X-120371125-C-G

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4BS2

The NM_001142447.3(ATP1B4):ā€‹c.477C>Gā€‹(p.Phe159Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000108 in 1,208,662 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 6 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000089 ( 0 hom., 0 hem., cov: 23)
Exomes š‘“: 0.000011 ( 0 hom. 6 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

2
2
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.49
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 -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.334248).
BS2
High Hemizygotes in GnomAdExome4 at 6 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP1B4NM_001142447.3 linkuse as main transcriptc.477C>G p.Phe159Leu missense_variant 4/8 ENST00000218008.8
ATP1B4NM_012069.5 linkuse as main transcriptc.465C>G p.Phe155Leu missense_variant 4/8
ATP1B4XM_017029381.2 linkuse as main transcriptc.477C>G p.Phe159Leu missense_variant 4/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP1B4ENST00000218008.8 linkuse as main transcriptc.477C>G p.Phe159Leu missense_variant 4/81 NM_001142447.3 P1Q9UN42-1
ATP1B4ENST00000361319.3 linkuse as main transcriptc.465C>G p.Phe155Leu missense_variant 4/81 Q9UN42-2
ATP1B4ENST00000539306.5 linkuse as main transcriptc.348C>G p.Phe116Leu missense_variant 3/72

Frequencies

GnomAD3 genomes
AF:
0.00000893
AC:
1
AN:
112009
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34171
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000378
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:
0.00
GnomAD3 exomes
AF:
0.00000545
AC:
1
AN:
183402
Hom.:
0
AF XY:
0.0000147
AC XY:
1
AN XY:
67846
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000134
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000109
AC:
12
AN:
1096653
Hom.:
0
Cov.:
29
AF XY:
0.0000166
AC XY:
6
AN XY:
362057
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000258
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000357
Gnomad4 OTH exome
AF:
0.0000868
GnomAD4 genome
AF:
0.00000893
AC:
1
AN:
112009
Hom.:
0
Cov.:
23
AF XY:
0.00
AC XY:
0
AN XY:
34171
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.000378
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000868
Hom.:
1
Bravo
AF:
0.0000529
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 GeneticsJul 25, 2023The c.477C>G (p.F159L) alteration is located in exon 4 (coding exon 4) of the ATP1B4 gene. This alteration results from a C to G substitution at nucleotide position 477, causing the phenylalanine (F) at amino acid position 159 to be replaced by a leucine (L). 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
0.93
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.014
T;T;.
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.81
T;T;T
M_CAP
Benign
0.0081
T
MetaRNN
Benign
0.33
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.59
.;N;.
MutationTaster
Benign
0.90
D;D;D
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
-1.1
N;N;N
REVEL
Benign
0.11
Sift
Benign
0.36
T;T;T
Sift4G
Benign
0.28
T;D;T
Polyphen
0.93
P;P;P
Vest4
0.43
MutPred
0.46
.;Gain of catalytic residue at M155 (P = 0.0469);.;
MVP
0.83
MPC
0.51
ClinPred
0.82
D
GERP RS
4.7
Varity_R
0.25
gMVP
0.84

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.16
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: rs188398114; hg19: chrX-119504980; API