NM_013347.4:c.202G>A

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_013347.4(RPA4):​c.202G>A​(p.Gly68Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000029 in 1,208,383 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 15 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G68E) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 1 hem., cov: 21)
Exomes 𝑓: 0.000031 ( 0 hom. 14 hem. )

Consequence

RPA4
NM_013347.4 missense

Scores

3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.892

Publications

0 publications found
Variant links:
Genes affected
RPA4 (HGNC:30305): (replication protein A4) This gene encodes a single-stranded DNA-binding protein that is the 30-kDa subunit of the replication protein A complex. Replication protein A is an essential factor for DNA double-strand break repair and cell cycle checkpoint activation. The encoded protein localizes to DNA repair foci and may be involved in the cellular DNA damage response. This protein may also play a role in inhibiting viral replication.[provided by RefSeq, Apr 2010]
DIAPH2 (HGNC:2877): (diaphanous related formin 2) The product of this gene belongs to the diaphanous subfamily of the formin homology family of proteins. This gene may play a role in the development and normal function of the ovaries. Defects in this gene have been linked to premature ovarian failure 2. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]
DIAPH2 Gene-Disease associations (from GenCC):
  • premature ovarian failure 2A
    Inheritance: Unknown 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 -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.12945956).
BS2
High Hemizygotes in GnomAdExome4 at 14 gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_013347.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RPA4
NM_013347.4
MANE Select
c.202G>Ap.Gly68Arg
missense
Exon 1 of 1NP_037479.1Q13156
DIAPH2
NM_006729.5
MANE Select
c.587+2794G>A
intron
N/ANP_006720.1O60879-1
DIAPH2
NM_007309.4
c.587+2794G>A
intron
N/ANP_009293.1O60879-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RPA4
ENST00000373040.4
TSL:6 MANE Select
c.202G>Ap.Gly68Arg
missense
Exon 1 of 1ENSP00000362131.3Q13156
DIAPH2
ENST00000324765.13
TSL:1 MANE Select
c.587+2794G>A
intron
N/AENSP00000321348.8O60879-1
DIAPH2
ENST00000373049.8
TSL:1
c.587+2794G>A
intron
N/AENSP00000362140.4O60879-2

Frequencies

GnomAD3 genomes
AF:
0.00000903
AC:
1
AN:
110758
Hom.:
0
Cov.:
21
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000970
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000218
AC:
4
AN:
183194
AF XY:
0.0000295
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000722
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000310
AC:
34
AN:
1097625
Hom.:
0
Cov.:
31
AF XY:
0.0000386
AC XY:
14
AN XY:
362981
show subpopulations
African (AFR)
AF:
0.000152
AC:
4
AN:
26396
American (AMR)
AF:
0.0000284
AC:
1
AN:
35205
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19377
East Asian (EAS)
AF:
0.0000331
AC:
1
AN:
30202
South Asian (SAS)
AF:
0.0000739
AC:
4
AN:
54121
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40528
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4135
European-Non Finnish (NFE)
AF:
0.0000202
AC:
17
AN:
841585
Other (OTH)
AF:
0.000152
AC:
7
AN:
46076
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
GnomAD4 genome
AF:
0.00000903
AC:
1
AN:
110758
Hom.:
0
Cov.:
21
AF XY:
0.0000303
AC XY:
1
AN XY:
32960
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30410
American (AMR)
AF:
0.0000970
AC:
1
AN:
10313
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2643
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3506
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2575
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5893
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53025
Other (OTH)
AF:
0.00
AC:
0
AN:
1475
Alfa
AF:
0.000142
Hom.:
1
Bravo
AF:
0.0000189
ExAC
AF:
0.0000165
AC:
2

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.51
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Benign
0.21
T
FATHMM_MKL
Benign
0.044
N
LIST_S2
Benign
0.48
T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.2
L
PhyloP100
0.89
PrimateAI
Benign
0.45
T
PROVEAN
Benign
-2.3
N
REVEL
Benign
0.10
Sift
Benign
0.20
T
Sift4G
Benign
0.080
T
Polyphen
0.79
P
Vest4
0.087
MutPred
0.56
Gain of MoRF binding (P = 0.0082)
MVP
0.67
MPC
0.50
ClinPred
0.11
T
GERP RS
0.57
Varity_R
0.078
gMVP
0.085
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs778666124; hg19: chrX-96139511; COSMIC: COSV61273746; API