5-157463173-C-A

Variant summary

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

The NM_001099287.2(NIPAL4):​c.117C>A​(p.Ser39Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000632 in 1,614,030 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000035 ( 1 hom. )

Consequence

NIPAL4
NM_001099287.2 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.114
Variant links:
Genes affected
NIPAL4 (HGNC:28018): (NIPA like domain containing 4) This gene likely encodes a membrane receptor. Mutations in this gene have been associated with autosomal recessive congenital ichthyosis. [provided by RefSeq, Feb 2010]
ADAM19 (HGNC:197): (ADAM metallopeptidase domain 19) This gene encodes a member of the ADAM (a disintegrin and metalloprotease domain) family. Members of this family are membrane-anchored proteins structurally related to snake venom disintegrins and have been implicated in a variety of biological processes involving cell-cell and cell-matrix interactions, including fertilization, muscle development, and neurogenesis. This member is a type I transmembrane protein and serves as a marker for dendritic cell differentiation. It has been demonstrated to be an active metalloproteinase, which may be involved in normal physiological processes such as cell migration, cell adhesion, cell-cell and cell-matrix interactions, and signal transduction. It is proposed to play a role in pathological processes, such as cancer, inflammatory diseases, renal diseases, and Alzheimer's disease. [provided by RefSeq, May 2013]

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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=0.011557221).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NIPAL4NM_001099287.2 linkuse as main transcriptc.117C>A p.Ser39Arg missense_variant 2/6 ENST00000311946.8 NP_001092757.2
NIPAL4NM_001172292.2 linkuse as main transcriptc.117C>A p.Ser39Arg missense_variant 2/5 NP_001165763.2
NIPAL4XM_011534552.2 linkuse as main transcriptc.-193C>A 5_prime_UTR_variant 2/6 XP_011532854.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NIPAL4ENST00000311946.8 linkuse as main transcriptc.117C>A p.Ser39Arg missense_variant 2/61 NM_001099287.2 ENSP00000311687 P1Q0D2K0-1

Frequencies

GnomAD3 genomes
AF:
0.000315
AC:
48
AN:
152220
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00111
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000883
AC:
22
AN:
249262
Hom.:
0
AF XY:
0.0000592
AC XY:
8
AN XY:
135222
show subpopulations
Gnomad AFR exome
AF:
0.00142
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:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000349
AC:
51
AN:
1461692
Hom.:
1
Cov.:
31
AF XY:
0.0000316
AC XY:
23
AN XY:
727126
show subpopulations
Gnomad4 AFR exome
AF:
0.00111
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.000199
GnomAD4 genome
AF:
0.000335
AC:
51
AN:
152338
Hom.:
0
Cov.:
32
AF XY:
0.000349
AC XY:
26
AN XY:
74504
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000811
Hom.:
0
Bravo
AF:
0.000344
ESP6500AA
AF:
0.00149
AC:
6
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000157
AC:
19
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 22, 2021The c.303C>A (p.S101R) alteration is located in exon 2 (coding exon 2) of the NIPAL4 gene. This alteration results from a C to A substitution at nucleotide position 303, causing the serine (S) at amino acid position 101 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpApr 09, 2023In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant  is likely to be tolerated. ClinVar contains an entry for this variant (Variation ID: 2377450). This variant has not been reported in the literature in individuals affected with NIPAL4-related conditions. This variant is present in population databases (rs200083422, gnomAD 0.1%). This sequence change replaces serine, which is neutral and polar, with arginine, which is basic and polar, at codon 101 of the NIPAL4 protein (p.Ser101Arg). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
4.5
DANN
Benign
0.69
DEOGEN2
Benign
0.074
.;T
Eigen
Benign
-0.96
Eigen_PC
Benign
-0.97
FATHMM_MKL
Benign
0.52
D
LIST_S2
Benign
0.36
T;T
M_CAP
Benign
0.072
D
MetaRNN
Benign
0.012
T;T
MetaSVM
Benign
-0.43
T
MutationAssessor
Benign
0.81
L;L
MutationTaster
Benign
1.0
D;N;N
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-1.3
N;N
REVEL
Benign
0.20
Sift
Uncertain
0.0040
D;D
Sift4G
Benign
0.14
T;T
Polyphen
0.18
B;B
Vest4
0.17
MutPred
0.29
Gain of solvent accessibility (P = 0.0155);Gain of solvent accessibility (P = 0.0155);
MVP
0.26
MPC
0.31
ClinPred
0.035
T
GERP RS
2.4
Varity_R
0.065
gMVP
0.37

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: rs200083422; hg19: chr5-156890181; COSMIC: COSV61730828; COSMIC: COSV61730828; API