X-130067217-G-A

Variant summary

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

The NM_001421.4(ELF4):​c.1496C>T​(p.Pro499Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000273 in 1,210,194 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (no stars).

Frequency

Genomes: 𝑓 0.000071 ( 0 hom., 0 hem., cov: 24)
Exomes 𝑓: 0.000023 ( 0 hom. 8 hem. )

Consequence

ELF4
NM_001421.4 missense

Scores

1
16

Clinical Significance

Uncertain significance no assertion criteria provided U:1

Conservation

PhyloP100: 1.24
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=0.051219344).
BS2
High Hemizygotes in GnomAdExome4 at 8 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELF4NM_001421.4 linkuse as main transcriptc.1496C>T p.Pro499Leu 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.1496C>T p.Pro499Leu missense_variant 9/91 NM_001421.4 ENSP00000311280.6 Q99607
ELF4ENST00000335997.11 linkuse as main transcriptc.1496C>T p.Pro499Leu missense_variant 9/91 ENSP00000338608.7 Q99607

Frequencies

GnomAD3 genomes
AF:
0.0000710
AC:
8
AN:
112728
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
34870
show subpopulations
Gnomad AFR
AF:
0.0000966
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000361
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000752
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000111
AC:
2
AN:
180513
Hom.:
0
AF XY:
0.0000150
AC XY:
1
AN XY:
66577
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:
0.0000526
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000125
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000228
AC:
25
AN:
1097466
Hom.:
0
Cov.:
33
AF XY:
0.0000220
AC XY:
8
AN XY:
363018
show subpopulations
Gnomad4 AFR exome
AF:
0.0000758
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000662
Gnomad4 SAS exome
AF:
0.0000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000190
Gnomad4 OTH exome
AF:
0.0000868
GnomAD4 genome
AF:
0.0000710
AC:
8
AN:
112728
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
34870
show subpopulations
Gnomad4 AFR
AF:
0.0000966
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000361
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000752
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000434
Hom.:
0
Bravo
AF:
0.0000756
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

ELF4-related disorder Uncertain:1
Uncertain significance, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesMay 21, 2024The ELF4 c.1496C>T variant is predicted to result in the amino acid substitution p.Pro499Leu. To our knowledge, this variant has not been reported in the literature. This variant is reported in 0.0055% of alleles in individuals of African descent in gnomAD. At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.066
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.94
CADD
Benign
10
DANN
Benign
0.78
DEOGEN2
Benign
0.099
T;T;T
FATHMM_MKL
Benign
0.55
D
LIST_S2
Benign
0.70
.;T;T
M_CAP
Benign
0.0033
T
MetaRNN
Benign
0.051
T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.46
N;N;.
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-0.70
N;N;.
REVEL
Benign
0.071
Sift
Benign
0.095
T;T;.
Sift4G
Benign
0.84
T;T;T
Polyphen
0.0
B;B;.
Vest4
0.081
MVP
0.21
MPC
0.31
ClinPred
0.026
T
GERP RS
1.8
Varity_R
0.050
gMVP
0.38

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: rs371747723; hg19: chrX-129201192; API