6-109732621-GTTT-GTTTTTT
Variant summary
Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PVS1_ModerateBP6_Moderate
The NM_014845.6(FIG4):c.447-5_447-3dupTTT variant causes a splice acceptor, intron change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Benign (★).
Frequency
 Genomes: 𝑓 0.000068   (  0   hom.,  cov: 0) 
 Exomes 𝑓:  0.0015   (  0   hom.  ) 
Consequence
 FIG4
NM_014845.6 splice_acceptor, intron
NM_014845.6 splice_acceptor, intron
Scores
 Not classified 
Clinical Significance
Conservation
 PhyloP100:  -0.0950  
Publications
4 publications found 
Genes affected
 FIG4  (HGNC:16873):  (FIG4 phosphoinositide 5-phosphatase) The protein encoded by this gene belongs to the SAC domain-containing protein gene family. The SAC domain, approximately 400 amino acids in length and consisting of seven conserved motifs, has been shown to possess phosphoinositide phosphatase activity. The yeast homolog, Sac1p, is involved in the regulation of various phosphoinositides, and affects diverse cellular functions such as actin cytoskeleton organization, Golgi function, and maintenance of vacuole morphology. Membrane-bound phosphoinositides function as signaling molecules and play a key role in vesicle trafficking in eukaryotic cells. Mutations in this gene have been associated with Charcot-Marie-Tooth disease, type 4J. [provided by RefSeq, Jul 2008] 
FIG4 Gene-Disease associations (from GenCC):
- Charcot-Marie-Tooth diseaseInheritance: AR Classification: DEFINITIVE Submitted by: ClinGen, Illumina
- Charcot-Marie-Tooth disease type 4JInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics, Laboratory for Molecular Medicine
- Yunis-Varon syndromeInheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P
- amyotrophic lateral sclerosis type 11Inheritance: Unknown, AD Classification: STRONG, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, Genomics England PanelApp
- amyotrophic lateral sclerosisInheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
- bilateral parasagittal parieto-occipital polymicrogyriaInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Uncertain_significance. The variant received 0 ACMG points.
PVS1
Splicing +-2 bp (donor or acceptor) variant, product NOT destroyed by NMD, known LOF gene, truncates exone, which is 0.018722467 fraction of the gene. Cryptic splice site detected, with MaxEntScore 13, offset of 0 (no position change), new splice context is: tgttttttttttttttttAGgta.  Cryptic site results in inframe change. If cryptic site found is not functional and variant results in exon loss, it results in inframe change. 
BP6
Variant 6-109732621-G-GTTT is Benign according to our data. Variant chr6-109732621-G-GTTT is described in ClinVar as Benign. ClinVar VariationId is 2060022.Status of the report is criteria_provided_single_submitter, 1 stars. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| FIG4 | NM_014845.6 | c.447-5_447-3dupTTT | splice_acceptor_variant, intron_variant | Intron 4 of 22 | ENST00000230124.8 | NP_055660.1 | ||
| FIG4 | XM_011536281.4 | c.384-5_384-3dupTTT | splice_acceptor_variant, intron_variant | Intron 4 of 22 | XP_011534583.1 | 
Ensembl
Frequencies
GnomAD3 genomes  0.0000611  AC: 9AN: 147350Hom.:  0  Cov.: 0 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
9
AN: 
147350
Hom.: 
Cov.: 
0
Gnomad AFR 
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Gnomad AMI 
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Gnomad AMR 
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Gnomad ASJ 
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Gnomad EAS 
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Gnomad SAS 
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Gnomad FIN 
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Gnomad MID 
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Gnomad NFE 
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Gnomad OTH 
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GnomAD2 exomes  AF:  0.00124  AC: 204AN: 164298 AF XY:  0.00124   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
204
AN: 
164298
 AF XY: 
Gnomad AFR exome 
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Gnomad AMR exome 
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Gnomad ASJ exome 
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Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
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GnomAD4 exome  AF:  0.00147  AC: 1269AN: 860588Hom.:  0  Cov.: 17 AF XY:  0.00127  AC XY: 567AN XY: 446810 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
 AF: 
AC: 
1269
AN: 
860588
Hom.: 
Cov.: 
17
 AF XY: 
AC XY: 
567
AN XY: 
446810
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
69
AN: 
19694
American (AMR) 
 AF: 
AC: 
52
AN: 
37784
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
22
AN: 
20406
East Asian (EAS) 
 AF: 
AC: 
11
AN: 
33550
South Asian (SAS) 
 AF: 
AC: 
60
AN: 
68320
European-Finnish (FIN) 
 AF: 
AC: 
16
AN: 
35502
Middle Eastern (MID) 
 AF: 
AC: 
4
AN: 
4214
European-Non Finnish (NFE) 
 AF: 
AC: 
985
AN: 
602008
Other (OTH) 
 AF: 
AC: 
50
AN: 
39110
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.255 
Heterozygous variant carriers
 0 
 164 
 328 
 493 
 657 
 821 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Variant carriers
 0 
 50 
 100 
 150 
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 250 
 <30 
 30-35 
 35-40 
 40-45 
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 50-55 
 55-60 
 60-65 
 65-70 
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 >80 
Age
GnomAD4 genome  0.0000678  AC: 10AN: 147398Hom.:  0  Cov.: 0 AF XY:  0.0000698  AC XY: 5AN XY: 71592 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
10
AN: 
147398
Hom.: 
Cov.: 
0
 AF XY: 
AC XY: 
5
AN XY: 
71592
show subpopulations 
African (AFR) 
 AF: 
AC: 
9
AN: 
40326
American (AMR) 
 AF: 
AC: 
0
AN: 
14784
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
0
AN: 
3440
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5048
South Asian (SAS) 
 AF: 
AC: 
0
AN: 
4688
European-Finnish (FIN) 
 AF: 
AC: 
1
AN: 
9110
Middle Eastern (MID) 
 AF: 
AC: 
0
AN: 
288
European-Non Finnish (NFE) 
 AF: 
AC: 
0
AN: 
66788
Other (OTH) 
 AF: 
AC: 
0
AN: 
2024
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.469 
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: 
Hom.: 
ClinVar
Significance: Benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
Charcot-Marie-Tooth disease type 4    Benign:1 
Sep 15, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
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Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 PhyloP100 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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