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GeneBe

5-112168749-G-T

Variant summary

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

The NM_022140.5(EPB41L4A):c.1922C>A(p.Thr641Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00000274 in 1,460,966 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

EPB41L4A
NM_022140.5 missense

Scores

2
2
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.83
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 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=0.17759112).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EPB41L4ANM_022140.5 linkuse as main transcriptc.1922C>A p.Thr641Lys missense_variant 22/23 ENST00000261486.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EPB41L4AENST00000261486.6 linkuse as main transcriptc.1922C>A p.Thr641Lys missense_variant 22/231 NM_022140.5 P1
EPB41L4AENST00000507810.5 linkuse as main transcriptn.942C>A non_coding_transcript_exon_variant 11/142
EPB41L4AENST00000509342.6 linkuse as main transcriptn.370C>A non_coding_transcript_exon_variant 5/65

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
249480
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135358
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000869
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1460966
Hom.:
0
Cov.:
29
AF XY:
0.00000138
AC XY:
1
AN XY:
726868
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000894
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:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.0000264

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 GeneticsDec 20, 2021The c.1922C>A (p.T641K) alteration is located in exon 22 (coding exon 22) of the EPB41L4A gene. This alteration results from a C to A substitution at nucleotide position 1922, causing the threonine (T) at amino acid position 641 to be replaced by a lysine (K). 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
0.11
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Pathogenic
0.21
Cadd
Benign
17
Dann
Uncertain
0.98
DEOGEN2
Benign
0.011
T;T
Eigen
Benign
0.081
Eigen_PC
Benign
0.13
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.69
T;.
M_CAP
Benign
0.037
D
MetaRNN
Benign
0.18
T;T
MetaSVM
Uncertain
0.033
D
MutationAssessor
Benign
0.81
L;L
MutationTaster
Benign
0.92
D
PrimateAI
Benign
0.42
T
Sift4G
Benign
0.40
T;T
Polyphen
0.18
B;B
Vest4
0.33
MutPred
0.32
Gain of ubiquitination at T641 (P = 0.0037);Gain of ubiquitination at T641 (P = 0.0037);
MVP
0.87
MPC
0.059
ClinPred
0.42
T
GERP RS
5.7
Varity_R
0.088
gMVP
0.43

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1487389376; hg19: chr5-111504446; API