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GeneBe

X-112454804-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001395362.2(RTL4):c.76C>T(p.Arg26Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000192 in 1,207,227 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 65 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 11/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R26Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00017 ( 0 hom., 2 hem., cov: 23)
Exomes 𝑓: 0.00019 ( 0 hom. 63 hem. )

Consequence

RTL4
NM_001395362.2 missense

Scores

4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.231
Variant links:
Genes affected
RTL4 (HGNC:25214): (retrotransposon Gag like 4) Predicted to enable nucleic acid binding activity and zinc ion binding activity. Predicted to act upstream of or within cognition and norepinephrine metabolic process. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.12752032).
BS2
High Hemizygotes in GnomAd at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RTL4NM_001395362.2 linkuse as main transcriptc.76C>T p.Arg26Trp missense_variant 5/5 ENST00000695839.1
RTL4NM_001004308.3 linkuse as main transcriptc.76C>T p.Arg26Trp missense_variant 3/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RTL4ENST00000695839.1 linkuse as main transcriptc.76C>T p.Arg26Trp missense_variant 5/5 NM_001395362.2 P1
RTL4ENST00000340433.4 linkuse as main transcriptc.76C>T p.Arg26Trp missense_variant 4/4 P1
RTL4ENST00000695808.1 linkuse as main transcriptc.76C>T p.Arg26Trp missense_variant 3/3 P1

Frequencies

GnomAD3 genomes
AF:
0.000171
AC:
19
AN:
111269
Hom.:
0
Cov.:
23
AF XY:
0.0000598
AC XY:
2
AN XY:
33455
show subpopulations
Gnomad AFR
AF:
0.000131
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000286
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000226
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000671
AC:
12
AN:
178858
Hom.:
0
AF XY:
0.0000783
AC XY:
5
AN XY:
63840
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000141
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000999
Gnomad OTH exome
AF:
0.000227
GnomAD4 exome
AF:
0.000194
AC:
213
AN:
1095908
Hom.:
0
Cov.:
29
AF XY:
0.000174
AC XY:
63
AN XY:
361586
show subpopulations
Gnomad4 AFR exome
AF:
0.0000380
Gnomad4 AMR exome
AF:
0.000115
Gnomad4 ASJ exome
AF:
0.0000521
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000239
Gnomad4 OTH exome
AF:
0.000109
GnomAD4 genome
AF:
0.000171
AC:
19
AN:
111319
Hom.:
0
Cov.:
23
AF XY:
0.0000597
AC XY:
2
AN XY:
33517
show subpopulations
Gnomad4 AFR
AF:
0.000131
Gnomad4 AMR
AF:
0.000286
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000226
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000238
Hom.:
11
Bravo
AF:
0.000166
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000741
AC:
9

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 15, 2023The c.76C>T (p.R26W) alteration is located in exon 3 (coding exon 1) of the ZCCHC16 gene. This alteration results from a C to T substitution at nucleotide position 76, causing the arginine (R) at amino acid position 26 to be replaced by a tryptophan (W). 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
0.10
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.71
Cadd
Benign
17
Dann
Uncertain
1.0
DEOGEN2
Benign
0.036
T
FATHMM_MKL
Benign
0.013
N
LIST_S2
Benign
0.60
T
M_CAP
Uncertain
0.096
D
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.19
T
PROVEAN
Benign
-2.2
N
REVEL
Benign
0.047
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.015
D
Polyphen
0.99
D
Vest4
0.14
MVP
0.62
MPC
0.039
ClinPred
0.093
T
GERP RS
0.18
Varity_R
0.098
gMVP
0.17

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs202145443; hg19: chrX-111698032; COSMIC: COSV61206399; API