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GeneBe

X-136322789-C-A

Variant summary

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

The NM_153834.4(ADGRG4):​c.82C>A​(p.Leu28Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000218 in 1,181,237 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 68 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00025 ( 0 hom., 2 hem., cov: 23)
Exomes 𝑓: 0.00021 ( 0 hom. 66 hem. )

Consequence

ADGRG4
NM_153834.4 missense

Scores

2
1
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.411
Variant links:
Genes affected
ADGRG4 (HGNC:18992): (adhesion G protein-coupled receptor G4) This gene encodes a G-protein coupled receptor belonging to a large family of diverse integral membrane proteins that participate in various physiological functions. Members of this superfamily are characterized by a signature 7-transmembrane domain motif. The ligand for this family member is unknown, and it is therefore an orphan receptor. This receptor is known to be expressed in normal enterochromaffin cells and in gastrointestinal neuroendocrine carcinoma cells, and it is therefore considered to be a novel biomarker or target for immunotherapy. [provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.011846185).
BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ADGRG4NM_153834.4 linkuse as main transcriptc.82C>A p.Leu28Ile missense_variant 5/26 ENST00000394143.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ADGRG4ENST00000394143.6 linkuse as main transcriptc.82C>A p.Leu28Ile missense_variant 5/261 NM_153834.4 P1Q8IZF6-1
ADGRG4ENST00000394141.1 linkuse as main transcriptc.70+13942C>A intron_variant 1 Q8IZF6-3
ADGRG4ENST00000370652.5 linkuse as main transcriptc.82C>A p.Leu28Ile missense_variant 3/245 P1Q8IZF6-1

Frequencies

GnomAD3 genomes
AF:
0.000250
AC:
28
AN:
111884
Hom.:
0
Cov.:
23
AF XY:
0.0000587
AC XY:
2
AN XY:
34096
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000284
Gnomad ASJ
AF:
0.00452
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000166
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000226
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000376
AC:
59
AN:
157092
Hom.:
0
AF XY:
0.000416
AC XY:
21
AN XY:
50422
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000222
Gnomad ASJ exome
AF:
0.00469
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000677
Gnomad NFE exome
AF:
0.000371
Gnomad OTH exome
AF:
0.000268
GnomAD4 exome
AF:
0.000214
AC:
229
AN:
1069299
Hom.:
0
Cov.:
29
AF XY:
0.000191
AC XY:
66
AN XY:
344725
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000229
Gnomad4 ASJ exome
AF:
0.00392
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000753
Gnomad4 NFE exome
AF:
0.000157
Gnomad4 OTH exome
AF:
0.000379
GnomAD4 genome
AF:
0.000250
AC:
28
AN:
111938
Hom.:
0
Cov.:
23
AF XY:
0.0000585
AC XY:
2
AN XY:
34160
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000284
Gnomad4 ASJ
AF:
0.00452
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000166
Gnomad4 NFE
AF:
0.000226
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000579
Hom.:
31
Bravo
AF:
0.000208
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000692
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000446
AC:
3
ExAC
AF:
0.000429
AC:
52

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 GeneticsJan 04, 2022The c.82C>A (p.L28I) alteration is located in exon 5 (coding exon 2) of the ADGRG4 gene. This alteration results from a C to A substitution at nucleotide position 82, causing the leucine (L) at amino acid position 28 to be replaced by an isoleucine (I). 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
0.30
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.024
T;T
FATHMM_MKL
Benign
0.56
D
M_CAP
Benign
0.021
T
MetaRNN
Benign
0.012
T;T
MetaSVM
Benign
-0.93
T
MutationTaster
Benign
1.0
D;D;D;N;N
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-0.88
N;N
REVEL
Benign
0.18
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;D
Vest4
0.43
MVP
0.22
MPC
0.26
ClinPred
0.088
T
GERP RS
3.1
Varity_R
0.35
gMVP
0.40

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: rs186214790; hg19: chrX-135404948; API