5-177090551-C-T

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_213647.3(FGFR4):​c.253C>T​(p.Arg85Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000582 in 1,527,950 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000060 ( 1 hom. )

Consequence

FGFR4
NM_213647.3 missense

Scores

9
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.256

Publications

3 publications found
Variant links:
Genes affected
FGFR4 (HGNC:3691): (fibroblast growth factor receptor 4) The protein encoded by this gene is a tyrosine kinase and cell surface receptor for fibroblast growth factors. The encoded protein is involved in the regulation of several pathways, including cell proliferation, cell differentiation, cell migration, lipid metabolism, bile acid biosynthesis, vitamin D metabolism, glucose uptake, and phosphate homeostasis. This protein consists of an extracellular region, composed of three immunoglobulin-like domains, a single hydrophobic membrane-spanning segment, and a cytoplasmic tyrosine kinase domain. The extracellular portion interacts with fibroblast growth factors, setting in motion a cascade of downstream signals, ultimately influencing mitogenesis and differentiation. [provided by RefSeq, Aug 2017]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.11465591).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FGFR4NM_213647.3 linkc.253C>T p.Arg85Cys missense_variant Exon 3 of 18 ENST00000292408.9 NP_998812.1 P22455-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FGFR4ENST00000292408.9 linkc.253C>T p.Arg85Cys missense_variant Exon 3 of 18 1 NM_213647.3 ENSP00000292408.4 P22455-1

Frequencies

GnomAD3 genomes
AF:
0.0000460
AC:
7
AN:
152084
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00103
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000823
AC:
15
AN:
182328
AF XY:
0.0000521
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000124
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000905
Gnomad OTH exome
AF:
0.000239
GnomAD4 exome
AF:
0.0000596
AC:
82
AN:
1375748
Hom.:
1
Cov.:
69
AF XY:
0.0000533
AC XY:
36
AN XY:
675118
show subpopulations
African (AFR)
AF:
0.0000327
AC:
1
AN:
30626
American (AMR)
AF:
0.00
AC:
0
AN:
31066
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
20322
East Asian (EAS)
AF:
0.0000256
AC:
1
AN:
39020
South Asian (SAS)
AF:
0.000616
AC:
44
AN:
71458
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49684
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5344
European-Non Finnish (NFE)
AF:
0.0000271
AC:
29
AN:
1071642
Other (OTH)
AF:
0.000124
AC:
7
AN:
56586
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
5
10
16
21
26
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000460
AC:
7
AN:
152202
Hom.:
0
Cov.:
32
AF XY:
0.0000538
AC XY:
4
AN XY:
74412
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41516
American (AMR)
AF:
0.00
AC:
0
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5184
South Asian (SAS)
AF:
0.00104
AC:
5
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67988
Other (OTH)
AF:
0.00
AC:
0
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000689
Hom.:
0
Bravo
AF:
0.0000264
ExAC
AF:
0.0000668
AC:
8

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Jun 28, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.253C>T (p.R85C) alteration is located in exon 3 (coding exon 2) of the FGFR4 gene. This alteration results from a C to T substitution at nucleotide position 253, causing the arginine (R) at amino acid position 85 to be replaced by a cysteine (C). 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
0.19
BayesDel_addAF
Benign
-0.095
T
BayesDel_noAF
Benign
-0.10
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.44
T;T;.;.;T;.;T;.
Eigen
Uncertain
0.28
Eigen_PC
Uncertain
0.28
FATHMM_MKL
Benign
0.63
D
LIST_S2
Uncertain
0.92
.;D;D;D;D;D;D;D
M_CAP
Uncertain
0.19
D
MetaRNN
Benign
0.11
T;T;T;T;T;T;T;T
MetaSVM
Uncertain
-0.056
T
MutationAssessor
Benign
1.9
L;.;.;.;L;.;.;L
PhyloP100
0.26
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-1.3
N;D;N;N;N;D;N;N
REVEL
Uncertain
0.48
Sift
Benign
0.15
T;D;T;T;T;D;D;T
Sift4G
Benign
0.17
T;D;T;D;T;D;D;T
Polyphen
1.0
D;D;.;.;D;.;.;D
Vest4
0.49
MutPred
0.42
Loss of methylation at R85 (P = 0.0165);Loss of methylation at R85 (P = 0.0165);Loss of methylation at R85 (P = 0.0165);Loss of methylation at R85 (P = 0.0165);Loss of methylation at R85 (P = 0.0165);Loss of methylation at R85 (P = 0.0165);Loss of methylation at R85 (P = 0.0165);Loss of methylation at R85 (P = 0.0165);
MVP
0.91
MPC
0.71
ClinPred
0.21
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.085
gMVP
0.69
Mutation Taster
=73/27
polymorphism

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

Other links and lift over

dbSNP: rs569265847; hg19: chr5-176517552; COSMIC: COSV52806565; API