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.345344E-6).
BP6
Variant 4-78466310-A-G is Benign according to our data. Variant chr4-78466310-A-G is described in ClinVar as Benign. ClinVar VariationId is 261813.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.992 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_025074.7. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FRAS1
NM_025074.7
MANE Select
c.7132A>Gp.Lys2378Glu
missense
Exon 50 of 74NP_079350.5

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FRAS1
ENST00000512123.4
TSL:5 MANE Select
c.7132A>Gp.Lys2378Glu
missense
Exon 50 of 74ENSP00000422834.2
FRAS1
ENST00000682513.1
c.7132A>Gp.Lys2378Glu
missense
Exon 50 of 64ENSP00000508201.1

Frequencies

GnomAD3 genomes
AF:
0.974
AC:
148148
AN:
152168
Hom.:
72207
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.913
Gnomad AMI
AF:
1.00
Gnomad AMR
AF:
0.985
Gnomad ASJ
AF:
0.991
Gnomad EAS
AF:
1.00
Gnomad SAS
AF:
1.00
Gnomad FIN
AF:
1.00
Gnomad MID
AF:
0.972
Gnomad NFE
AF:
0.998
Gnomad OTH
AF:
0.982
GnomAD2 exomes
AF:
0.991
AC:
247031
AN:
249202
AF XY:
0.993
show subpopulations
Gnomad AFR exome
AF:
0.904
Gnomad AMR exome
AF:
0.990
Gnomad ASJ exome
AF:
0.989
Gnomad EAS exome
AF:
1.00
Gnomad FIN exome
AF:
1.00
Gnomad NFE exome
AF:
0.998
Gnomad OTH exome
AF:
0.994
GnomAD4 exome
AF:
0.996
AC:
1455619
AN:
1461680
Hom.:
724937
Cov.:
54
AF XY:
0.996
AC XY:
724433
AN XY:
727120
show subpopulations
African (AFR)
AF:
0.908
AC:
30383
AN:
33476
American (AMR)
AF:
0.989
AC:
44235
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.989
AC:
25844
AN:
26136
East Asian (EAS)
AF:
1.00
AC:
39696
AN:
39696
South Asian (SAS)
AF:
1.00
AC:
86243
AN:
86254
European-Finnish (FIN)
AF:
1.00
AC:
53401
AN:
53402
Middle Eastern (MID)
AF:
0.988
AC:
5695
AN:
5766
European-Non Finnish (NFE)
AF:
0.999
AC:
1110319
AN:
1111854
Other (OTH)
AF:
0.991
AC:
59803
AN:
60372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
Heterozygous variant carriers
0
309
618
927
1236
1545
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
21670
43340
65010
86680
108350
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.974
AC:
148262
AN:
152286
Hom.:
72262
Cov.:
31
AF XY:
0.974
AC XY:
72537
AN XY:
74464
show subpopulations
African (AFR)
AF:
0.913
AC:
37949
AN:
41546
American (AMR)
AF:
0.985
AC:
15071
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.991
AC:
3438
AN:
3468
East Asian (EAS)
AF:
1.00
AC:
5180
AN:
5180
South Asian (SAS)
AF:
1.00
AC:
4815
AN:
4816
European-Finnish (FIN)
AF:
1.00
AC:
10614
AN:
10616
Middle Eastern (MID)
AF:
0.969
AC:
285
AN:
294
European-Non Finnish (NFE)
AF:
0.998
AC:
67922
AN:
68042
Other (OTH)
AF:
0.982
AC:
2078
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
190
380
571
761
951
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
914
1828
2742
3656
4570
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.991
Hom.:
215845
Bravo
AF:
0.969
TwinsUK
AF:
0.998
AC:
3702
ALSPAC
AF:
0.998
AC:
3847
ESP6500AA
AF:
0.915
AC:
3940
ESP6500EA
AF:
0.997
AC:
8493
ExAC
AF:
0.990
AC:
119892
Asia WGS
AF:
0.993
AC:
3453
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Nov 09, 2016
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not provided Benign:3
Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Fraser syndrome 1 Benign:3
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

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.

Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.046
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
21
DANN
Uncertain
0.99
Eigen
Benign
-0.52
Eigen_PC
Benign
-0.22
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.072
T
MetaRNN
Benign
0.0000013
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
-1.2
N
PhyloP100
7.8
PrimateAI
Benign
0.47
T
Sift4G
Benign
0.74
T
Vest4
0.034
ClinPred
0.026
T
GERP RS
5.5
gMVP
0.19
Mutation Taster
=96/4
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs7684722; hg19: chr4-79387464; COSMIC: COSV107294965; API