X-130069381-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001421.4(ELF4):​c.1106C>T​(p.Ser369Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00001 in 1,098,235 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 5 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: not found (cov: 23)
Exomes 𝑓: 0.000010 ( 0 hom. 5 hem. )

Consequence

ELF4
NM_001421.4 missense

Scores

4
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.65
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.12397751).
BS2
High Hemizygotes in GnomAdExome4 at 5 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELF4NM_001421.4 linkc.1106C>T p.Ser369Leu missense_variant 8/9 ENST00000308167.10 NP_001412.1 Q99607

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELF4ENST00000308167.10 linkc.1106C>T p.Ser369Leu missense_variant 8/91 NM_001421.4 ENSP00000311280.6 Q99607
ELF4ENST00000335997.11 linkc.1106C>T p.Ser369Leu missense_variant 8/91 ENSP00000338608.7 Q99607

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.0000109
AC:
2
AN:
183437
Hom.:
0
AF XY:
0.0000147
AC XY:
1
AN XY:
67869
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:
0.0000244
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000100
AC:
11
AN:
1098235
Hom.:
0
Cov.:
34
AF XY:
0.0000138
AC XY:
5
AN XY:
363591
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:
0.0000131
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
ExAC
AF:
0.0000247
AC:
3
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

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 GeneticsNov 26, 2024The c.1106C>T (p.S369L) alteration is located in exon 8 (coding exon 7) of the ELF4 gene. This alteration results from a C to T substitution at nucleotide position 1106, causing the serine (S) at amino acid position 369 to be replaced by a leucine (L). 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
0.066
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.69
CADD
Benign
15
DANN
Uncertain
1.0
DEOGEN2
Benign
0.21
T;T
FATHMM_MKL
Uncertain
0.80
D
LIST_S2
Benign
0.84
.;T
M_CAP
Benign
0.0054
T
MetaRNN
Benign
0.12
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.5
M;M
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-2.0
N;N
REVEL
Benign
0.052
Sift
Uncertain
0.013
D;D
Sift4G
Benign
0.17
T;T
Polyphen
0.20
B;B
Vest4
0.075
MutPred
0.27
Gain of sheet (P = 0.0266);Gain of sheet (P = 0.0266);
MVP
0.34
MPC
0.28
ClinPred
0.30
T
GERP RS
4.2
Varity_R
0.16
gMVP
0.46

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: rs770969173; hg19: chrX-129203356; COSMIC: COSV100257475; COSMIC: COSV100257475; API