6-32028516-C-T
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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
NM_001002029.4 missense
Scores
2
4
11
Clinical Significance
Conservation
PhyloP100: 1.05
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]
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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 |
---|---|---|---|---|---|---|---|---|
C4B | NM_001002029.4 | c.3214C>T | p.Arg1072Trp | missense_variant | 25/41 | ENST00000435363.7 | NP_001002029.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
C4B | ENST00000435363.7 | c.3214C>T | p.Arg1072Trp | missense_variant | 25/41 | 1 | NM_001002029.4 | ENSP00000415941.2 | ||
C4B | ENST00000425700.3 | c.3214C>T | p.Arg1072Trp | missense_variant | 25/40 | 1 | ENSP00000391933.2 | |||
C4B | ENST00000647698.1 | c.1918C>T | p.Arg640Trp | missense_variant | 15/31 | ENSP00000497270.1 | ||||
C4B | ENST00000648821.1 | n.1827C>T | non_coding_transcript_exon_variant | 12/27 |
Frequencies
GnomAD3 genomes AF: 0.00000725 AC: 1AN: 138004Hom.: 0 Cov.: 18
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GnomAD3 exomes AF: 0.0000422 AC: 10AN: 237160Hom.: 0 AF XY: 0.0000467 AC XY: 6AN XY: 128450
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GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.0000121 AC: 17AN: 1399280Hom.: 1 Cov.: 31 AF XY: 0.0000143 AC XY: 10AN XY: 697102
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GnomAD4 genome AF: 0.00000725 AC: 1AN: 138004Hom.: 0 Cov.: 18 AF XY: 0.0000149 AC XY: 1AN XY: 66900
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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 submitter | clinical testing | Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center | Dec 19, 2024 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Benign
DANN
Uncertain
DEOGEN2
Benign
T;T
Eigen
Benign
Eigen_PC
Benign
FATHMM_MKL
Benign
N
M_CAP
Benign
T
MetaRNN
Uncertain
T;T
MetaSVM
Benign
T
MutationAssessor
Pathogenic
H;.
PROVEAN
Pathogenic
D;D
REVEL
Benign
Sift
Uncertain
D;D
Sift4G
Uncertain
D;D
Polyphen
0.26
.;B
Vest4
MVP
ClinPred
T
GERP RS
RBP_binding_hub_radar
RBP_regulation_power_radar
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Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at