X-153907802-C-T

Variant summary

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

The NM_001666.5(ARHGAP4):​c.2768G>A​(p.Arg923Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00016 in 1,009,152 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 48 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000089 ( 0 hom., 2 hem., cov: 25)
Exomes 𝑓: 0.00017 ( 0 hom. 46 hem. )

Consequence

ARHGAP4
NM_001666.5 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.353
Variant links:
Genes affected
ARHGAP4 (HGNC:674): (Rho GTPase activating protein 4) This gene encodes a member of the rhoGAP family of proteins which play a role in the regulation of small GTP-binding proteins belonging to the RAS superfamily. The protein encoded by the orthologous gene in rat is localized to the Golgi complex and can redistribute to microtubules. The rat protein stimulates the activity of some Rho GTPases in vitro. Genomic deletions of this gene and a neighboring gene have been found in patients with nephrogenic diabetes insipidus. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2009]

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=0.09318632).
BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ARHGAP4NM_001666.5 linkuse as main transcriptc.2768G>A p.Arg923Gln missense_variant 22/22 ENST00000350060.10 NP_001657.3
ARHGAP4NM_001164741.2 linkuse as main transcriptc.2888G>A p.Arg963Gln missense_variant 23/23 NP_001158213.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ARHGAP4ENST00000350060.10 linkuse as main transcriptc.2768G>A p.Arg923Gln missense_variant 22/221 NM_001666.5 ENSP00000203786 P2P98171-1

Frequencies

GnomAD3 genomes
AF:
0.0000886
AC:
10
AN:
112863
Hom.:
0
Cov.:
25
AF XY:
0.0000571
AC XY:
2
AN XY:
35031
show subpopulations
Gnomad AFR
AF:
0.0000321
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000924
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:
0.000150
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000119
AC:
10
AN:
83783
Hom.:
0
AF XY:
0.0000674
AC XY:
2
AN XY:
29661
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000121
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:
0.000209
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000168
AC:
151
AN:
896289
Hom.:
0
Cov.:
30
AF XY:
0.000164
AC XY:
46
AN XY:
280091
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000688
Gnomad4 ASJ exome
AF:
0.0000856
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000474
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000190
Gnomad4 OTH exome
AF:
0.000193
GnomAD4 genome
AF:
0.0000886
AC:
10
AN:
112863
Hom.:
0
Cov.:
25
AF XY:
0.0000571
AC XY:
2
AN XY:
35031
show subpopulations
Gnomad4 AFR
AF:
0.0000321
Gnomad4 AMR
AF:
0.0000924
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000150
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000102
Hom.:
0
Bravo
AF:
0.0000793
ExAC
AF:
0.000116
AC:
13

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 GeneticsMay 27, 2022The c.2888G>A (p.R963Q) alteration is located in exon 23 (coding exon 23) of the ARHGAP4 gene. This alteration results from a G to A substitution at nucleotide position 2888, causing the arginine (R) at amino acid position 963 to be replaced by a glutamine (Q). 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
0.097
BayesDel_addAF
Benign
-0.74
T
BayesDel_noAF
Benign
-1.0
CADD
Benign
15
DANN
Benign
0.97
DEOGEN2
Benign
0.14
.;.;T;T
FATHMM_MKL
Benign
0.037
N
LIST_S2
Benign
0.75
T;T;T;T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.093
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.69
.;.;N;.
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-1.3
N;N;N;N
REVEL
Benign
0.012
Sift
Benign
0.042
D;D;D;D
Sift4G
Benign
0.12
T;T;T;T
Polyphen
0.0080
.;.;B;.
Vest4
0.10
MVP
0.27
MPC
0.025
ClinPred
0.078
T
GERP RS
1.9
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.073
gMVP
0.32

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: rs782780656; hg19: chrX-153173256; API