X-108137978-T-C

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_052936.5(ATG4A):ā€‹c.722T>Cā€‹(p.Val241Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00073 in 1,199,653 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 279 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00047 ( 0 hom., 15 hem., cov: 23)
Exomes š‘“: 0.00076 ( 0 hom. 264 hem. )

Consequence

ATG4A
NM_052936.5 missense

Scores

2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.91
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0262793).
BS2
High Hemizygotes in GnomAd4 at 15 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATG4ANM_052936.5 linkuse as main transcriptc.722T>C p.Val241Ala missense_variant 8/13 ENST00000372232.8 NP_443168.2 Q8WYN0-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATG4AENST00000372232.8 linkuse as main transcriptc.722T>C p.Val241Ala missense_variant 8/131 NM_052936.5 ENSP00000361306.3 Q8WYN0-1

Frequencies

GnomAD3 genomes
AF:
0.000467
AC:
52
AN:
111266
Hom.:
0
Cov.:
23
AF XY:
0.000448
AC XY:
15
AN XY:
33460
show subpopulations
Gnomad AFR
AF:
0.0000655
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000669
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000282
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00116
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000622
Gnomad OTH
AF:
0.00133
GnomAD3 exomes
AF:
0.000781
AC:
133
AN:
170298
Hom.:
0
AF XY:
0.000990
AC XY:
56
AN XY:
56572
show subpopulations
Gnomad AFR exome
AF:
0.0000765
Gnomad AMR exome
AF:
0.000728
Gnomad ASJ exome
AF:
0.000159
Gnomad EAS exome
AF:
0.0000735
Gnomad SAS exome
AF:
0.0000662
Gnomad FIN exome
AF:
0.00105
Gnomad NFE exome
AF:
0.00115
Gnomad OTH exome
AF:
0.00144
GnomAD4 exome
AF:
0.000757
AC:
824
AN:
1088333
Hom.:
0
Cov.:
31
AF XY:
0.000743
AC XY:
264
AN XY:
355229
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000784
Gnomad4 ASJ exome
AF:
0.000107
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000193
Gnomad4 FIN exome
AF:
0.000797
Gnomad4 NFE exome
AF:
0.000878
Gnomad4 OTH exome
AF:
0.000569
GnomAD4 genome
AF:
0.000467
AC:
52
AN:
111320
Hom.:
0
Cov.:
23
AF XY:
0.000447
AC XY:
15
AN XY:
33524
show subpopulations
Gnomad4 AFR
AF:
0.0000654
Gnomad4 AMR
AF:
0.000668
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000283
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00116
Gnomad4 NFE
AF:
0.000622
Gnomad4 OTH
AF:
0.00132
Alfa
AF:
0.000796
Hom.:
40
Bravo
AF:
0.000438
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000743
AC:
5
ExAC
AF:
0.000898
AC:
109

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 GeneticsDec 28, 2022The c.722T>C (p.V241A) alteration is located in exon 8 (coding exon 8) of the ATG4A gene. This alteration results from a T to C substitution at nucleotide position 722, causing the valine (V) at amino acid position 241 to be replaced by an alanine (A). 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
0.18
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.087
T;.
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.80
T;T
M_CAP
Benign
0.062
D
MetaRNN
Benign
0.026
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.0
L;.
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.087
Sift
Benign
0.17
T;T
Sift4G
Benign
0.22
T;T
Polyphen
0.0010
B;.
Vest4
0.098
MVP
0.45
MPC
0.48
ClinPred
0.015
T
GERP RS
5.4
Varity_R
0.17
gMVP
0.46

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: rs188786829; hg19: chrX-107381208; COSMIC: COSV58966699; API