NM_021173.5:c.308A>G

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM2BP4

The NM_021173.5(POLD4):​c.308A>G​(p.His103Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00000633 in 1,106,028 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 (★).

Frequency

Genomes: 𝑓 0.0000086 ( 0 hom., cov: 29)
Exomes 𝑓: 0.0000061 ( 0 hom. )

Consequence

POLD4
NM_021173.5 missense

Scores

4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.59

Publications

0 publications found
Variant links:
Genes affected
POLD4 (HGNC:14106): (DNA polymerase delta 4, accessory subunit) This gene encodes the smallest subunit of DNA polymerase delta. DNA polymerase delta possesses both polymerase and 3' to 5' exonuclease activity and plays a critical role in DNA replication and repair. The encoded protein enhances the activity of DNA polymerase delta and plays a role in fork repair and stabilization through interactions with the DNA helicase Bloom syndrome protein. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, Mar 2012]
RAD9A (HGNC:9827): (RAD9 checkpoint clamp component A) This gene product is highly similar to Schizosaccharomyces pombe rad9, a cell cycle checkpoint protein required for cell cycle arrest and DNA damage repair. This protein possesses 3' to 5' exonuclease activity, which may contribute to its role in sensing and repairing DNA damage. It forms a checkpoint protein complex with RAD1 and HUS1. This complex is recruited by checkpoint protein RAD17 to the sites of DNA damage, which is thought to be important for triggering the checkpoint-signaling cascade. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2011]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.4049474).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_021173.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLD4
NM_021173.5
MANE Select
c.308A>Gp.His103Arg
missense
Exon 4 of 4NP_066996.3
POLD4
NM_001256870.2
c.196A>Gp.Ile66Val
missense
Exon 3 of 3NP_001243799.1Q9HCU8-2
POLD4
NR_046411.2
n.464A>G
non_coding_transcript_exon
Exon 4 of 4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
POLD4
ENST00000312419.8
TSL:1 MANE Select
c.308A>Gp.His103Arg
missense
Exon 4 of 4ENSP00000311368.3Q9HCU8-1
ENSG00000256514
ENST00000543494.1
TSL:3
c.227A>Gp.His76Arg
missense
Exon 4 of 4ENSP00000480527.1A0A087WWV3
POLD4
ENST00000530584.5
TSL:1
c.83A>Gp.His28Arg
missense
Exon 4 of 4ENSP00000436361.2E9PL15

Frequencies

GnomAD3 genomes
AF:
0.00000858
AC:
1
AN:
116506
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.0000331
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000236
AC:
5
AN:
211518
AF XY:
0.0000266
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000250
Gnomad FIN exome
AF:
0.0000563
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000606
AC:
6
AN:
989522
Hom.:
0
Cov.:
29
AF XY:
0.00000406
AC XY:
2
AN XY:
492944
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
22116
American (AMR)
AF:
0.00
AC:
0
AN:
32976
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
15142
East Asian (EAS)
AF:
0.000263
AC:
4
AN:
15184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
75012
European-Finnish (FIN)
AF:
0.0000322
AC:
1
AN:
31080
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3284
European-Non Finnish (NFE)
AF:
0.00000132
AC:
1
AN:
758146
Other (OTH)
AF:
0.00
AC:
0
AN:
36582
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00000858
AC:
1
AN:
116506
Hom.:
0
Cov.:
29
AF XY:
0.0000187
AC XY:
1
AN XY:
53612
show subpopulations
African (AFR)
AF:
0.0000331
AC:
1
AN:
30230
American (AMR)
AF:
0.00
AC:
0
AN:
8612
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3206
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3444
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3278
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
4302
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
272
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
60738
Other (OTH)
AF:
0.00
AC:
0
AN:
1584
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000829
AC:
1

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
Benign
0.28
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
23
DANN
Benign
0.88
DEOGEN2
Benign
0.027
T
Eigen
Benign
0.15
Eigen_PC
Benign
0.17
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.62
T
M_CAP
Uncertain
0.088
D
MetaRNN
Benign
0.40
T
MetaSVM
Benign
-1.0
T
PhyloP100
3.6
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-1.6
N
REVEL
Benign
0.17
Sift
Benign
0.55
T
Sift4G
Uncertain
0.032
D
Polyphen
0.77
P
Vest4
0.50
MutPred
0.69
Gain of MoRF binding (P = 8e-04)
MVP
0.54
MPC
0.95
ClinPred
0.85
D
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.19
gMVP
0.62
Mutation Taster
=60/40
polymorphism

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: rs751903034; hg19: chr11-67119482; API