NM_000750.5:c.1304C>T

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_000750.5(CHRNB4):​c.1304C>T​(p.Ala435Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00286 in 1,614,128 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.0022 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0029 ( 5 hom. )

Consequence

CHRNB4
NM_000750.5 missense

Scores

6
9
3

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 9.93

Publications

13 publications found
Variant links:
Genes affected
CHRNB4 (HGNC:1964): (cholinergic receptor nicotinic beta 4 subunit) This gene is found within a conserved gene cluster and encodes one of the beta subunits of the nicotinic acetylcholine receptor (nAChRs) superfamily which form ligand-gated ion channels with a central pore that forms a cation channel. Neuronal nAChRs are pentameric structures that can be either homomeric or heteromeric, with heteromeric structures containing both alpha and beta subunits. Each subunit contains an extracellular amino terminus and four transmembrane domains. Nicotine is one of the agonists that binds to the receptor. Variants in this gene have been associated with nicotine dependence and lung cancer. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Sep 2017]
CHRNB4 Gene-Disease associations (from GenCC):
  • lung cancer
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.037492573).
BP6
Variant 15-78629001-G-A is Benign according to our data. Variant chr15-78629001-G-A is described in ClinVar as Benign. ClinVar VariationId is 873208.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 332 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000750.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHRNB4
NM_000750.5
MANE Select
c.1304C>Tp.Ala435Val
missense
Exon 5 of 6NP_000741.1P30926-1
CHRNB4
NM_001256567.3
c.359+2075C>T
intron
N/ANP_001243496.1P30926-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CHRNB4
ENST00000261751.8
TSL:1 MANE Select
c.1304C>Tp.Ala435Val
missense
Exon 5 of 6ENSP00000261751.3P30926-1
CHRNB4
ENST00000412074.6
TSL:1
c.359+2075C>T
intron
N/AENSP00000416386.2P30926-2
CHRNB4
ENST00000929174.1
c.1304C>Tp.Ala435Val
missense
Exon 6 of 7ENSP00000599233.1

Frequencies

GnomAD3 genomes
AF:
0.00218
AC:
332
AN:
152176
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000555
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00499
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00365
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.00268
AC:
674
AN:
251164
AF XY:
0.00265
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.000199
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00592
Gnomad NFE exome
AF:
0.00456
Gnomad OTH exome
AF:
0.00163
GnomAD4 exome
AF:
0.00293
AC:
4279
AN:
1461834
Hom.:
5
Cov.:
31
AF XY:
0.00289
AC XY:
2104
AN XY:
727216
show subpopulations
African (AFR)
AF:
0.000209
AC:
7
AN:
33480
American (AMR)
AF:
0.000291
AC:
13
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.000421
AC:
11
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.0000232
AC:
2
AN:
86252
European-Finnish (FIN)
AF:
0.00627
AC:
335
AN:
53420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5762
European-Non Finnish (NFE)
AF:
0.00338
AC:
3753
AN:
1111974
Other (OTH)
AF:
0.00260
AC:
157
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
254
508
762
1016
1270
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
132
264
396
528
660
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00218
AC:
332
AN:
152294
Hom.:
0
Cov.:
32
AF XY:
0.00219
AC XY:
163
AN XY:
74464
show subpopulations
African (AFR)
AF:
0.000553
AC:
23
AN:
41570
American (AMR)
AF:
0.0000654
AC:
1
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00115
AC:
4
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4814
European-Finnish (FIN)
AF:
0.00499
AC:
53
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00365
AC:
248
AN:
68024
Other (OTH)
AF:
0.00142
AC:
3
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
17
34
51
68
85
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00320
Hom.:
5
Bravo
AF:
0.00166
TwinsUK
AF:
0.00405
AC:
15
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.000455
AC:
2
ESP6500EA
AF:
0.00280
AC:
24
ExAC
AF:
0.00332
AC:
403
EpiCase
AF:
0.00262
EpiControl
AF:
0.00261

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Amyotrophic lateral sclerosis (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.32
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Uncertain
0.080
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.51
D
Eigen
Pathogenic
0.87
Eigen_PC
Pathogenic
0.81
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D
M_CAP
Uncertain
0.18
D
MetaRNN
Benign
0.037
T
MetaSVM
Uncertain
0.63
D
MutationAssessor
Pathogenic
2.9
M
PhyloP100
9.9
PrimateAI
Uncertain
0.50
T
PROVEAN
Uncertain
-3.7
D
REVEL
Pathogenic
0.74
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.021
D
Polyphen
0.98
D
Vest4
0.76
MVP
0.93
MPC
0.99
ClinPred
0.067
T
GERP RS
5.2
Varity_R
0.62
gMVP
0.72
Mutation Taster
=43/57
disease causing

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

Other links and lift over

dbSNP: rs56317523; hg19: chr15-78921343; API