X-120371165-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001142447.3(ATP1B4):​c.517G>A​(p.Asp173Asn) variant causes a missense change. The variant allele was found at a frequency of 0.00000579 in 1,209,377 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 1 hem., cov: 22)
Exomes 𝑓: 0.0000027 ( 0 hom. 1 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.18
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.

BP4
Computational evidence support a benign effect (MetaRNN=0.10978928).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ATP1B4NM_001142447.3 linkc.517G>A p.Asp173Asn missense_variant 4/8 ENST00000218008.8 NP_001135919.1 Q9UN42-1
ATP1B4NM_012069.5 linkc.505G>A p.Asp169Asn missense_variant 4/8 NP_036201.1 Q9UN42-2
ATP1B4XM_017029381.2 linkc.517G>A p.Asp173Asn missense_variant 4/5 XP_016884870.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ATP1B4ENST00000218008.8 linkc.517G>A p.Asp173Asn missense_variant 4/81 NM_001142447.3 ENSP00000218008.3 Q9UN42-1
ATP1B4ENST00000361319.3 linkc.505G>A p.Asp169Asn missense_variant 4/81 ENSP00000355346.3 Q9UN42-2
ATP1B4ENST00000539306.5 linkc.388G>A p.Asp130Asn missense_variant 3/72 ENSP00000443334.1 B7ZKW0

Frequencies

GnomAD3 genomes
AF:
0.0000358
AC:
4
AN:
111728
Hom.:
0
Cov.:
22
AF XY:
0.0000295
AC XY:
1
AN XY:
33946
show subpopulations
Gnomad AFR
AF:
0.000130
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000273
AC:
3
AN:
1097649
Hom.:
0
Cov.:
29
AF XY:
0.00000275
AC XY:
1
AN XY:
363019
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
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:
0.00000119
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000358
AC:
4
AN:
111728
Hom.:
0
Cov.:
22
AF XY:
0.0000295
AC XY:
1
AN XY:
33946
show subpopulations
Gnomad4 AFR
AF:
0.000130
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:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000302

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 GeneticsAug 04, 2024The c.517G>A (p.D173N) alteration is located in exon 4 (coding exon 4) of the ATP1B4 gene. This alteration results from a G to A substitution at nucleotide position 517, causing the aspartic acid (D) at amino acid position 173 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
Benign
0.074
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.88
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0035
T;T;.
FATHMM_MKL
Benign
0.44
N
LIST_S2
Benign
0.81
T;T;T
M_CAP
Benign
0.0056
T
MetaRNN
Benign
0.11
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.34
.;N;.
PrimateAI
Benign
0.44
T
PROVEAN
Benign
0.050
N;N;N
REVEL
Benign
0.077
Sift
Benign
0.32
T;T;T
Sift4G
Benign
0.79
T;T;T
Polyphen
0.0090
B;B;B
Vest4
0.24
MutPred
0.27
.;Loss of catalytic residue at D173 (P = 0.101);.;
MVP
0.47
MPC
0.16
ClinPred
0.74
D
GERP RS
4.5
Varity_R
0.11
gMVP
0.68

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs990423839; hg19: chrX-119505020; API