X-120375563-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 4P and 4B. PP3_StrongBS2

The NM_001142447.3(ATP1B4):ā€‹c.754A>Gā€‹(p.Asn252Asp) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000566 in 1,202,009 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 24 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‘“ 0.000090 ( 0 hom., 3 hem., cov: 21)
Exomes š‘“: 0.000053 ( 0 hom. 21 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

6
7
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.87
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 Uncertain_significance. Variant got 0 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.986
BS2
High Hemizygotes in GnomAd4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP1B4NM_001142447.3 linkuse as main transcriptc.754A>G p.Asn252Asp missense_variant 5/8 ENST00000218008.8
ATP1B4NM_012069.5 linkuse as main transcriptc.742A>G p.Asn248Asp missense_variant 5/8
ATP1B4XM_017029381.2 linkuse as main transcriptc.754A>G p.Asn252Asp missense_variant 5/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP1B4ENST00000218008.8 linkuse as main transcriptc.754A>G p.Asn252Asp missense_variant 5/81 NM_001142447.3 P1Q9UN42-1
ATP1B4ENST00000361319.3 linkuse as main transcriptc.742A>G p.Asn248Asp missense_variant 5/81 Q9UN42-2
ATP1B4ENST00000539306.5 linkuse as main transcriptc.625A>G p.Asn209Asp missense_variant 4/72

Frequencies

GnomAD3 genomes
AF:
0.0000902
AC:
10
AN:
110891
Hom.:
0
Cov.:
21
AF XY:
0.0000907
AC XY:
3
AN XY:
33075
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:
0.000189
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000806
AC:
14
AN:
173785
Hom.:
0
AF XY:
0.000119
AC XY:
7
AN XY:
59051
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:
0.000166
Gnomad OTH exome
AF:
0.000237
GnomAD4 exome
AF:
0.0000532
AC:
58
AN:
1091118
Hom.:
0
Cov.:
29
AF XY:
0.0000588
AC XY:
21
AN XY:
357082
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:
0.0000668
Gnomad4 OTH exome
AF:
0.0000436
GnomAD4 genome
AF:
0.0000902
AC:
10
AN:
110891
Hom.:
0
Cov.:
21
AF XY:
0.0000907
AC XY:
3
AN XY:
33075
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:
0.000189
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000498
Hom.:
3
Bravo
AF:
0.0000907
ExAC
AF:
0.0000494
AC:
6

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 GeneticsOct 03, 2022The c.754A>G (p.N252D) alteration is located in exon 5 (coding exon 5) of the ATP1B4 gene. This alteration results from a A to G substitution at nucleotide position 754, causing the asparagine (N) at amino acid position 252 to be replaced by an aspartic acid (D). 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
0.99
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.27
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.31
T;T;.
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.87
D;D;D
M_CAP
Uncertain
0.27
D
MetaRNN
Pathogenic
0.99
D;D;D
MetaSVM
Uncertain
-0.25
T
MutationAssessor
Pathogenic
3.5
.;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.79
T
PROVEAN
Pathogenic
-4.6
D;D;D
REVEL
Uncertain
0.52
Sift
Uncertain
0.012
D;D;D
Sift4G
Uncertain
0.0040
D;D;D
Polyphen
1.0
D;D;D
Vest4
0.98
MutPred
0.97
.;Gain of ubiquitination at K250 (P = 0.0435);.;
MVP
0.67
MPC
0.71
ClinPred
0.85
D
GERP RS
5.2
Varity_R
0.86
gMVP
0.97

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs201696616; hg19: chrX-119509418; API