9-21008146-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_001010915.5(HACD4):ā€‹c.491C>Gā€‹(p.Ala164Gly) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000103 in 1,451,910 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.000010 ( 0 hom. )

Consequence

HACD4
NM_001010915.5 missense, splice_region

Scores

4
15
Splicing: ADA: 0.01276
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.73
Variant links:
Genes affected
HACD4 (HGNC:20920): (3-hydroxyacyl-CoA dehydratase 4) Enables 3-hydroxyacyl-CoA dehydratase activity and enzyme binding activity. Involved in fatty acid elongation and very long-chain fatty acid biosynthetic process. Located in endoplasmic reticulum. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.33765674).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HACD4NM_001010915.5 linkuse as main transcriptc.491C>G p.Ala164Gly missense_variant, splice_region_variant 6/7 ENST00000495827.3 NP_001010915.2 Q5VWC8
HACD4NM_001321903.2 linkuse as main transcriptc.644C>G p.Ala215Gly missense_variant, splice_region_variant 8/9 NP_001308832.1
HACD4NM_001321883.2 linkuse as main transcriptc.380C>G p.Ala127Gly missense_variant, splice_region_variant 6/7 NP_001308812.1 Q5VWC8
HACD4XM_017014713.2 linkuse as main transcriptc.533C>G p.Ala178Gly missense_variant, splice_region_variant 8/9 XP_016870202.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HACD4ENST00000495827.3 linkuse as main transcriptc.491C>G p.Ala164Gly missense_variant, splice_region_variant 6/72 NM_001010915.5 ENSP00000419503.1 Q5VWC8

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.0000103
AC:
15
AN:
1451910
Hom.:
0
Cov.:
30
AF XY:
0.00000692
AC XY:
5
AN XY:
722168
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.0000135
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsAug 04, 2023The c.491C>G (p.A164G) alteration is located in exon 6 (coding exon 6) of the HACD4 gene. This alteration results from a C to G substitution at nucleotide position 491, causing the alanine (A) at amino acid position 164 to be replaced by a glycine (G). 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
0.10
BayesDel_addAF
Benign
-0.094
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
21
DANN
Uncertain
0.98
DEOGEN2
Benign
0.014
T
Eigen
Benign
0.012
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.79
T
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.34
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.3
L
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.32
N
REVEL
Benign
0.17
Sift
Benign
0.30
T
Sift4G
Benign
0.33
T
Polyphen
0.022
B
Vest4
0.52
MutPred
0.67
Loss of stability (P = 0.0339);
MVP
0.55
MPC
0.080
ClinPred
0.42
T
GERP RS
5.9
Varity_R
0.068
gMVP
0.55

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.013
dbscSNV1_RF
Benign
0.088
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

No publications associated with this variant yet.

Other links and lift over

hg19: chr9-21008145; API