7-138749192-G-A

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_020632.3(ATP6V0A4):​c.1155C>T​(p.Val385=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0125 in 1,613,930 control chromosomes in the GnomAD database, including 1,325 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.049 ( 548 hom., cov: 31)
Exomes 𝑓: 0.0087 ( 777 hom. )

Consequence

ATP6V0A4
NM_020632.3 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -7.11
Variant links:
Genes affected
ATP6V0A4 (HGNC:866): (ATPase H+ transporting V0 subunit a4) This gene encodes a component of vacuolar ATPase (V-ATPase), a multisubunit enzyme that mediates acidification of intracellular compartments of eukaryotic cells. V-ATPase dependent acidification is necessary for such intracellular processes as protein sorting, zymogen activation, receptor-mediated endocytosis, and synaptic vesicle proton gradient generation. V-ATPase is composed of a cytosolic V1 domain and a transmembrane V0 domain. The V1 domain consists of three A and three B subunits, two G subunits plus the C, D, E, F, and H subunits. The V1 domain contains the ATP catalytic site. The V0 domain consists of five different subunits: a, c, c', c'', and d. This gene is one of four genes in man and mouse that encode different isoforms of the a subunit. Alternatively spliced transcript variants encoding the same protein have been described. Mutations in this gene are associated with renal tubular acidosis associated with preserved hearing. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.88).
BP6
Variant 7-138749192-G-A is Benign according to our data. Variant chr7-138749192-G-A is described in ClinVar as [Benign]. Clinvar id is 359019.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-7.11 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.149 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP6V0A4NM_020632.3 linkuse as main transcriptc.1155C>T p.Val385= synonymous_variant 12/22 ENST00000310018.7
ATP6V0A4NM_130840.3 linkuse as main transcriptc.1155C>T p.Val385= synonymous_variant 11/21
ATP6V0A4NM_130841.3 linkuse as main transcriptc.1155C>T p.Val385= synonymous_variant 11/21

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP6V0A4ENST00000310018.7 linkuse as main transcriptc.1155C>T p.Val385= synonymous_variant 12/221 NM_020632.3 P1

Frequencies

GnomAD3 genomes
AF:
0.0488
AC:
7418
AN:
151942
Hom.:
546
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.152
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0146
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.135
Gnomad SAS
AF:
0.00851
Gnomad FIN
AF:
0.00519
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000676
Gnomad OTH
AF:
0.0378
GnomAD3 exomes
AF:
0.0219
AC:
5510
AN:
251474
Hom.:
354
AF XY:
0.0181
AC XY:
2464
AN XY:
135908
show subpopulations
Gnomad AFR exome
AF:
0.156
Gnomad AMR exome
AF:
0.00711
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.128
Gnomad SAS exome
AF:
0.00336
Gnomad FIN exome
AF:
0.00554
Gnomad NFE exome
AF:
0.000659
Gnomad OTH exome
AF:
0.0119
GnomAD4 exome
AF:
0.00872
AC:
12741
AN:
1461870
Hom.:
777
Cov.:
32
AF XY:
0.00811
AC XY:
5898
AN XY:
727240
show subpopulations
Gnomad4 AFR exome
AF:
0.155
Gnomad4 AMR exome
AF:
0.00814
Gnomad4 ASJ exome
AF:
0.000153
Gnomad4 EAS exome
AF:
0.129
Gnomad4 SAS exome
AF:
0.00372
Gnomad4 FIN exome
AF:
0.00470
Gnomad4 NFE exome
AF:
0.000334
Gnomad4 OTH exome
AF:
0.0184
GnomAD4 genome
AF:
0.0489
AC:
7431
AN:
152060
Hom.:
548
Cov.:
31
AF XY:
0.0480
AC XY:
3568
AN XY:
74340
show subpopulations
Gnomad4 AFR
AF:
0.152
Gnomad4 AMR
AF:
0.0145
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.135
Gnomad4 SAS
AF:
0.00831
Gnomad4 FIN
AF:
0.00519
Gnomad4 NFE
AF:
0.000676
Gnomad4 OTH
AF:
0.0384
Alfa
AF:
0.0220
Hom.:
137
Bravo
AF:
0.0541
Asia WGS
AF:
0.0740
AC:
257
AN:
3478
EpiCase
AF:
0.000491
EpiControl
AF:
0.000474

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxNov 10, 2018- -
Benign, criteria provided, single submitterclinical testingInvitaeJan 23, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 21, 2016p.Val385Val in exon 12 of ATP6V0A4: This variant is not expected to have clinica l significance because it does not alter an amino acid residue, is not located w ithin the splice consensus sequence, and has been identified in 15.30% (1592/104 06) of African chromosomes by the Exome Aggregation Consortium (ExAC, http://exa c.broadinstitute.org; dbSNP rs58568563). -
Autosomal recessive distal renal tubular acidosis Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.88
CADD
Benign
0.82
DANN
Benign
0.59

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: rs58568563; hg19: chr7-138433937; COSMIC: COSV59479159; COSMIC: COSV59479159; API