X-130066777-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001421.4(ELF4):​c.1936C>T​(p.Pro646Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000073 in 1,095,492 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000073 ( 0 hom. 4 hem. )

Consequence

ELF4
NM_001421.4 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.107
Variant links:
Genes affected
ELF4 (HGNC:3319): (E74 like ETS transcription factor 4) The protein encoded by this gene is a transcriptional activator that binds and activates the promoters of the CSF2, IL3, IL8, and PRF1 genes. The encoded protein is involved in natural killer cell development and function, innate immunity, and induction of cell cycle arrest in naive CD8+ cells. Two transcript variants encoding the same protein have been found for this gene.[provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.05975005).
BS2
High Hemizygotes in GnomAdExome4 at 4 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELF4NM_001421.4 linkuse as main transcriptc.1936C>T p.Pro646Ser missense_variant 9/9 ENST00000308167.10 NP_001412.1 Q99607

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELF4ENST00000308167.10 linkuse as main transcriptc.1936C>T p.Pro646Ser missense_variant 9/91 NM_001421.4 ENSP00000311280.6 Q99607
ELF4ENST00000335997.11 linkuse as main transcriptc.1936C>T p.Pro646Ser missense_variant 9/91 ENSP00000338608.7 Q99607

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.0000112
AC:
2
AN:
177968
Hom.:
0
AF XY:
0.0000313
AC XY:
2
AN XY:
63998
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:
0.0000253
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000730
AC:
8
AN:
1095492
Hom.:
0
Cov.:
30
AF XY:
0.0000111
AC XY:
4
AN XY:
361140
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:
0.00000951
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
Bravo
AF:
0.0000113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Autoinflammatory syndrome, familial, X-linked, Behcet-like 2 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPaediatric Laboratory, Institute for Maternal and Child Health - IRCCS Burlo GarofoloDec 02, 2024The NM_001421.4:c.1936C>T variant is predicted to result in the substitution of the proline residue at position 646 with a serine. Multiple lines of computational evidence suggest no or little impact of this variant on gene or gene product [BP4]. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.78
CADD
Benign
3.3
DANN
Benign
0.92
DEOGEN2
Benign
0.098
T;T;T
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.65
.;T;T
M_CAP
Benign
0.0045
T
MetaRNN
Benign
0.060
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.14
N;N;.
PrimateAI
Benign
0.33
T
PROVEAN
Benign
-0.68
N;N;.
REVEL
Benign
0.018
Sift
Benign
0.19
T;T;.
Sift4G
Benign
0.19
T;T;T
Polyphen
0.0030
B;B;.
Vest4
0.080
MutPred
0.24
Gain of phosphorylation at P646 (P = 0.0408);Gain of phosphorylation at P646 (P = 0.0408);.;
MVP
0.22
MPC
0.30
ClinPred
0.020
T
GERP RS
2.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.1
Varity_R
0.043
gMVP
0.69

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: rs973496718; hg19: chrX-129200752; API