Our verdict is Likely benign. The variant received -6 ACMG points: 2P and 8B. PM2BP6_Very_Strong
The NM_004100.5(EYA4):c.237A>G(p.Ala79Ala) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,582 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. A79A) has been classified as Likely benign.
EYA4 (HGNC:3522): (EYA transcriptional coactivator and phosphatase 4) This gene encodes a member of the eyes absent (EYA) family of proteins. The encoded protein may act as a transcriptional activator through its protein phosphatase activity, and it may be important for eye development, and for continued function of the mature organ of Corti. Mutations in this gene are associated with postlingual, progressive, autosomal dominant hearing loss at the deafness, autosomal dominant non-syndromic sensorineural 10 locus. The encoded protein is also a putative oncogene that mediates DNA repair, apoptosis, and innate immunity following DNA damage, cellular damage, and viral attack. Defects in this gene are also associated with dilated cardiomyopathy 1J. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2014]
EYA4 Gene-Disease associations (from GenCC):
autosomal dominant nonsyndromic hearing loss 10
Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), PanelApp Australia
nonsyndromic genetic hearing loss
Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
autosomal dominant nonsyndromic hearing loss
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
dilated cardiomyopathy 1J
Inheritance: AD Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, ClinGen
Our verdict: Likely_benign. The variant received -6 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP6
Variant 6-133448139-A-G is Benign according to our data. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133448139-A-G is described in CliVar as Likely_benign. Clinvar id is 179394.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
Ala79Ala in exon 5 of EYA4: This variant is not expected to have clinical signif icance because it does not alter an amino acid residue and is not located within the splice consensus sequence. -