X-64920062-C-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_018684.4(ZC4H2):​c.398+19G>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00704 in 1,202,881 control chromosomes in the GnomAD database, including 33 homozygotes. There are 2,712 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0068 ( 4 hom., 216 hem., cov: 22)
Exomes 𝑓: 0.0071 ( 29 hom. 2496 hem. )

Consequence

ZC4H2
NM_018684.4 intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.338
Variant links:
Genes affected
ZC4H2 (HGNC:24931): (zinc finger C4H2-type containing) This gene encodes a member of the zinc finger domain-containing protein family. This family member has a C-terminal zinc finger domain that is characterized by four cysteine residues and two histidine residues, and it also includes a coiled-coil region. This protein has been detected as an autoantigen in hepatocellular carcinoma patients. This gene has been identified as a potential candidate for X-linked cognitive disability. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant X-64920062-C-A is Benign according to our data. Variant chrX-64920062-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 445593.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00676 (751/111031) while in subpopulation NFE AF= 0.00824 (437/53011). AF 95% confidence interval is 0.00761. There are 4 homozygotes in gnomad4. There are 216 alleles in male gnomad4 subpopulation. Median coverage is 22. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 4 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ZC4H2NM_018684.4 linkuse as main transcriptc.398+19G>T intron_variant ENST00000374839.8 NP_061154.1 Q9NQZ6-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ZC4H2ENST00000374839.8 linkuse as main transcriptc.398+19G>T intron_variant 1 NM_018684.4 ENSP00000363972.3 Q9NQZ6-1

Frequencies

GnomAD3 genomes
AF:
0.00681
AC:
756
AN:
110980
Hom.:
5
Cov.:
22
AF XY:
0.00651
AC XY:
216
AN XY:
33196
show subpopulations
Gnomad AFR
AF:
0.000591
Gnomad AMI
AF:
0.00586
Gnomad AMR
AF:
0.00489
Gnomad ASJ
AF:
0.0167
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00115
Gnomad FIN
AF:
0.0305
Gnomad MID
AF:
0.0377
Gnomad NFE
AF:
0.00824
Gnomad OTH
AF:
0.00675
GnomAD3 exomes
AF:
0.00778
AC:
1348
AN:
173246
Hom.:
10
AF XY:
0.00724
AC XY:
426
AN XY:
58808
show subpopulations
Gnomad AFR exome
AF:
0.00123
Gnomad AMR exome
AF:
0.00239
Gnomad ASJ exome
AF:
0.0159
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000908
Gnomad FIN exome
AF:
0.0310
Gnomad NFE exome
AF:
0.00799
Gnomad OTH exome
AF:
0.0122
GnomAD4 exome
AF:
0.00707
AC:
7722
AN:
1091850
Hom.:
29
Cov.:
29
AF XY:
0.00696
AC XY:
2496
AN XY:
358450
show subpopulations
Gnomad4 AFR exome
AF:
0.000951
Gnomad4 AMR exome
AF:
0.00307
Gnomad4 ASJ exome
AF:
0.0153
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00125
Gnomad4 FIN exome
AF:
0.0319
Gnomad4 NFE exome
AF:
0.00666
Gnomad4 OTH exome
AF:
0.00690
GnomAD4 genome
AF:
0.00676
AC:
751
AN:
111031
Hom.:
4
Cov.:
22
AF XY:
0.00649
AC XY:
216
AN XY:
33257
show subpopulations
Gnomad4 AFR
AF:
0.000589
Gnomad4 AMR
AF:
0.00488
Gnomad4 ASJ
AF:
0.0167
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00116
Gnomad4 FIN
AF:
0.0305
Gnomad4 NFE
AF:
0.00824
Gnomad4 OTH
AF:
0.00666
Alfa
AF:
0.0102
Hom.:
75
Bravo
AF:
0.00504

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Likely benign, criteria provided, single submitterclinical testingCenter for Pediatric Genomic Medicine, Children's Mercy Hospital and ClinicsMay 03, 2017- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
1.0
DANN
Benign
0.36

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: rs140551642; hg19: chrX-64139942; API