5-112169043-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_022140.5(EPB41L4A):​c.1802G>A​(p.Arg601His) variant causes a missense change. The variant allele was found at a frequency of 0.0000143 in 1,613,974 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

EPB41L4A
NM_022140.5 missense

Scores

2
9
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.28
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPB41L4ANM_022140.5 linkuse as main transcriptc.1802G>A p.Arg601His missense_variant 21/23 ENST00000261486.6 NP_071423.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPB41L4AENST00000261486.6 linkuse as main transcriptc.1802G>A p.Arg601His missense_variant 21/231 NM_022140.5 ENSP00000261486 P1
EPB41L4AENST00000507810.5 linkuse as main transcriptn.822G>A non_coding_transcript_exon_variant 10/142
EPB41L4AENST00000509342.6 linkuse as main transcriptn.250G>A non_coding_transcript_exon_variant 4/65

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
AN:
152124
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000480
GnomAD3 exomes
AF:
0.0000441
AC:
11
AN:
249584
Hom.:
0
AF XY:
0.0000443
AC XY:
6
AN XY:
135410
show subpopulations
Gnomad AFR exome
AF:
0.0000646
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:
0.000232
Gnomad NFE exome
AF:
0.0000441
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000123
AC:
18
AN:
1461850
Hom.:
0
Cov.:
31
AF XY:
0.0000110
AC XY:
8
AN XY:
727222
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
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:
0.000131
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.0000329
AC:
5
AN:
152124
Hom.:
0
Cov.:
32
AF XY:
0.0000538
AC XY:
4
AN XY:
74300
show subpopulations
Gnomad4 AFR
AF:
0.0000483
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000480
Alfa
AF:
0.0000564
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.0000330
AC:
4
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

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 08, 2022The c.1802G>A (p.R601H) alteration is located in exon 21 (coding exon 21) of the EPB41L4A gene. This alteration results from a G to A substitution at nucleotide position 1802, causing the arginine (R) at amino acid position 601 to be replaced by a histidine (H). 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
0.24
BayesDel_addAF
Benign
-0.045
T
BayesDel_noAF
Benign
-0.12
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.022
T;T
Eigen
Uncertain
0.53
Eigen_PC
Uncertain
0.54
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.96
D;.
M_CAP
Uncertain
0.097
D
MetaRNN
Uncertain
0.57
D;D
MetaSVM
Uncertain
0.35
D
MutationAssessor
Benign
0.81
L;L
MutationTaster
Benign
0.95
D
PrimateAI
Uncertain
0.65
T
PROVEAN
Benign
-0.56
.;N
REVEL
Uncertain
0.36
Sift
Pathogenic
0.0
.;D
Sift4G
Benign
0.078
T;T
Polyphen
1.0
D;D
Vest4
0.67
MutPred
0.23
Gain of loop (P = 0.0045);Gain of loop (P = 0.0045);
MVP
0.95
MPC
0.32
ClinPred
0.51
D
GERP RS
5.0
Varity_R
0.21
gMVP
0.58

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs756855321; hg19: chr5-111504740; API