X-120375479-C-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_001142447.3(ATP1B4):​c.670C>T​(p.Arg224Cys) variant causes a missense change. The variant allele was found at a frequency of 0.0000364 in 1,208,811 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 15 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.000036 ( 0 hom. 15 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

8
6
3

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.83
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 -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 15 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP1B4NM_001142447.3 linkuse as main transcriptc.670C>T p.Arg224Cys missense_variant 5/8 ENST00000218008.8
ATP1B4NM_012069.5 linkuse as main transcriptc.658C>T p.Arg220Cys missense_variant 5/8
ATP1B4XM_017029381.2 linkuse as main transcriptc.670C>T p.Arg224Cys missense_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP1B4ENST00000218008.8 linkuse as main transcriptc.670C>T p.Arg224Cys missense_variant 5/81 NM_001142447.3 P1Q9UN42-1
ATP1B4ENST00000361319.3 linkuse as main transcriptc.658C>T p.Arg220Cys missense_variant 5/81 Q9UN42-2
ATP1B4ENST00000539306.5 linkuse as main transcriptc.541C>T p.Arg181Cys missense_variant 4/72

Frequencies

GnomAD3 genomes
AF:
0.0000360
AC:
4
AN:
111103
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33303
show subpopulations
Gnomad AFR
AF:
0.0000327
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000959
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:
0.0000377
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000218
AC:
4
AN:
183174
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67650
show subpopulations
Gnomad AFR exome
AF:
0.0000761
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000525
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000245
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000364
AC:
40
AN:
1097708
Hom.:
0
Cov.:
30
AF XY:
0.0000413
AC XY:
15
AN XY:
363080
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
Gnomad4 AMR exome
AF:
0.0000568
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000369
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000392
Gnomad4 OTH exome
AF:
0.0000434
GnomAD4 genome
AF:
0.0000360
AC:
4
AN:
111103
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33303
show subpopulations
Gnomad4 AFR
AF:
0.0000327
Gnomad4 AMR
AF:
0.0000959
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000377
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000340
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.000164
EpiControl
AF:
0.00

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 GeneticsDec 27, 2023The c.670C>T (p.R224C) alteration is located in exon 5 (coding exon 5) of the ATP1B4 gene. This alteration results from a C to T substitution at nucleotide position 670, causing the arginine (R) at amino acid position 224 to be replaced by a cysteine (C). 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
0.96
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.17
CADD
Pathogenic
30
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.16
T;T;.
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.97
D;D;D
M_CAP
Pathogenic
0.74
D
MetaRNN
Uncertain
0.67
D;D;D
MetaSVM
Benign
-0.45
T
MutationAssessor
Pathogenic
3.1
.;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.78
T
PROVEAN
Pathogenic
-6.7
D;D;D
REVEL
Uncertain
0.43
Sift
Pathogenic
0.0
D;D;D
Sift4G
Pathogenic
0.0010
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.32
MutPred
0.70
.;Gain of sheet (P = 0.0344);.;
MVP
0.83
MPC
0.79
ClinPred
0.84
D
GERP RS
5.3
Varity_R
0.77
gMVP
0.90

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs771260677; hg19: chrX-119509334; COSMIC: COSV54314984; API