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GeneBe

5-112168746-A-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_022140.5(EPB41L4A):c.1925T>G(p.Val642Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000351 in 1,613,134 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. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00028 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00036 ( 0 hom. )

Consequence

EPB41L4A
NM_022140.5 missense

Scores

1
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.62
Variant links:
Genes affected
EPB41L4A (HGNC:13278): (erythrocyte membrane protein band 4.1 like 4A) The protein encoded by this gene is a member of the band 4.1 protein superfamily. Members of this superfamily are thought to play an important role in regulating interactions between the cytoskeleton and plasma membrane, and contain an amino terminal conserved domain that binds glycophorin C. This gene product is thought to be involved in the beta-catenin signaling pathway. [provided by RefSeq, Dec 2016]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.03549698).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EPB41L4ANM_022140.5 linkuse as main transcriptc.1925T>G p.Val642Gly missense_variant 22/23 ENST00000261486.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EPB41L4AENST00000261486.6 linkuse as main transcriptc.1925T>G p.Val642Gly missense_variant 22/231 NM_022140.5 P1
EPB41L4AENST00000507810.5 linkuse as main transcriptn.945T>G non_coding_transcript_exon_variant 11/142
EPB41L4AENST00000509342.6 linkuse as main transcriptn.373T>G non_coding_transcript_exon_variant 5/65

Frequencies

GnomAD3 genomes
AF:
0.000276
AC:
42
AN:
152228
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000529
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000228
AC:
57
AN:
249462
Hom.:
0
AF XY:
0.000214
AC XY:
29
AN XY:
135350
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.000495
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000359
AC:
525
AN:
1460788
Hom.:
0
Cov.:
29
AF XY:
0.000340
AC XY:
247
AN XY:
726820
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
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:
0.0000187
Gnomad4 NFE exome
AF:
0.000457
Gnomad4 OTH exome
AF:
0.000215
GnomAD4 genome
AF:
0.000276
AC:
42
AN:
152346
Hom.:
0
Cov.:
33
AF XY:
0.000282
AC XY:
21
AN XY:
74502
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000941
Gnomad4 NFE
AF:
0.000529
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000394
Hom.:
0
Bravo
AF:
0.000159
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000486
AC:
4
ExAC
AF:
0.000207
AC:
25
EpiCase
AF:
0.000273
EpiControl
AF:
0.000474

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 GeneticsNov 30, 2022The c.1925T>G (p.V642G) alteration is located in exon 22 (coding exon 22) of the EPB41L4A gene. This alteration results from a T to G substitution at nucleotide position 1925, causing the valine (V) at amino acid position 642 to be replaced by a glycine (G). 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
-0.17
T
BayesDel_noAF
Benign
-0.14
Cadd
Benign
22
Dann
Benign
0.96
DEOGEN2
Benign
0.0087
T;T
Eigen
Benign
-0.12
Eigen_PC
Benign
0.020
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.52
T;.
M_CAP
Benign
0.046
D
MetaRNN
Benign
0.035
T;T
MetaSVM
Benign
-0.68
T
MutationAssessor
Benign
0.69
N;N
MutationTaster
Benign
1.0
D
PrimateAI
Benign
0.34
T
Sift4G
Benign
0.11
T;T
Polyphen
0.020
B;B
Vest4
0.26
MVP
0.82
MPC
0.056
ClinPred
0.060
T
GERP RS
4.5
Varity_R
0.10
gMVP
0.31

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: rs189409879; hg19: chr5-111504443; API