NM_001202.6:c.272C>G

Variant summary

Our verdict is Likely benign. The variant received -1 ACMG points: 0P and 1B. BP6

The NM_001202.6(BMP4):​c.272C>G​(p.Ser91Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000252 in 1,609,808 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00026 ( 0 hom. )

Consequence

BMP4
NM_001202.6 missense

Scores

6
9
3

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:3B:3

Conservation

PhyloP100: 7.91

Publications

16 publications found
Variant links:
Genes affected
BMP4 (HGNC:1071): (bone morphogenetic protein 4) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate each subunit of the disulfide-linked homodimer. This protein regulates heart development and adipogenesis. Mutations in this gene are associated with orofacial cleft and microphthalmia in human patients. The encoded protein may also be involved in the pathology of multiple cardiovascular diseases and human cancers. [provided by RefSeq, Jul 2016]
BMP4 Gene-Disease associations (from GenCC):
  • BMP4-related ocular growth disorder
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • microphthalmia with brain and digit anomalies
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
  • Stickler syndrome
    Inheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
  • renal agenesis, unilateral
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • orofacial cleft 11
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -1 ACMG points.

BP6
Variant 14-53951951-G-C is Benign according to our data. Variant chr14-53951951-G-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 17703.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001202.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BMP4
NM_001202.6
MANE Select
c.272C>Gp.Ser91Cys
missense
Exon 3 of 4NP_001193.2P12644
BMP4
NM_001347912.1
c.413C>Gp.Ser138Cys
missense
Exon 3 of 4NP_001334841.1
BMP4
NM_001347914.2
c.272C>Gp.Ser91Cys
missense
Exon 2 of 3NP_001334843.1P12644

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BMP4
ENST00000245451.9
TSL:1 MANE Select
c.272C>Gp.Ser91Cys
missense
Exon 3 of 4ENSP00000245451.4P12644
BMP4
ENST00000558984.1
TSL:1
c.272C>Gp.Ser91Cys
missense
Exon 2 of 3ENSP00000454134.1P12644
BMP4
ENST00000559087.5
TSL:1
c.272C>Gp.Ser91Cys
missense
Exon 3 of 4ENSP00000453485.1P12644

Frequencies

GnomAD3 genomes
AF:
0.000164
AC:
25
AN:
152190
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.000367
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000182
AC:
45
AN:
247294
AF XY:
0.000172
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000397
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000261
AC:
380
AN:
1457618
Hom.:
0
Cov.:
32
AF XY:
0.000258
AC XY:
187
AN XY:
725380
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39698
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86258
European-Finnish (FIN)
AF:
0.0000813
AC:
4
AN:
49214
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.000330
AC:
367
AN:
1111976
Other (OTH)
AF:
0.000116
AC:
7
AN:
60366
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
28
56
85
113
141
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000164
AC:
25
AN:
152190
Hom.:
0
Cov.:
33
AF XY:
0.0000673
AC XY:
5
AN XY:
74338
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41444
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000367
AC:
25
AN:
68042
Other (OTH)
AF:
0.00
AC:
0
AN:
2088
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.509
Heterozygous variant carriers
0
2
3
5
6
8
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000286
Hom.:
0
Bravo
AF:
0.000166
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000132
AC:
16
EpiCase
AF:
0.000436
EpiControl
AF:
0.000356

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
Microphthalmia with brain and digit anomalies (2)
1
1
-
Orofacial cleft 11 (2)
-
1
-
Intellectual disability (1)
-
-
1
Microphthalmia with brain and digit anomalies;C2677434:Orofacial cleft 11 (1)
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.31
CADD
Pathogenic
33
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.83
D
Eigen
Pathogenic
0.85
Eigen_PC
Pathogenic
0.81
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.95
D
M_CAP
Benign
0.068
D
MetaRNN
Uncertain
0.72
D
MetaSVM
Uncertain
0.095
D
MutationAssessor
Pathogenic
3.1
M
PhyloP100
7.9
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-1.9
N
REVEL
Pathogenic
0.70
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.036
D
Polyphen
1.0
D
Vest4
0.92
MVP
0.87
MPC
1.4
ClinPred
0.42
T
GERP RS
5.1
PromoterAI
0.0095
Neutral
Varity_R
0.48
gMVP
0.56
Mutation Taster
=4/96
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: rs121912767; hg19: chr14-54418669; API