5-180621641-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_182925.5(FLT4):​c.1921C>T​(p.Pro641Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00528 in 1,606,982 control chromosomes in the GnomAD database, including 32 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0034 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0055 ( 31 hom. )

Consequence

FLT4
NM_182925.5 missense

Scores

2
4
13

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 2.77
Variant links:
Genes affected
FLT4 (HGNC:3767): (fms related receptor tyrosine kinase 4) This gene encodes a tyrosine kinase receptor for vascular endothelial growth factors C and D. The protein is thought to be involved in lymphangiogenesis and maintenance of the lymphatic endothelium. Mutations in this gene cause hereditary lymphedema type IA. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008812219).
BP6
Variant 5-180621641-G-A is Benign according to our data. Variant chr5-180621641-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 263032.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr5-180621641-G-A is described in Lovd as [Likely_benign]. Variant chr5-180621641-G-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00336 (512/152338) while in subpopulation NFE AF= 0.00581 (395/68022). AF 95% confidence interval is 0.00533. There are 1 homozygotes in gnomad4. There are 213 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 31 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FLT4NM_182925.5 linkuse as main transcriptc.1921C>T p.Pro641Ser missense_variant 13/30 ENST00000261937.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FLT4ENST00000261937.11 linkuse as main transcriptc.1921C>T p.Pro641Ser missense_variant 13/301 NM_182925.5 P1P35916-2

Frequencies

GnomAD3 genomes
AF:
0.00336
AC:
512
AN:
152220
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000893
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.0136
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00207
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00581
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00381
AC:
933
AN:
245140
Hom.:
3
AF XY:
0.00394
AC XY:
526
AN XY:
133518
show subpopulations
Gnomad AFR exome
AF:
0.000824
Gnomad AMR exome
AF:
0.00151
Gnomad ASJ exome
AF:
0.0131
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000132
Gnomad FIN exome
AF:
0.00212
Gnomad NFE exome
AF:
0.00610
Gnomad OTH exome
AF:
0.00400
GnomAD4 exome
AF:
0.00548
AC:
7975
AN:
1454644
Hom.:
31
Cov.:
34
AF XY:
0.00536
AC XY:
3870
AN XY:
722400
show subpopulations
Gnomad4 AFR exome
AF:
0.000809
Gnomad4 AMR exome
AF:
0.00171
Gnomad4 ASJ exome
AF:
0.0134
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000814
Gnomad4 FIN exome
AF:
0.00223
Gnomad4 NFE exome
AF:
0.00644
Gnomad4 OTH exome
AF:
0.00449
GnomAD4 genome
AF:
0.00336
AC:
512
AN:
152338
Hom.:
1
Cov.:
33
AF XY:
0.00286
AC XY:
213
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.000890
Gnomad4 AMR
AF:
0.000457
Gnomad4 ASJ
AF:
0.0136
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00207
Gnomad4 NFE
AF:
0.00581
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00614
Hom.:
1
Bravo
AF:
0.00342
TwinsUK
AF:
0.00485
AC:
18
ALSPAC
AF:
0.00545
AC:
21
ESP6500AA
AF:
0.00204
AC:
9
ESP6500EA
AF:
0.00570
AC:
49
ExAC
AF:
0.00334
AC:
404
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00485
EpiControl
AF:
0.00558

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:7
Likely benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesOct 26, 2023- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJan 01, 2024FLT4: BS1 -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpDec 31, 2019- -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsJul 13, 2016- -
not specified Benign:2
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Carcinoma of colon Benign:1
Likely benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
21
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.17
T;.;T
Eigen
Uncertain
0.32
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.71
T;T;T
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.0088
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.3
M;M;.
MutationTaster
Benign
0.95
D;D;D
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-2.3
N;N;N
REVEL
Benign
0.18
Sift
Benign
0.21
T;T;T
Sift4G
Benign
0.56
T;T;T
Polyphen
0.24
B;.;B
Vest4
0.41
MVP
0.12
MPC
1.5
ClinPred
0.032
T
GERP RS
4.6
Varity_R
0.10
gMVP
0.66

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: rs55667289; hg19: chr5-180048641; COSMIC: COSV56099287; COSMIC: COSV56099287; API