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GeneBe

8-131955770-G-T

Variant summary

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

The NM_015137.6(EFR3A):​c.641G>T​(p.Arg214Leu) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000976 in 1,608,918 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R214H) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000091 ( 1 hom. )

Consequence

EFR3A
NM_015137.6 missense, splice_region

Scores

1
7
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.89
Variant links:
Genes affected
EFR3A (HGNC:28970): (EFR3 homolog A) The protein encoded by this gene is part of a complex that plays a role in maintaining an active pool of phosphatidylinositol 4-kinase (PI4K) at the plasma membrane. This protein is thought to be a peripheral membrane protein that associates with the plasma membrane through palmitoylation. Studies indicate that this gene product plays a role in controlling G protein-coupled receptor (GPCR) activity by affecting receptor phosphorylation. Whole exome sequencing studies have implicated mutations in this gene with autism spectrum disorders. [provided by RefSeq, Apr 2016]

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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=0.006498188).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EFR3ANM_015137.6 linkuse as main transcriptc.641G>T p.Arg214Leu missense_variant, splice_region_variant 7/23 ENST00000254624.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EFR3AENST00000254624.10 linkuse as main transcriptc.641G>T p.Arg214Leu missense_variant, splice_region_variant 7/231 NM_015137.6 P3Q14156-1
EFR3AENST00000519656.1 linkuse as main transcriptc.533G>T p.Arg178Leu missense_variant, splice_region_variant 7/231 A1Q14156-2
EFR3AENST00000637848.1 linkuse as main transcriptc.722G>T p.Arg241Leu missense_variant, splice_region_variant 7/235

Frequencies

GnomAD3 genomes
AF:
0.000165
AC:
25
AN:
151872
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000726
Gnomad AMI
AF:
0.0143
Gnomad AMR
AF:
0.0000657
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000149
AC:
37
AN:
248814
Hom.:
0
AF XY:
0.000171
AC XY:
23
AN XY:
134400
show subpopulations
Gnomad AFR exome
AF:
0.0000617
Gnomad AMR exome
AF:
0.0000878
Gnomad ASJ exome
AF:
0.00200
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000133
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.0000444
Gnomad OTH exome
AF:
0.000495
GnomAD4 exome
AF:
0.0000906
AC:
132
AN:
1457046
Hom.:
1
Cov.:
30
AF XY:
0.000108
AC XY:
78
AN XY:
724752
show subpopulations
Gnomad4 AFR exome
AF:
0.0000601
Gnomad4 AMR exome
AF:
0.000158
Gnomad4 ASJ exome
AF:
0.00142
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000211
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.0000424
Gnomad4 OTH exome
AF:
0.000283
GnomAD4 genome
AF:
0.000165
AC:
25
AN:
151872
Hom.:
0
Cov.:
33
AF XY:
0.000148
AC XY:
11
AN XY:
74152
show subpopulations
Gnomad4 AFR
AF:
0.0000726
Gnomad4 AMR
AF:
0.0000657
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.000478
Alfa
AF:
0.0000882
Hom.:
0
Bravo
AF:
0.000212
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000988
AC:
12

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 GeneticsFeb 03, 2022The c.641G>T (p.R214L) alteration is located in exon 7 (coding exon 7) of the EFR3A gene. This alteration results from a G to T substitution at nucleotide position 641, causing the arginine (R) at amino acid position 214 to be replaced by a leucine (L). 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
0.24
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.31
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.034
T;T;.
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.88
D;D;D
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.0065
T;T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
1.3
L;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Uncertain
-2.4
N;.;N
REVEL
Benign
0.13
Sift
Benign
0.043
D;.;D
Sift4G
Uncertain
0.059
T;.;T
Polyphen
0.59
P;.;.
Vest4
0.79
MVP
0.54
MPC
0.13
ClinPred
0.084
T
GERP RS
5.6
Varity_R
0.20
gMVP
0.45

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs146871009; hg19: chr8-132968017; API