8-144511759-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_004260.4(RECQL4):ā€‹c.3424G>Cā€‹(p.Asp1142His) variant causes a missense change. The variant allele was found at a frequency of 0.000205 in 1,612,474 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.00016 ( 0 hom., cov: 34)
Exomes š‘“: 0.00021 ( 0 hom. )

Consequence

RECQL4
NM_004260.4 missense

Scores

4
5
3

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:5

Conservation

PhyloP100: 3.81
Variant links:
Genes affected
RECQL4 (HGNC:9949): (RecQ like helicase 4) The protein encoded by this gene is a DNA helicase that belongs to the RecQ helicase family. DNA helicases unwind double-stranded DNA into single-stranded DNAs and may modulate chromosome segregation. This gene is predominantly expressed in thymus and testis. Mutations in this gene are associated with Rothmund-Thomson, RAPADILINO and Baller-Gerold syndromes. [provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.749

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RECQL4NM_004260.4 linkuse as main transcriptc.3424G>C p.Asp1142His missense_variant 20/21 ENST00000617875.6 NP_004251.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RECQL4ENST00000617875.6 linkuse as main transcriptc.3424G>C p.Asp1142His missense_variant 20/211 NM_004260.4 ENSP00000482313 P1

Frequencies

GnomAD3 genomes
AF:
0.000164
AC:
25
AN:
152256
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000724
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:
0.000323
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000145
AC:
36
AN:
247460
Hom.:
0
AF XY:
0.000148
AC XY:
20
AN XY:
134858
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000580
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:
0.000296
Gnomad OTH exome
AF:
0.000166
GnomAD4 exome
AF:
0.000210
AC:
306
AN:
1460218
Hom.:
0
Cov.:
36
AF XY:
0.000219
AC XY:
159
AN XY:
726386
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.0000671
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:
0.000260
Gnomad4 OTH exome
AF:
0.000215
GnomAD4 genome
AF:
0.000164
AC:
25
AN:
152256
Hom.:
0
Cov.:
34
AF XY:
0.000148
AC XY:
11
AN XY:
74386
show subpopulations
Gnomad4 AFR
AF:
0.0000724
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:
0.000323
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000122
Hom.:
0
Bravo
AF:
0.000140
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ExAC
AF:
0.000132
AC:
16
EpiCase
AF:
0.000273
EpiControl
AF:
0.000237

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Oct 17, 2016- -
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityJun 22, 2023- -
not specified Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingGenetic Services Laboratory, University of ChicagoJun 08, 2022DNA sequence analysis of the RECQL4 gene demonstrated a sequence change, c.3424G>C, in exon 20 that results in an amino acid change, p.Asp1142His. This sequence change does not appear to have been previously described in individuals with RECQL4-related disorders. This sequence change has been described in the gnomAD database with a frequency of 0.028% in the European subpopulation (dbSNP rs61755067). The p.Asp1142His change affects a highly conserved amino acid residue located in a domain of the RECQL4 protein that is not known to be functional. In-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD) provide contradictory results for the p.Asp1142His substitution. Due to insufficient evidences and the lack of functional studies, the clinical significance of the p.Asp1142His change remains unknown at this time. -
Baller-Gerold syndrome Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 19, 2024This sequence change replaces aspartic acid, which is acidic and polar, with histidine, which is basic and polar, at codon 1142 of the RECQL4 protein (p.Asp1142His). This variant is present in population databases (rs61755067, gnomAD 0.03%). This variant has not been reported in the literature in individuals affected with RECQL4-related conditions. ClinVar contains an entry for this variant (Variation ID: 239763). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt RECQL4 protein function with a positive predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Hereditary cancer-predisposing syndrome Uncertain:1
Uncertain significance, criteria provided, single submittercurationSema4, Sema4Dec 19, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.51
BayesDel_addAF
Uncertain
0.094
D
BayesDel_noAF
Pathogenic
0.20
CADD
Benign
22
DANN
Benign
0.89
DEOGEN2
Benign
0.33
T;D;T
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.85
T;T;T
M_CAP
Uncertain
0.27
D
MetaRNN
Pathogenic
0.75
D;D;D
MutationAssessor
Pathogenic
3.1
.;M;.
PrimateAI
Uncertain
0.49
T
Sift4G
Uncertain
0.0030
D;D;D
Polyphen
1.0
.;D;.
Vest4
0.77
MVP
0.73
GERP RS
5.0
Varity_R
0.16
gMVP
0.77

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: rs61755067; hg19: chr8-145737142; COSMIC: COSV56739548; COSMIC: COSV56739548; API