X-151924163-G-T

Variant summary

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

The NM_001011548.1(MAGEA4):​c.499G>T​(p.Val167Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000051 in 1,098,106 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 12 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 (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 0 hem., cov: 24)
Exomes 𝑓: 0.000051 ( 0 hom. 12 hem. )
Failed GnomAD Quality Control

Consequence

MAGEA4
NM_001011548.1 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.338
Variant links:
Genes affected
MAGEA4 (HGNC:6802): (MAGE family member A4) This gene is a member of the MAGEA gene family. The members of this family encode proteins with 50 to 80% sequence identity to each other. The promoters and first exons of the MAGEA genes show considerable variability, suggesting that the existence of this gene family enables the same function to be expressed under different transcriptional controls. The MAGEA genes are clustered at chromosomal location Xq28. They have been implicated in some hereditary disorders, such as dyskeratosis congenita. Several variants encoding the same protein have been found for this gene. [provided by RefSeq, Aug 2020]

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=0.11590731).
BS2
High Hemizygotes in GnomAdExome4 at 12 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MAGEA4NM_001011548.1 linkc.499G>T p.Val167Leu missense_variant Exon 3 of 3 ENST00000276344.6 NP_001011548.1 P43358A0A024RC12

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MAGEA4ENST00000276344.6 linkc.499G>T p.Val167Leu missense_variant Exon 3 of 3 2 NM_001011548.1 ENSP00000276344.2 P43358

Frequencies

GnomAD3 genomes
AF:
0.0000356
AC:
4
AN:
112367
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
34525
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:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000751
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000273
AC:
5
AN:
183397
Hom.:
0
AF XY:
0.0000295
AC XY:
2
AN XY:
67853
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:
0.0000611
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000510
AC:
56
AN:
1098106
Hom.:
0
Cov.:
36
AF XY:
0.0000330
AC XY:
12
AN XY:
363474
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:
0.0000665
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000356
AC:
4
AN:
112367
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
34525
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:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000751
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227
ExAC
AF:
0.0000165
AC:
2
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000237

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Mar 17, 2023
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.499G>T (p.V167L) alteration is located in exon 3 (coding exon 1) of the MAGEA4 gene. This alteration results from a G to T substitution at nucleotide position 499, causing the valine (V) at amino acid position 167 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
0.25
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.99
DANN
Benign
0.84
DEOGEN2
Benign
0.055
T;T;.;T;.;.;T;.;.;.;T;T;T;.
FATHMM_MKL
Benign
0.011
N
LIST_S2
Benign
0.74
T;T;.;.;.;.;.;T;T;.;.;.;.;T
M_CAP
Benign
0.0030
T
MetaRNN
Benign
0.12
T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
0.27
.;N;.;N;.;.;N;.;.;.;N;N;N;.
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-2.4
N;N;N;N;D;D;N;N;N;D;N;N;N;D
REVEL
Benign
0.074
Sift
Benign
0.13
T;T;T;T;T;T;T;T;T;T;T;T;T;T
Sift4G
Benign
0.13
T;T;T;T;T;T;T;T;T;T;T;T;T;T
Polyphen
0.11
.;B;.;B;.;.;B;.;.;.;B;B;B;.
Vest4
0.35
MutPred
0.64
Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);Gain of catalytic residue at V167 (P = 0.0373);
MVP
0.15
MPC
0.0037
ClinPred
0.037
T
GERP RS
-0.91
Varity_R
0.24
gMVP
0.16

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: rs778001194; hg19: chrX-151092635; API