X-108137806-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The ENST00000372232.8(ATG4A):ā€‹c.550A>Cā€‹(p.Lys184Gln) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.000000963 in 1,038,452 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a benign outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 23)
Exomes š‘“: 9.6e-7 ( 0 hom. 0 hem. )

Consequence

ATG4A
ENST00000372232.8 missense, splice_region

Scores

1
4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.96
Variant links:
Genes affected
ATG4A (HGNC:16489): (autophagy related 4A cysteine peptidase) Autophagy is the process by which endogenous proteins and damaged organelles are destroyed intracellularly. Autophagy is postulated to be essential for cell homeostasis and cell remodeling during differentiation, metamorphosis, non-apoptotic cell death, and aging. Reduced levels of autophagy have been described in some malignant tumors, and a role for autophagy in controlling the unregulated cell growth linked to cancer has been proposed. This gene encodes a member of the autophagin protein family. The encoded protein is also designated as a member of the C-54 family of cysteine proteases. [provided by RefSeq, Mar 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.33130318).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATG4ANM_052936.5 linkuse as main transcriptc.550A>C p.Lys184Gln missense_variant, splice_region_variant 8/13 ENST00000372232.8 NP_443168.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATG4AENST00000372232.8 linkuse as main transcriptc.550A>C p.Lys184Gln missense_variant, splice_region_variant 8/131 NM_052936.5 ENSP00000361306 P1Q8WYN0-1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000750
AC:
1
AN:
133253
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
42933
show subpopulations
Gnomad AFR exome
AF:
0.0000811
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
9.63e-7
AC:
1
AN:
1038452
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
332566
show subpopulations
Gnomad4 AFR exome
AF:
0.0000417
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
Bravo
AF:
0.0000113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 29, 2022The c.550A>C (p.K184Q) alteration is located in exon 8 (coding exon 8) of the ATG4A gene. This alteration results from a A to C substitution at nucleotide position 550, causing the lysine (K) at amino acid position 184 to be replaced by a glutamine (Q). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Benign
0.080
T;.;.
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
D;D;D
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.33
T;T;T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
1.4
L;L;.
MutationTaster
Benign
1.0
D;D;D;N
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-2.1
N;N;N
REVEL
Benign
0.17
Sift
Benign
0.11
T;T;T
Sift4G
Benign
0.17
T;T;T
Polyphen
0.051
B;B;.
Vest4
0.41
MutPred
0.51
Loss of ubiquitination at K184 (P = 0.0183);Loss of ubiquitination at K184 (P = 0.0183);.;
MVP
0.51
MPC
1.2
ClinPred
0.36
T
GERP RS
5.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.77
gMVP
0.55

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1194604609; hg19: chrX-107381036; API