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GeneBe

8-133191182-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_003882.4(CCN4):​c.38C>T​(p.Thr13Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000378 in 1,605,414 control chromosomes in the GnomAD database, including 4 homozygotes. 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 (★).

Frequency

Genomes: 𝑓 0.00032 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00038 ( 4 hom. )

Consequence

CCN4
NM_003882.4 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.549
Variant links:
Genes affected
CCN4 (HGNC:12769): (cellular communication network factor 4) This gene encodes a member of the WNT1 inducible signaling pathway (WISP) protein subfamily, which belongs to the connective tissue growth factor (CTGF) family. WNT1 is a member of a family of cysteine-rich, glycosylated signaling proteins that mediate diverse developmental processes. The CTGF family members are characterized by four conserved cysteine-rich domains: insulin-like growth factor-binding domain, von Willebrand factor type C module, thrombospondin domain and C-terminal cystine knot-like domain. This gene may be downstream in the WNT1 signaling pathway that is relevant to malignant transformation. It is expressed at a high level in fibroblast cells, and overexpressed in colon tumors. The encoded protein binds to decorin and biglycan, two members of a family of small leucine-rich proteoglycans present in the extracellular matrix of connective tissue, and possibly prevents the inhibitory activity of decorin and biglycan in tumor cell proliferation. It also attenuates p53-mediated apoptosis in response to DNA damage through activation of the Akt kinase. It is 83% identical to the mouse protein at the amino acid level. Multiple alternatively spliced transcript variants have been identified. [provided by RefSeq, Mar 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.03453362).
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CCN4NM_003882.4 linkuse as main transcriptc.38C>T p.Thr13Ile missense_variant 1/5 ENST00000250160.11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CCN4ENST00000250160.11 linkuse as main transcriptc.38C>T p.Thr13Ile missense_variant 1/51 NM_003882.4 P1O95388-1

Frequencies

GnomAD3 genomes
AF:
0.000322
AC:
49
AN:
152138
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000368
Gnomad OTH
AF:
0.000958
GnomAD3 exomes
AF:
0.000398
AC:
93
AN:
233838
Hom.:
0
AF XY:
0.000457
AC XY:
59
AN XY:
129054
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000264
Gnomad ASJ exome
AF:
0.00123
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000495
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000502
Gnomad OTH exome
AF:
0.000691
GnomAD4 exome
AF:
0.000384
AC:
558
AN:
1453158
Hom.:
4
Cov.:
32
AF XY:
0.000405
AC XY:
293
AN XY:
723214
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.000358
Gnomad4 ASJ exome
AF:
0.00157
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000593
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000309
Gnomad4 OTH exome
AF:
0.000699
GnomAD4 genome
AF:
0.000322
AC:
49
AN:
152256
Hom.:
0
Cov.:
32
AF XY:
0.000282
AC XY:
21
AN XY:
74452
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.00144
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00124
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000368
Gnomad4 OTH
AF:
0.000948
Alfa
AF:
0.000715
Hom.:
1
Bravo
AF:
0.000525
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000714
AC:
6
ExAC
AF:
0.000341
AC:
41
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000927
EpiControl
AF:
0.000712

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 27, 2024The c.38C>T (p.T13I) alteration is located in exon 1 (coding exon 1) of the WISP1 gene. This alteration results from a C to T substitution at nucleotide position 38, causing the threonine (T) at amino acid position 13 to be replaced by an isoleucine (I). 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
0.16
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.061
T;.;.;.
Eigen
Benign
-0.54
Eigen_PC
Benign
-0.38
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.68
T;T;T;T
M_CAP
Benign
0.036
D
MetaRNN
Benign
0.035
T;T;T;T
MetaSVM
Benign
-0.65
T
MutationAssessor
Benign
1.4
L;L;L;L
MutationTaster
Benign
0.78
D;N;N;N;N
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-1.1
N;N;N;N
REVEL
Benign
0.28
Sift
Benign
0.11
T;D;T;T
Sift4G
Benign
0.30
T;D;T;T
Polyphen
0.0010
B;B;.;B
Vest4
0.27
MVP
0.66
MPC
0.64
ClinPred
0.030
T
GERP RS
3.5
Varity_R
0.066
gMVP
0.20

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: rs149172980; hg19: chr8-134203425; API