6-32028516-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 1P and 0B. PP2

The NM_001002029.4(C4B):​c.3214C>T​(p.Arg1072Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000072 ( 0 hom., cov: 18)
Exomes 𝑓: 0.000012 ( 1 hom. )
Failed GnomAD Quality Control

Consequence

C4B
NM_001002029.4 missense

Scores

2
4
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.05
Variant links:
Genes affected
C4B (HGNC:1324): (complement C4B (Chido/Rodgers blood group)) This gene encodes the basic form of complement factor 4, and together with the C4A gene, is part of the classical activation pathway. The protein is expressed as a single chain precursor which is proteolytically cleaved into a trimer of alpha, beta, and gamma chains prior to secretion. The trimer provides a surface for interaction between the antigen-antibody complex and other complement components. The alpha chain may be cleaved to release C4 anaphylatoxin, a mediator of local inflammation. Deficiency of this protein is associated with systemic lupus erythematosus. This gene localizes to the major histocompatibility complex (MHC) class III region on chromosome 6. Varying haplotypes of this gene cluster exist, such that individuals may have 1, 2, or 3 copies of this gene. In addition, this gene exists as a long form and a short form due to the presence or absence of a 6.4 kb endogenous HERV-K retrovirus in intron 9. [provided by RefSeq, May 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), C4B. . Gene score misZ 2.0154 (greater than the threshold 3.09). Trascript score misZ 4.2643 (greater than threshold 3.09). GenCC has associacion of gene with complement component 4b deficiency.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
C4BNM_001002029.4 linkuse as main transcriptc.3214C>T p.Arg1072Trp missense_variant 25/41 ENST00000435363.7 NP_001002029.3 P0C0L4P0C0L5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
C4BENST00000435363.7 linkuse as main transcriptc.3214C>T p.Arg1072Trp missense_variant 25/411 NM_001002029.4 ENSP00000415941.2 P0C0L5
C4BENST00000425700.3 linkuse as main transcriptc.3214C>T p.Arg1072Trp missense_variant 25/401 ENSP00000391933.2 F5GXS0
C4BENST00000647698.1 linkuse as main transcriptc.1918C>T p.Arg640Trp missense_variant 15/31 ENSP00000497270.1 A0A3B3ISA6
C4BENST00000648821.1 linkuse as main transcriptn.1827C>T non_coding_transcript_exon_variant 12/27

Frequencies

GnomAD3 genomes
AF:
0.00000725
AC:
1
AN:
138004
Hom.:
0
Cov.:
18
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:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000159
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000422
AC:
10
AN:
237160
Hom.:
0
AF XY:
0.0000467
AC XY:
6
AN XY:
128450
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000119
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:
0.0000566
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000121
AC:
17
AN:
1399280
Hom.:
1
Cov.:
31
AF XY:
0.0000143
AC XY:
10
AN XY:
697102
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000916
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000119
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000943
Gnomad4 OTH exome
AF:
0.0000345
GnomAD4 genome
AF:
0.00000725
AC:
1
AN:
138004
Hom.:
0
Cov.:
18
AF XY:
0.0000149
AC XY:
1
AN XY:
66900
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000159
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000119
AC:
1
ExAC
AF:
0.0000341
AC:
4

ClinVar

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

Submissions by phenotype

Complement component 4b deficiency Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingCenter for Genomic Medicine, King Faisal Specialist Hospital and Research CenterDec 19, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.051
T;T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.54
FATHMM_MKL
Benign
0.13
N
M_CAP
Benign
0.015
T
MetaRNN
Uncertain
0.46
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Pathogenic
4.0
H;.
PROVEAN
Pathogenic
-4.9
D;D
REVEL
Benign
0.17
Sift
Uncertain
0.0060
D;D
Sift4G
Uncertain
0.031
D;D
Polyphen
0.26
.;B
Vest4
0.59
MVP
0.40
ClinPred
0.35
T
GERP RS
2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.45
gMVP
0.65

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: rs139543260; hg19: chr6-31996293; COSMIC: COSV101312149; COSMIC: COSV101312149; API