X-153907905-G-A

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_001666.5(ARHGAP4):​c.2665C>T​(p.Arg889Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000031 in 1,063,953 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R889P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00014 ( 0 hom., 5 hem., cov: 25)
Exomes 𝑓: 0.000018 ( 0 hom. 3 hem. )

Consequence

ARHGAP4
NM_001666.5 missense

Scores

1
5
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.63

Publications

0 publications found
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]
ARHGAP4 Gene-Disease associations (from GenCC):
  • intellectual disability
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.30213988).
BS2
High Hemizygotes in GnomAd4 at 5 XL gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001666.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ARHGAP4
NM_001666.5
MANE Select
c.2665C>Tp.Arg889Cys
missense
Exon 22 of 22NP_001657.3
ARHGAP4
NM_001164741.2
c.2785C>Tp.Arg929Cys
missense
Exon 23 of 23NP_001158213.1P98171-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ARHGAP4
ENST00000350060.10
TSL:1 MANE Select
c.2665C>Tp.Arg889Cys
missense
Exon 22 of 22ENSP00000203786.8P98171-1
ARHGAP4
ENST00000370028.7
TSL:1
c.2785C>Tp.Arg929Cys
missense
Exon 23 of 23ENSP00000359045.3P98171-2
ENSG00000284987
ENST00000646191.1
n.96+1165C>T
intron
N/AENSP00000493873.1A0A2R8Y4P6

Frequencies

GnomAD3 genomes
AF:
0.000142
AC:
16
AN:
112386
Hom.:
0
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.000485
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000931
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
95981
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000179
AC:
17
AN:
951567
Hom.:
0
Cov.:
30
AF XY:
0.0000101
AC XY:
3
AN XY:
296915
show subpopulations
African (AFR)
AF:
0.000293
AC:
6
AN:
20451
American (AMR)
AF:
0.00
AC:
0
AN:
17940
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
13173
East Asian (EAS)
AF:
0.0000832
AC:
2
AN:
24048
South Asian (SAS)
AF:
0.00
AC:
0
AN:
32147
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
35418
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3533
European-Non Finnish (NFE)
AF:
0.0000118
AC:
9
AN:
765913
Other (OTH)
AF:
0.00
AC:
0
AN:
38944
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000142
AC:
16
AN:
112386
Hom.:
0
Cov.:
25
AF XY:
0.000145
AC XY:
5
AN XY:
34572
show subpopulations
African (AFR)
AF:
0.000485
AC:
15
AN:
30944
American (AMR)
AF:
0.0000931
AC:
1
AN:
10746
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2654
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3548
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2737
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6228
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
239
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53091
Other (OTH)
AF:
0.00
AC:
0
AN:
1519
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.520
Heterozygous variant carriers
0
1
2
3
4
5
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.000102
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00000837
AC:
1

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.71
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.14
T
FATHMM_MKL
Benign
0.39
N
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.043
D
MetaRNN
Benign
0.30
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
L
PhyloP100
2.6
PrimateAI
Uncertain
0.53
T
PROVEAN
Uncertain
-2.9
D
REVEL
Benign
0.089
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.047
D
Polyphen
1.0
D
Vest4
0.38
MVP
0.20
MPC
0.14
ClinPred
0.94
D
GERP RS
0.99
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.23
gMVP
0.44
Mutation Taster
=99/1
polymorphism

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

Other links and lift over

dbSNP: rs371985677; hg19: chrX-153173359; API