X-153909168-G-C

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_001666.5(ARHGAP4):ā€‹c.2509C>Gā€‹(p.Pro837Ala) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000025 in 1,201,931 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/24 in silico tools predict a benign outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000018 ( 0 hom., 1 hem., cov: 24)
Exomes š‘“: 9.2e-7 ( 0 hom. 1 hem. )

Consequence

ARHGAP4
NM_001666.5 missense, splice_region

Scores

17
Splicing: ADA: 0.0001098
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.190
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 -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.07919347).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ARHGAP4NM_001666.5 linkuse as main transcriptc.2509C>G p.Pro837Ala missense_variant, splice_region_variant 21/22 ENST00000350060.10 NP_001657.3
ARHGAP4NM_001164741.2 linkuse as main transcriptc.2629C>G p.Pro877Ala missense_variant, splice_region_variant 22/23 NP_001158213.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ARHGAP4ENST00000350060.10 linkuse as main transcriptc.2509C>G p.Pro837Ala missense_variant, splice_region_variant 21/221 NM_001666.5 ENSP00000203786 P2P98171-1

Frequencies

GnomAD3 genomes
AF:
0.0000177
AC:
2
AN:
112767
Hom.:
0
Cov.:
24
AF XY:
0.0000286
AC XY:
1
AN XY:
34923
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:
0.0000376
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
9.18e-7
AC:
1
AN:
1089164
Hom.:
0
Cov.:
30
AF XY:
0.00000281
AC XY:
1
AN XY:
355400
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:
0.00000119
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000177
AC:
2
AN:
112767
Hom.:
0
Cov.:
24
AF XY:
0.0000286
AC XY:
1
AN XY:
34923
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:
0.0000376
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000113
ExAC
AF:
0.00000825
AC:
1

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 04, 2023The c.2629C>G (p.P877A) alteration is located in exon 22 (coding exon 22) of the ARHGAP4 gene. This alteration results from a C to G substitution at nucleotide position 2629, causing the proline (P) at amino acid position 877 to be replaced by an alanine (A). 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
0.065
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.87
CADD
Benign
19
DANN
Benign
0.79
DEOGEN2
Benign
0.11
.;.;T;T
FATHMM_MKL
Benign
0.61
D
LIST_S2
Benign
0.81
T;T;T;T
M_CAP
Benign
0.032
D
MetaRNN
Benign
0.079
T;T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
0.81
.;.;L;.
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.3
N;N;N;N
REVEL
Benign
0.033
Sift
Benign
0.64
T;T;T;T
Sift4G
Benign
0.080
T;T;T;T
Polyphen
0.0090
.;.;B;.
Vest4
0.24
MutPred
0.16
.;.;Gain of relative solvent accessibility (P = 0.0479);.;
MVP
0.26
MPC
0.026
ClinPred
0.037
T
GERP RS
-0.15
Varity_R
0.032
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00011
dbscSNV1_RF
Benign
0.056
SpliceAI score (max)
0.39
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.39
Position offset: -4

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: rs781857099; hg19: chrX-153174622; API