X-120362221-G-A

Variant summary

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

The NM_001142447.3(ATP1B4):​c.53G>A​(p.Arg18His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000852 in 1,208,577 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 32 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 (★).

Frequency

Genomes: 𝑓 0.00032 ( 0 hom., 9 hem., cov: 22)
Exomes 𝑓: 0.000061 ( 0 hom. 23 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

3
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.914
Variant links:
Genes affected
ATP1B4 (HGNC:808): (ATPase Na+/K+ transporting family member beta 4) This gene has been found in all vertebrate genomes sequenced to date. However, this gene has undergone a change in function in placental mammals compared to other species. Specifically, in fish, avian, and amphibian species, this gene encodes plasma membrane-bound beta-subunits of Na,K-ATPase. In placental mammals, the encoded protein interacts with the nuclear transcriptional coregulator SKIP and may be involved in the regulation of TGF-beta signaling. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2010]

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=0.014321208).
BS2
High Hemizygotes in GnomAd4 at 9 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP1B4NM_001142447.3 linkuse as main transcriptc.53G>A p.Arg18His missense_variant 1/8 ENST00000218008.8
ATP1B4NM_012069.5 linkuse as main transcriptc.53G>A p.Arg18His missense_variant 1/8
ATP1B4XM_017029381.2 linkuse as main transcriptc.53G>A p.Arg18His missense_variant 1/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP1B4ENST00000218008.8 linkuse as main transcriptc.53G>A p.Arg18His missense_variant 1/81 NM_001142447.3 P1Q9UN42-1
ATP1B4ENST00000361319.3 linkuse as main transcriptc.53G>A p.Arg18His missense_variant 1/81 Q9UN42-2
ATP1B4ENST00000539306.5 linkuse as main transcriptc.53G>A p.Arg18His missense_variant 1/72

Frequencies

GnomAD3 genomes
AF:
0.000323
AC:
36
AN:
111434
Hom.:
0
Cov.:
22
AF XY:
0.000268
AC XY:
9
AN XY:
33626
show subpopulations
Gnomad AFR
AF:
0.00105
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000563
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00420
Gnomad NFE
AF:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000175
AC:
32
AN:
183296
Hom.:
0
AF XY:
0.000177
AC XY:
12
AN XY:
67778
show subpopulations
Gnomad AFR exome
AF:
0.000988
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00130
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000611
AC:
67
AN:
1097089
Hom.:
0
Cov.:
29
AF XY:
0.0000635
AC XY:
23
AN XY:
362463
show subpopulations
Gnomad4 AFR exome
AF:
0.00110
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00106
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000238
Gnomad4 OTH exome
AF:
0.0000651
GnomAD4 genome
AF:
0.000323
AC:
36
AN:
111488
Hom.:
0
Cov.:
22
AF XY:
0.000267
AC XY:
9
AN XY:
33690
show subpopulations
Gnomad4 AFR
AF:
0.00104
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000565
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000189
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000196
Hom.:
0
Bravo
AF:
0.000363
ESP6500AA
AF:
0.000522
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000173
AC:
21

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 14, 2022The c.53G>A (p.R18H) alteration is located in exon 1 (coding exon 1) of the ATP1B4 gene. This alteration results from a G to A substitution at nucleotide position 53, causing the arginine (R) at amino acid position 18 to be replaced by a histidine (H). 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
0.098
BayesDel_addAF
Benign
-0.70
T
BayesDel_noAF
Benign
-0.83
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0093
T;T;.
FATHMM_MKL
Benign
0.22
N
LIST_S2
Benign
0.80
T;T;T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.014
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.34
.;N;N
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-0.18
N;N;N
REVEL
Benign
0.048
Sift
Uncertain
0.0080
D;D;D
Sift4G
Uncertain
0.051
T;D;D
Polyphen
0.0060
B;B;B
Vest4
0.22
MVP
0.76
MPC
0.20
ClinPred
0.020
T
GERP RS
1.7
Varity_R
0.084
gMVP
0.39

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: rs149707237; hg19: chrX-119496076; COSMIC: COSV54311254; API