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GeneBe

9-117712970-G-A

Variant summary

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

The NM_138554.5(TLR4):​c.842G>A​(p.Cys281Tyr) variant causes a missense change. The variant allele was found at a frequency of 0.00288 in 1,614,074 control chromosomes in the GnomAD database, including 6 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as not provided (no stars).

Frequency

Genomes: 𝑓 0.0023 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0029 ( 5 hom. )

Consequence

TLR4
NM_138554.5 missense

Scores

3
7
7

Clinical Significance

not provided no classification provided O:1

Conservation

PhyloP100: 5.36
Variant links:
Genes affected
TLR4 (HGNC:11850): (toll like receptor 4) The protein encoded by this gene is a member of the Toll-like receptor (TLR) family which plays a fundamental role in pathogen recognition and activation of innate immunity. TLRs are highly conserved from Drosophila to humans and share structural and functional similarities. They recognize pathogen-associated molecular patterns that are expressed on infectious agents, and mediate the production of cytokines necessary for the development of effective immunity. The various TLRs exhibit different patterns of expression. In silico studies have found a particularly strong binding of surface TLR4 with the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of Coronavirus disease-2019 (COVID-19). This receptor has also been implicated in signal transduction events induced by lipopolysaccharide (LPS) found in most gram-negative bacteria. Mutations in this gene have been associated with differences in LPS responsiveness, and with susceptibility to age-related macular degeneration. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2020]

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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=0.024662405).
BS2
High Homozygotes in GnomAdExome4 at 5 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
TLR4NM_138554.5 linkuse as main transcriptc.842G>A p.Cys281Tyr missense_variant 3/3 ENST00000355622.8
TLR4NM_003266.4 linkuse as main transcriptc.722G>A p.Cys241Tyr missense_variant 4/4
TLR4NM_138557.3 linkuse as main transcriptc.242G>A p.Cys81Tyr missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
TLR4ENST00000355622.8 linkuse as main transcriptc.842G>A p.Cys281Tyr missense_variant 3/31 NM_138554.5 P1O00206-1
TLR4ENST00000394487.5 linkuse as main transcriptc.722G>A p.Cys241Tyr missense_variant 4/41 O00206-2
TLR4ENST00000472304.2 linkuse as main transcriptc.*576G>A 3_prime_UTR_variant 2/21

Frequencies

GnomAD3 genomes
AF:
0.00229
AC:
348
AN:
152184
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000627
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00295
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.000848
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00384
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00230
AC:
576
AN:
250924
Hom.:
0
AF XY:
0.00239
AC XY:
324
AN XY:
135578
show subpopulations
Gnomad AFR exome
AF:
0.000615
Gnomad AMR exome
AF:
0.00318
Gnomad ASJ exome
AF:
0.0000994
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00189
Gnomad FIN exome
AF:
0.000924
Gnomad NFE exome
AF:
0.00317
Gnomad OTH exome
AF:
0.00294
GnomAD4 exome
AF:
0.00294
AC:
4303
AN:
1461772
Hom.:
5
Cov.:
32
AF XY:
0.00299
AC XY:
2175
AN XY:
727190
show subpopulations
Gnomad4 AFR exome
AF:
0.000478
Gnomad4 AMR exome
AF:
0.00356
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00199
Gnomad4 FIN exome
AF:
0.00109
Gnomad4 NFE exome
AF:
0.00336
Gnomad4 OTH exome
AF:
0.00257
GnomAD4 genome
AF:
0.00228
AC:
347
AN:
152302
Hom.:
1
Cov.:
32
AF XY:
0.00201
AC XY:
150
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.000625
Gnomad4 AMR
AF:
0.00294
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.000848
Gnomad4 NFE
AF:
0.00382
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00334
Hom.:
2
Bravo
AF:
0.00263
TwinsUK
AF:
0.00620
AC:
23
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00442
AC:
38
ExAC
AF:
0.00208
AC:
252
Asia WGS
AF:
0.000578
AC:
2
AN:
3476
EpiCase
AF:
0.00387
EpiControl
AF:
0.00379

ClinVar

Significance: not provided
Submissions summary: Other:1
Revision: no classification provided
LINK: link

Submissions by phenotype

not provided Other:1
not provided, no classification providedliterature onlyNEI Ophthalmic Genomics Laboratory, National Institutes of Health-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.69
BayesDel_addAF
Benign
-0.058
T
BayesDel_noAF
Pathogenic
0.15
CADD
Uncertain
24
DANN
Benign
0.97
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.25
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Benign
0.78
T;.;T
M_CAP
Benign
0.062
D
MetaRNN
Benign
0.025
T;T;T
MetaSVM
Benign
-0.71
T
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.69
T
PROVEAN
Pathogenic
-7.4
D;.;D
REVEL
Uncertain
0.36
Sift
Uncertain
0.0020
D;.;D
Sift4G
Uncertain
0.0080
D;.;D
Polyphen
1.0
.;D;D
Vest4
0.82
MVP
0.90
MPC
0.57
ClinPred
0.078
T
GERP RS
4.9
Varity_R
0.93
gMVP
0.70

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: rs137853920; hg19: chr9-120475248; COSMIC: COSV104671177; COSMIC: COSV104671177; API