X-120366784-G-A

Variant summary

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

The NM_001142447.3(ATP1B4):​c.323G>A​(p.Ser108Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000097 in 1,206,219 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 33 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00047 ( 0 hom., 17 hem., cov: 22)
Exomes 𝑓: 0.000058 ( 0 hom. 16 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

1
6
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.79
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.20252043).
BS2
High Hemizygotes in GnomAd4 at 17 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATP1B4NM_001142447.3 linkuse as main transcriptc.323G>A p.Ser108Asn missense_variant 2/8 ENST00000218008.8 NP_001135919.1
ATP1B4XM_017029381.2 linkuse as main transcriptc.323G>A p.Ser108Asn missense_variant 2/5 XP_016884870.1
ATP1B4NM_012069.5 linkuse as main transcriptc.316+7G>A splice_region_variant, intron_variant NP_036201.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATP1B4ENST00000218008.8 linkuse as main transcriptc.323G>A p.Ser108Asn missense_variant 2/81 NM_001142447.3 ENSP00000218008 P1Q9UN42-1
ATP1B4ENST00000361319.3 linkuse as main transcriptc.316+7G>A splice_region_variant, intron_variant 1 ENSP00000355346 Q9UN42-2
ATP1B4ENST00000539306.5 linkuse as main transcriptc.323G>A p.Ser108Asn missense_variant 2/72 ENSP00000443334

Frequencies

GnomAD3 genomes
AF:
0.000473
AC:
53
AN:
112092
Hom.:
0
Cov.:
22
AF XY:
0.000497
AC XY:
17
AN XY:
34234
show subpopulations
Gnomad AFR
AF:
0.00162
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000188
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:
0.00
Gnomad OTH
AF:
0.000663
GnomAD3 exomes
AF:
0.000156
AC:
28
AN:
179969
Hom.:
0
AF XY:
0.0000910
AC XY:
6
AN XY:
65903
show subpopulations
Gnomad AFR exome
AF:
0.00198
Gnomad AMR exome
AF:
0.0000366
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:
0.0000126
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000585
AC:
64
AN:
1094074
Hom.:
0
Cov.:
32
AF XY:
0.0000445
AC XY:
16
AN XY:
359796
show subpopulations
Gnomad4 AFR exome
AF:
0.00216
Gnomad4 AMR exome
AF:
0.0000285
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:
0.000131
GnomAD4 genome
AF:
0.000473
AC:
53
AN:
112145
Hom.:
0
Cov.:
22
AF XY:
0.000496
AC XY:
17
AN XY:
34297
show subpopulations
Gnomad4 AFR
AF:
0.00162
Gnomad4 AMR
AF:
0.000188
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000655
Alfa
AF:
0.000422
Hom.:
1
Bravo
AF:
0.000563
ESP6500AA
AF:
0.00183
AC:
7
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000148
AC:
18

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 GeneticsApr 04, 2024The c.323G>A (p.S108N) alteration is located in exon 2 (coding exon 2) of the ATP1B4 gene. This alteration results from a G to A substitution at nucleotide position 323, causing the serine (S) at amino acid position 108 to be replaced by an asparagine (N). 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
Uncertain
0.36
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.43
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.028
T;T
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.73
T;T
M_CAP
Benign
0.040
D
MetaRNN
Benign
0.20
T;T
MetaSVM
Benign
-0.56
T
MutationAssessor
Uncertain
2.3
.;M
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.55
T
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.28
Sift
Uncertain
0.010
D;D
Sift4G
Uncertain
0.036
D;D
Polyphen
1.0
D;D
Vest4
0.69
MVP
0.69
MPC
0.65
ClinPred
0.094
T
GERP RS
5.3
Varity_R
0.75
gMVP
0.89

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs374534200; hg19: chrX-119500639; API