NM_153212.3:c.566T>G

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PM2PM5PP3_Strong

The NM_153212.3(GJB4):​c.566T>G​(p.Phe189Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. F189Y) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 33)

Consequence

GJB4
NM_153212.3 missense

Scores

14
4
1

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 7.97
Variant links:
Genes affected
GJB4 (HGNC:4286): (gap junction protein beta 4) This gene encodes a transmembrane connexin protein that is a component of gap junctions. Mutations in this gene have been associated with erythrokeratodermia variabilis, progressive symmetric erythrokeratoderma and hearing impairment. [provided by RefSeq, Dec 2009]
SMIM12 (HGNC:25154): (small integral membrane protein 12) Predicted to be integral component of membrane. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr1-34761820-T-A is described in ClinVar as [Pathogenic]. Clinvar id is 5009.Status of the report is no_assertion_criteria_provided, 0 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.982

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GJB4NM_153212.3 linkc.566T>G p.Phe189Cys missense_variant Exon 2 of 2 ENST00000339480.3 NP_694944.1 Q9NTQ9A0A654IBS8
GJB4XM_011540679.3 linkc.566T>G p.Phe189Cys missense_variant Exon 2 of 2 XP_011538981.1 Q9NTQ9A0A654IBS8

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GJB4ENST00000339480.3 linkc.566T>G p.Phe189Cys missense_variant Exon 2 of 2 2 NM_153212.3 ENSP00000345868.1 Q9NTQ9
SMIM12ENST00000426886.1 linkn.208-43411A>C intron_variant Intron 2 of 4 1 ENSP00000429902.1 E5RH51
ENSG00000255811ENST00000542839.1 linkn.166A>C non_coding_transcript_exon_variant Exon 2 of 2 5

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.71
BayesDel_addAF
Pathogenic
0.56
D
BayesDel_noAF
Pathogenic
0.56
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Pathogenic
0.87
D
Eigen
Pathogenic
0.95
Eigen_PC
Pathogenic
0.90
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.97
D
M_CAP
Pathogenic
0.48
D
MetaRNN
Pathogenic
0.98
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
3.8
H
PrimateAI
Uncertain
0.70
T
PROVEAN
Pathogenic
-7.3
D
REVEL
Pathogenic
0.98
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.92
MutPred
0.82
Loss of ubiquitination at K184 (P = 0.1537);
MVP
0.97
MPC
0.56
ClinPred
1.0
D
GERP RS
5.8
Varity_R
0.95
gMVP
0.85

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr1-35227421; API