NM_207352.4:c.130T>C

Variant summary

Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PM2PP2PP3_Strong

The NM_207352.4(CYP4V2):​c.130T>C​(p.Trp44Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00000209 in 1,436,134 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

CYP4V2
NM_207352.4 missense

Scores

6
3
9

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 6.02

Publications

11 publications found
Variant links:
Genes affected
CYP4V2 (HGNC:23198): (cytochrome P450 family 4 subfamily V member 2) This gene encodes a member of the cytochrome P450 hemethiolate protein superfamily which are involved in oxidizing various substrates in the metabolic pathway. It is implicated in the metabolism of fatty acid precursors into n-3 polyunsaturated fatty acids. Mutations in this gene result in Bietti crystalline corneoretinal dystrophy. [provided by RefSeq, Jul 2008]
CYP4V2 Gene-Disease associations (from GenCC):
  • Bietti crystalline corneoretinal dystrophy
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Illumina, G2P, ClinGen, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 24 curated pathogenic missense variants (we use a threshold of 10). The gene has 7 curated benign missense variants. Gene score misZ: -0.12103 (below the threshold of 3.09). Trascript score misZ: -0.14191 (below the threshold of 3.09). GenCC associations: The gene is linked to Bietti crystalline corneoretinal dystrophy.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.965

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_207352.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYP4V2
NM_207352.4
MANE Select
c.130T>Cp.Trp44Arg
missense
Exon 1 of 11NP_997235.3Q6ZWL3-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYP4V2
ENST00000378802.5
TSL:1 MANE Select
c.130T>Cp.Trp44Arg
missense
Exon 1 of 11ENSP00000368079.4Q6ZWL3-1
CYP4V2
ENST00000905173.1
c.130T>Cp.Trp44Arg
missense
Exon 1 of 12ENSP00000575232.1
CYP4V2
ENST00000905174.1
c.130T>Cp.Trp44Arg
missense
Exon 1 of 11ENSP00000575233.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00000997
AC:
2
AN:
200594
AF XY:
0.00000912
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000209
AC:
3
AN:
1436134
Hom.:
0
Cov.:
32
AF XY:
0.00000281
AC XY:
2
AN XY:
712826
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33088
American (AMR)
AF:
0.00
AC:
0
AN:
42054
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25716
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38486
South Asian (SAS)
AF:
0.0000241
AC:
2
AN:
83032
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
45520
Middle Eastern (MID)
AF:
0.000176
AC:
1
AN:
5674
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1103054
Other (OTH)
AF:
0.00
AC:
0
AN:
59510
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.508
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
Cov.:
33
ExAC
AF:
0.00000839
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.71
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Pathogenic
0.25
CADD
Uncertain
24
DANN
Benign
0.78
DEOGEN2
Benign
0.36
T
Eigen
Benign
-0.35
Eigen_PC
Benign
-0.33
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.59
T
M_CAP
Pathogenic
0.36
D
MetaRNN
Pathogenic
0.97
D
MetaSVM
Benign
-0.87
T
MutationAssessor
Uncertain
2.3
M
PhyloP100
6.0
PrimateAI
Uncertain
0.66
T
PROVEAN
Pathogenic
-5.3
D
REVEL
Uncertain
0.43
Sift
Benign
0.51
T
Sift4G
Benign
0.41
T
Polyphen
0.0020
B
Vest4
0.95
MutPred
0.79
Gain of disorder (P = 0.0016)
MVP
0.81
MPC
0.13
ClinPred
0.57
D
GERP RS
3.2
PromoterAI
-0.13
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.62
gMVP
0.86
Mutation Taster
=26/74
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: rs119103282; hg19: chr4-187113107; API