X-120370759-G-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PP3_ModerateBS2

The NM_001142447.3(ATP1B4):ā€‹c.373G>Cā€‹(p.Ala125Pro) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000413 in 1,209,408 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 14 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000027 ( 0 hom., 2 hem., cov: 22)
Exomes š‘“: 0.000043 ( 0 hom. 12 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

3
8
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.25
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 -2 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.908
BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP1B4NM_001142447.3 linkuse as main transcriptc.373G>C p.Ala125Pro missense_variant 3/8 ENST00000218008.8
ATP1B4NM_012069.5 linkuse as main transcriptc.361G>C p.Ala121Pro missense_variant 3/8
ATP1B4XM_017029381.2 linkuse as main transcriptc.373G>C p.Ala125Pro missense_variant 3/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP1B4ENST00000218008.8 linkuse as main transcriptc.373G>C p.Ala125Pro missense_variant 3/81 NM_001142447.3 P1Q9UN42-1
ATP1B4ENST00000361319.3 linkuse as main transcriptc.361G>C p.Ala121Pro missense_variant 3/81 Q9UN42-2
ATP1B4ENST00000539306.5 linkuse as main transcriptc.329-347G>C intron_variant 2

Frequencies

GnomAD3 genomes
AF:
0.0000268
AC:
3
AN:
111850
Hom.:
0
Cov.:
22
AF XY:
0.0000588
AC XY:
2
AN XY:
34040
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000564
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000109
AC:
2
AN:
183023
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67531
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.0000245
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000428
AC:
47
AN:
1097558
Hom.:
0
Cov.:
30
AF XY:
0.0000331
AC XY:
12
AN XY:
362938
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
0.0000547
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000268
AC:
3
AN:
111850
Hom.:
0
Cov.:
22
AF XY:
0.0000588
AC XY:
2
AN XY:
34040
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000564
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000285
Hom.:
2
Bravo
AF:
0.00000756
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.0000165
AC:
2

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 GeneticsJun 23, 2023The c.373G>C (p.A125P) alteration is located in exon 3 (coding exon 3) of the ATP1B4 gene. This alteration results from a G to C substitution at nucleotide position 373, causing the alanine (A) at amino acid position 125 to be replaced by a proline (P). 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
Pathogenic
0.95
BayesDel_addAF
Uncertain
0.057
T
BayesDel_noAF
Benign
-0.10
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T;.
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.80
T;T
M_CAP
Uncertain
0.14
D
MetaRNN
Pathogenic
0.91
D;D
MetaSVM
Benign
-0.55
T
MutationAssessor
Uncertain
2.4
M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Benign
0.44
T
PROVEAN
Uncertain
-3.0
D;D
REVEL
Uncertain
0.47
Sift
Uncertain
0.0050
D;D
Sift4G
Uncertain
0.0020
D;D
Polyphen
1.0
D;D
Vest4
0.69
MutPred
0.76
Loss of catalytic residue at A125 (P = 0.0182);.;
MVP
0.95
MPC
0.76
ClinPred
0.84
D
GERP RS
5.4
Varity_R
0.94
gMVP
0.98

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs757935406; hg19: chrX-119504614; API