8-6936685-G-A

Variant names:

• chr8-6936685-G-A
• rs2239667
• NM_001925.3:c.172+43C>T

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_001925.3(DEFA4):​c.172+43C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.238 in 1,498,906 control chromosomes in the GnomAD database, including 43,898 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: 𝑓 0.22 (3789 hom., cov: 32)
  • Exomes 𝑓: 0.24 (40109 hom.)
• Consequence: DEFA4 NM_001925.3 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -2.36
• Publications: 5 publications found

Genes affected

DEFA4 (HGNC:2763): (defensin alpha 4) Defensins are a family of antimicrobial and cytotoxic peptides thought to be involved in host defense. They are abundant in the granules of neutrophils and also found in the epithelia of mucosal surfaces such as those of the intestine, respiratory tract, urinary tract, and vagina. Members of the defensin family are highly similar in protein sequence and distinguished by a conserved cysteine motif. Several alpha defensin genes are clustered on chromosome 8. This gene differs from other genes of this family by an extra 83-base segment that is apparently the result of a recent duplication within the coding region. The protein encoded by this gene, defensin, alpha 4, is found in the neutrophils; it exhibits corticostatic activity and inhibits corticotropin stimulated corticosterone production. [provided by RefSeq, Oct 2014]

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-1.01).
• BA1: GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.294 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001925.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	DEFA4	NM_001925.3	MANE Select	c.172+43C>T		intron	N/A	NP_001916.1

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	DEFA4	ENST00000297435.3	TSL:1 MANE Select	c.172+43C>T		intron	N/A	ENSP00000297435.2

Frequencies

GnomAD3 genomes AF: 0.219 AC: 33210 AN: 151938 Hom.: 3793 Cov.: 32

Gnomad AFR AF: 0.163

Gnomad AMI AF: 0.422

Gnomad AMR AF: 0.184

Gnomad ASJ AF: 0.272

Gnomad EAS AF: 0.306

Gnomad SAS AF: 0.233

Gnomad FIN AF: 0.242

Gnomad MID AF: 0.226

Gnomad NFE AF: 0.243

Gnomad OTH AF: 0.218

GnomAD2 exomes AF: 0.226 AC: 43206 AN: 190950 AF XY: 0.230

Gnomad AFR exome AF: 0.158

Gnomad AMR exome AF: 0.153

Gnomad ASJ exome AF: 0.260

Gnomad EAS exome AF: 0.307

Gnomad FIN exome AF: 0.241

Gnomad NFE exome AF: 0.236

Gnomad OTH exome AF: 0.235

GnomAD4 exome AF: 0.240 AC: 323004 AN: 1346848 Hom.: 40109 Cov.: 29 AF XY: 0.240 AC XY: 158229 AN XY: 659662

African (AFR) AF: 0.164 AC: 4886 AN: 29828

American (AMR) AF: 0.158 AC: 5279 AN: 33372

Ashkenazi Jewish (ASJ) AF: 0.263 AC: 5594 AN: 21242

East Asian (EAS) AF: 0.283 AC: 10285 AN: 36282

South Asian (SAS) AF: 0.221 AC: 14999 AN: 67736

European-Finnish (FIN) AF: 0.235 AC: 11751 AN: 50020

Middle Eastern (MID) AF: 0.222 AC: 1175 AN: 5288

European-Non Finnish (NFE) AF: 0.244 AC: 255941 AN: 1048076

Other (OTH) AF: 0.238 AC: 13094 AN: 55004

GnomAD4 genome AF: 0.218 AC: 33202 AN: 152058 Hom.: 3789 Cov.: 32 AF XY: 0.219 AC XY: 16261 AN XY: 74298

African (AFR) AF: 0.163 AC: 6769 AN: 41512

American (AMR) AF: 0.183 AC: 2803 AN: 15276

Ashkenazi Jewish (ASJ) AF: 0.272 AC: 945 AN: 3470

East Asian (EAS) AF: 0.306 AC: 1583 AN: 5170

South Asian (SAS) AF: 0.231 AC: 1104 AN: 4786

European-Finnish (FIN) AF: 0.242 AC: 2550 AN: 10538

Middle Eastern (MID) AF: 0.226 AC: 66 AN: 292

European-Non Finnish (NFE) AF: 0.243 AC: 16534 AN: 67996

Other (OTH) AF: 0.220 AC: 463 AN: 2106

Alfa AF: 0.174 Hom.: 629

Bravo AF: 0.211

Asia WGS AF: 0.269 AC: 938 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-1.0
CADD	Benign	1.2
DANN	Benign	0.41
PhyloP100		-2.4
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs2239667; hg19: chr8-6794207; COSMIC: COSV104625793;