6-83921092-T-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_016230.4(CYB5R4):ā€‹c.575T>Cā€‹(p.Leu192Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000061 in 1,509,412 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00039 ( 0 hom., cov: 32)
Exomes š‘“: 0.000024 ( 0 hom. )

Consequence

CYB5R4
NM_016230.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.02
Variant links:
Genes affected
CYB5R4 (HGNC:20147): (cytochrome b5 reductase 4) NCB5OR is a flavohemoprotein that contains functional domains found in both cytochrome b5 (CYB5A; MIM 613218) and CYB5 reductase (CYB5R3; MIM 613213) (Zhu et al., 1999 [PubMed 10611283]).[supplied by OMIM, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.028212845).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYB5R4NM_016230.4 linkuse as main transcriptc.575T>C p.Leu192Ser missense_variant 8/16 ENST00000369681.10 NP_057314.2 Q7L1T6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYB5R4ENST00000369681.10 linkuse as main transcriptc.575T>C p.Leu192Ser missense_variant 8/161 NM_016230.4 ENSP00000358695.3 Q7L1T6

Frequencies

GnomAD3 genomes
AF:
0.000381
AC:
58
AN:
152220
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00137
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:
0.00
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.0000735
AC:
15
AN:
203984
Hom.:
0
AF XY:
0.0000449
AC XY:
5
AN XY:
111444
show subpopulations
Gnomad AFR exome
AF:
0.000844
Gnomad AMR exome
AF:
0.000183
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000236
AC:
32
AN:
1357074
Hom.:
0
Cov.:
27
AF XY:
0.0000208
AC XY:
14
AN XY:
674038
show subpopulations
Gnomad4 AFR exome
AF:
0.000756
Gnomad4 AMR exome
AF:
0.000128
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.54e-7
Gnomad4 OTH exome
AF:
0.0000895
GnomAD4 genome
AF:
0.000394
AC:
60
AN:
152338
Hom.:
0
Cov.:
32
AF XY:
0.000362
AC XY:
27
AN XY:
74500
show subpopulations
Gnomad4 AFR
AF:
0.00142
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:
0.00
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000275
Hom.:
0
Bravo
AF:
0.000412
ExAC
AF:
0.0000660
AC:
8

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 22, 2024The c.575T>C (p.L192S) alteration is located in exon 8 (coding exon 8) of the CYB5R4 gene. This alteration results from a T to C substitution at nucleotide position 575, causing the leucine (L) at amino acid position 192 to be replaced by a serine (S). 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
0.085
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
18
DANN
Benign
0.86
DEOGEN2
Benign
0.017
T
Eigen
Benign
-0.27
Eigen_PC
Benign
-0.053
FATHMM_MKL
Benign
0.67
D
LIST_S2
Benign
0.69
T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.028
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.28
N
PrimateAI
Benign
0.41
T
PROVEAN
Benign
1.3
N
REVEL
Benign
0.060
Sift
Benign
0.71
T
Sift4G
Benign
0.99
T
Polyphen
0.0020
B
Vest4
0.32
MVP
0.39
MPC
0.20
ClinPred
0.017
T
GERP RS
3.9
Varity_R
0.058
gMVP
0.43

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: rs370218813; hg19: chr6-84630811; API