X-120366784-G-A
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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
NM_001142447.3 missense
Scores
1
6
10
Clinical Significance
Conservation
PhyloP100: 8.79
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]
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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 |
---|---|---|---|---|---|---|---|---|
ATP1B4 | NM_001142447.3 | c.323G>A | p.Ser108Asn | missense_variant | 2/8 | ENST00000218008.8 | NP_001135919.1 | |
ATP1B4 | XM_017029381.2 | c.323G>A | p.Ser108Asn | missense_variant | 2/5 | XP_016884870.1 | ||
ATP1B4 | NM_012069.5 | c.316+7G>A | splice_region_variant, intron_variant | NP_036201.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
ATP1B4 | ENST00000218008.8 | c.323G>A | p.Ser108Asn | missense_variant | 2/8 | 1 | NM_001142447.3 | ENSP00000218008 | P1 | |
ATP1B4 | ENST00000361319.3 | c.316+7G>A | splice_region_variant, intron_variant | 1 | ENSP00000355346 | |||||
ATP1B4 | ENST00000539306.5 | c.323G>A | p.Ser108Asn | missense_variant | 2/7 | 2 | ENSP00000443334 |
Frequencies
GnomAD3 genomes AF: 0.000473 AC: 53AN: 112092Hom.: 0 Cov.: 22 AF XY: 0.000497 AC XY: 17AN XY: 34234
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GnomAD3 exomes AF: 0.000156 AC: 28AN: 179969Hom.: 0 AF XY: 0.0000910 AC XY: 6AN XY: 65903
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GnomAD4 exome AF: 0.0000585 AC: 64AN: 1094074Hom.: 0 Cov.: 32 AF XY: 0.0000445 AC XY: 16AN XY: 359796
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GnomAD4 genome AF: 0.000473 AC: 53AN: 112145Hom.: 0 Cov.: 22 AF XY: 0.000496 AC XY: 17AN XY: 34297
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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 submitter | clinical testing | Ambry Genetics | Apr 04, 2024 | The 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:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
T;T
FATHMM_MKL
Pathogenic
D
LIST_S2
Benign
T;T
M_CAP
Benign
D
MetaRNN
Benign
T;T
MetaSVM
Benign
T
MutationAssessor
Uncertain
.;M
MutationTaster
Benign
D;D;D
PrimateAI
Uncertain
T
PROVEAN
Benign
N;N
REVEL
Benign
Sift
Uncertain
D;D
Sift4G
Uncertain
D;D
Polyphen
D;D
Vest4
MVP
MPC
0.65
ClinPred
T
GERP RS
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Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at