X-136344464-C-A

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_153834.4(ADGRG4):​c.758C>A​(p.Ser253Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000885 in 1,186,534 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 60 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 11/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 4 hem., cov: 23)
Exomes 𝑓: 0.000094 ( 0 hom. 56 hem. )

Consequence

ADGRG4
NM_153834.4 missense

Scores

1
3
12

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: 0.657
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0125133395).
BP6
Variant X-136344464-C-A is Benign according to our data. Variant chrX-136344464-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 3051572.Status of the report is no_assertion_criteria_provided, 0 stars.
BS2
High Hemizygotes in GnomAd4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ADGRG4NM_153834.4 linkuse as main transcriptc.758C>A p.Ser253Tyr missense_variant 6/26 ENST00000394143.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ADGRG4ENST00000394143.6 linkuse as main transcriptc.758C>A p.Ser253Tyr missense_variant 6/261 NM_153834.4 P1Q8IZF6-1
ADGRG4ENST00000394141.1 linkuse as main transcriptc.143C>A p.Ser48Tyr missense_variant 3/231 Q8IZF6-3
ADGRG4ENST00000370652.5 linkuse as main transcriptc.758C>A p.Ser253Tyr missense_variant 4/245 P1Q8IZF6-1

Frequencies

GnomAD3 genomes
AF:
0.0000357
AC:
4
AN:
111897
Hom.:
0
Cov.:
23
AF XY:
0.000117
AC XY:
4
AN XY:
34115
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00148
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000117
AC:
21
AN:
180241
Hom.:
0
AF XY:
0.000215
AC XY:
14
AN XY:
65063
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:
0.00116
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000940
AC:
101
AN:
1074637
Hom.:
0
Cov.:
27
AF XY:
0.000163
AC XY:
56
AN XY:
343129
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:
0.00173
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000243
Gnomad4 OTH exome
AF:
0.000133
GnomAD4 genome
AF:
0.0000357
AC:
4
AN:
111897
Hom.:
0
Cov.:
23
AF XY:
0.000117
AC XY:
4
AN XY:
34115
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00148
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.000107
AC:
13

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

ADGRG4-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 29, 2021This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
12
DANN
Uncertain
0.98
DEOGEN2
Benign
0.024
T;T;.
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.71
.;T;T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.013
T;T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-2.3
N;N;N
REVEL
Benign
0.013
Sift
Pathogenic
0.0
D;D;D
Sift4G
Uncertain
0.0030
D;D;D
Polyphen
0.088
B;B;B
Vest4
0.079
MutPred
0.33
Loss of disorder (P = 0.0034);Loss of disorder (P = 0.0034);.;
MVP
0.040
MPC
0.19
ClinPred
0.17
T
GERP RS
2.6
Varity_R
0.19
gMVP
0.30

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: rs747347620; hg19: chrX-135426623; API