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GeneBe

5-133199741-G-T

Variant summary

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

The NM_015082.2(FSTL4):c.1883C>A(p.Thr628Lys) variant causes a missense change. The variant allele was found at a frequency of 0.000634 in 1,599,770 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: 𝑓 0.00039 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00066 ( 0 hom. )

Consequence

FSTL4
NM_015082.2 missense

Scores

2
7
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.50
Variant links:
Genes affected
FSTL4 (HGNC:21389): (follistatin like 4) Predicted to enable brain-derived neurotrophic factor binding activity and calcium ion binding activity. Predicted to be involved in cell differentiation. Predicted to act upstream of or within negative regulation of brain-derived neurotrophic factor receptor signaling pathway; negative regulation of collateral sprouting; and negative regulation of dendritic spine development. Predicted to be located in extracellular region and secretory granule. [provided by Alliance of Genome Resources, Apr 2022]

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=0.24587864).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FSTL4NM_015082.2 linkuse as main transcriptc.1883C>A p.Thr628Lys missense_variant 16/16 ENST00000265342.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FSTL4ENST00000265342.12 linkuse as main transcriptc.1883C>A p.Thr628Lys missense_variant 16/165 NM_015082.2 P1Q6MZW2-1
ENST00000509051.1 linkuse as main transcriptn.76-8095G>T intron_variant, non_coding_transcript_variant 4
FSTL4ENST00000509525.5 linkuse as main transcriptn.1101C>A non_coding_transcript_exon_variant 8/82
FSTL4ENST00000511375.1 linkuse as main transcriptn.563C>A non_coding_transcript_exon_variant 4/44

Frequencies

GnomAD3 genomes
AF:
0.000388
AC:
59
AN:
152234
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000471
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000705
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000385
AC:
83
AN:
215658
Hom.:
0
AF XY:
0.000300
AC XY:
35
AN XY:
116798
show subpopulations
Gnomad AFR exome
AF:
0.000147
Gnomad AMR exome
AF:
0.000394
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000528
Gnomad NFE exome
AF:
0.000600
Gnomad OTH exome
AF:
0.000545
GnomAD4 exome
AF:
0.000660
AC:
955
AN:
1447418
Hom.:
0
Cov.:
32
AF XY:
0.000645
AC XY:
464
AN XY:
718842
show subpopulations
Gnomad4 AFR exome
AF:
0.0000902
Gnomad4 AMR exome
AF:
0.000288
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000255
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.000361
Gnomad4 NFE exome
AF:
0.000816
Gnomad4 OTH exome
AF:
0.000317
GnomAD4 genome
AF:
0.000387
AC:
59
AN:
152352
Hom.:
0
Cov.:
32
AF XY:
0.000376
AC XY:
28
AN XY:
74504
show subpopulations
Gnomad4 AFR
AF:
0.0000240
Gnomad4 AMR
AF:
0.000261
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000471
Gnomad4 NFE
AF:
0.000706
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000554
Hom.:
0
Bravo
AF:
0.000351
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000289
AC:
35

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 GeneticsSep 17, 2021The c.1883C>A (p.T628K) alteration is located in exon 16 (coding exon 15) of the FSTL4 gene. This alteration results from a C to A substitution at nucleotide position 1883, causing the threonine (T) at amino acid position 628 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
0.33
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.24
Cadd
Benign
21
Dann
Benign
0.95
DEOGEN2
Uncertain
0.67
D;.
Eigen
Uncertain
0.29
Eigen_PC
Benign
0.21
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.94
D;D
M_CAP
Benign
0.069
D
MetaRNN
Benign
0.25
T;T
MetaSVM
Benign
-0.71
T
MutationAssessor
Pathogenic
3.1
M;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.55
T
PROVEAN
Uncertain
-3.8
D;.
REVEL
Benign
0.20
Sift
Uncertain
0.0040
D;.
Sift4G
Uncertain
0.0060
D;D
Polyphen
0.84
P;.
Vest4
0.62
MVP
0.41
MPC
0.59
ClinPred
0.15
T
GERP RS
4.0
Varity_R
0.58
gMVP
0.82

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: rs147873655; hg19: chr5-132535433; API