NM_207352.4:c.14G>T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 3P and 1B. PM2PP2BP4

The NM_207352.4(CYP4V2):​c.14G>T​(p.Trp5Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000703 in 1,421,722 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign 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. W5S) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.0e-7 ( 0 hom. )

Consequence

CYP4V2
NM_207352.4 missense

Scores

2
1
15

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.60

Publications

0 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: Laboratory for Molecular Medicine, Orphanet, ClinGen, Labcorp Genetics (formerly Invitae), Illumina, G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 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.
BP4
Computational evidence support a benign effect (MetaRNN=0.34235793).

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.14G>Tp.Trp5Leu
missense
Exon 1 of 11NP_997235.3Q6ZWL3-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYP4V2
ENST00000378802.5
TSL:1 MANE Select
c.14G>Tp.Trp5Leu
missense
Exon 1 of 11ENSP00000368079.4Q6ZWL3-1
CYP4V2
ENST00000905173.1
c.14G>Tp.Trp5Leu
missense
Exon 1 of 12ENSP00000575232.1
CYP4V2
ENST00000905174.1
c.14G>Tp.Trp5Leu
missense
Exon 1 of 11ENSP00000575233.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
7.03e-7
AC:
1
AN:
1421722
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
704742
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
32308
American (AMR)
AF:
0.00
AC:
0
AN:
41304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25362
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37754
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82132
European-Finnish (FIN)
AF:
0.0000242
AC:
1
AN:
41290
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4808
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1097868
Other (OTH)
AF:
0.00
AC:
0
AN:
58896
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.087
BayesDel_addAF
Benign
-0.073
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
22
DANN
Benign
0.94
DEOGEN2
Benign
0.054
T
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.37
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.47
T
M_CAP
Pathogenic
0.86
D
MetaRNN
Benign
0.34
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.97
L
PhyloP100
1.6
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-0.080
N
REVEL
Benign
0.15
Sift
Benign
0.57
T
Sift4G
Pathogenic
0.0
D
Polyphen
0.0030
B
Vest4
0.32
MutPred
0.60
Loss of MoRF binding (P = 0.0016)
MVP
0.60
MPC
0.12
ClinPred
0.32
T
GERP RS
3.5
PromoterAI
-0.041
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.095
gMVP
0.45
Mutation Taster
=95/5
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: rs556591903; hg19: chr4-187112991; API