7-100803510-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The ENST00000358173.8(EPHB4):​c.2915C>A​(p.Ala972Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000188 in 1,592,296 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. A972A) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

EPHB4
ENST00000358173.8 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.24
Variant links:
Genes affected
EPHB4 (HGNC:3395): (EPH receptor B4) Ephrin receptors and their ligands, the ephrins, mediate numerous developmental processes, particularly in the nervous system. Based on their structures and sequence relationships, ephrins are divided into the ephrin-A (EFNA) class, which are anchored to the membrane by a glycosylphosphatidylinositol linkage, and the ephrin-B (EFNB) class, which are transmembrane proteins. The Eph family of receptors are divided into 2 groups based on the similarity of their extracellular domain sequences and their affinities for binding ephrin-A and ephrin-B ligands. Ephrin receptors make up the largest subgroup of the receptor tyrosine kinase (RTK) family. The protein encoded by this gene binds to ephrin-B2 and plays an essential role in vascular development. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.13691005).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPHB4NM_004444.5 linkuse as main transcriptc.2915C>A p.Ala972Asp missense_variant 17/17 ENST00000358173.8 NP_004435.3
EPHB4XM_017011816.2 linkuse as main transcriptc.2969C>A p.Ala990Asp missense_variant 17/17 XP_016867305.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPHB4ENST00000358173.8 linkuse as main transcriptc.2915C>A p.Ala972Asp missense_variant 17/171 NM_004444.5 ENSP00000350896 P1P54760-1
EPHB4ENST00000360620.7 linkuse as main transcriptc.2759C>A p.Ala920Asp missense_variant 16/161 ENSP00000353833
EPHB4ENST00000487222.5 linkuse as main transcriptn.4116C>A non_coding_transcript_exon_variant 16/161
EPHB4ENST00000616502.4 linkuse as main transcriptc.*1380C>A 3_prime_UTR_variant 14/145 ENSP00000482702 P54760-3

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152176
Hom.:
0
Cov.:
32
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:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000139
AC:
2
AN:
1440120
Hom.:
0
Cov.:
30
AF XY:
0.00000140
AC XY:
1
AN XY:
713712
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.00000182
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152176
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74324
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

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

Submissions by phenotype

EPHB4-associated vascular malformation spectrum Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingMolecular Genetics, Royal Melbourne HospitalJan 05, 2024This sequence change in EPHB4 is predicted to replace alanine with aspartic acid at codon 972, p.(Ala972Asp). The alanine residue is moderately conserved (61/96 vertebrates, UCSC), and is not located in an annotated domain. There is a large physicochemical difference between alanine and aspartic acid. This variant is present in a single individual in the East Asian population (1/5,176 alleles) in the population database gnomAD v3.1. To our knowledge, this variant has not been reported in the literature. Multiple lines of computational evidence predict a benign effect for the missense substitution (6/6 algorithms). Based on the classification scheme RMH Modified ACMG Guidelines v1.5.1, this variant is classified as a VARIANT OF UNCERTAIN SIGNIFICANCE. Following criteria are met: PM2_Supporting, BP4. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.045
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
21
DANN
Benign
0.91
DEOGEN2
Benign
0.093
.;T
Eigen
Benign
-0.020
Eigen_PC
Benign
0.084
FATHMM_MKL
Benign
0.51
D
LIST_S2
Benign
0.72
T;T
M_CAP
Uncertain
0.092
D
MetaRNN
Benign
0.14
T;T
MetaSVM
Uncertain
-0.20
T
MutationAssessor
Benign
1.4
.;L
MutationTaster
Benign
0.64
D;D
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-1.2
N;N
REVEL
Benign
0.037
Sift
Benign
0.33
T;T
Sift4G
Uncertain
0.038
D;T
Polyphen
0.30
B;B
Vest4
0.21
MutPred
0.27
.;Gain of relative solvent accessibility (P = 0.0027);
MVP
0.46
MPC
0.79
ClinPred
0.36
T
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.25
gMVP
0.68

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: rs1365926219; hg19: chr7-100401132; API