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GeneBe

X-136323341-G-A

Variant summary

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

The NM_153834.4(ADGRG4):​c.634G>A​(p.Val212Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000182 in 1,096,505 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. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.000018 ( 0 hom. 5 hem. )

Consequence

ADGRG4
NM_153834.4 missense

Scores

2
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.769
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17894736).
BS2
High Hemizygotes in GnomAdExome4 at 5 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ADGRG4NM_153834.4 linkuse as main transcriptc.634G>A p.Val212Ile missense_variant 5/26 ENST00000394143.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ADGRG4ENST00000394143.6 linkuse as main transcriptc.634G>A p.Val212Ile missense_variant 5/261 NM_153834.4 P1Q8IZF6-1
ADGRG4ENST00000394141.1 linkuse as main transcriptc.70+14494G>A intron_variant 1 Q8IZF6-3
ADGRG4ENST00000370652.5 linkuse as main transcriptc.634G>A p.Val212Ile missense_variant 3/245 P1Q8IZF6-1

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.00000554
AC:
1
AN:
180454
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
66040
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:
0.0000125
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000182
AC:
20
AN:
1096505
Hom.:
0
Cov.:
30
AF XY:
0.0000138
AC XY:
5
AN XY:
361897
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:
0.0000238
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
22
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

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 07, 2022The c.634G>A (p.V212I) alteration is located in exon 5 (coding exon 2) of the ADGRG4 gene. This alteration results from a G to A substitution at nucleotide position 634, causing the valine (V) at amino acid position 212 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
0.086
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.015
T;T
FATHMM_MKL
Benign
0.36
N
M_CAP
Benign
0.037
D
MetaRNN
Benign
0.18
T;T
MetaSVM
Benign
-0.98
T
MutationTaster
Benign
0.92
D;D;N;N;N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.46
N;N
REVEL
Benign
0.081
Sift
Benign
0.043
D;D
Sift4G
Uncertain
0.044
D;D
Polyphen
0.83
P;P
Vest4
0.14
MutPred
0.47
Gain of ubiquitination at K217 (P = 0.1306);Gain of ubiquitination at K217 (P = 0.1306);
MVP
0.29
MPC
0.041
ClinPred
0.12
T
GERP RS
2.9
Varity_R
0.072
gMVP
0.12

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: rs746554720; hg19: chrX-135405500; API