X-70259132-C-T

Variant summary

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

The NM_002565.4(P2RY4):​c.493G>A​(p.Gly165Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000198 in 1,210,736 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 5 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 0.000062 ( 0 hom., 3 hem., cov: 24)
Exomes 𝑓: 0.000015 ( 0 hom. 2 hem. )

Consequence

P2RY4
NM_002565.4 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.713
Variant links:
Genes affected
P2RY4 (HGNC:8542): (pyrimidinergic receptor P2Y4) The product of this gene belongs to the family of G-protein coupled receptors. This family has several receptor subtypes with different pharmacological selectivity, which overlaps in some cases, for various adenosine and uridine nucleotides. This receptor is responsive to uridine nucleotides, partially responsive to ATP, and not responsive to ADP. [provided by RefSeq, Jul 2008]

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=0.08205363).
BS2
High Hemizygotes in GnomAd4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
P2RY4NM_002565.4 linkuse as main transcriptc.493G>A p.Gly165Ser missense_variant 1/1 ENST00000374519.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
P2RY4ENST00000374519.4 linkuse as main transcriptc.493G>A p.Gly165Ser missense_variant 1/1 NM_002565.4 P1

Frequencies

GnomAD3 genomes
AF:
0.0000622
AC:
7
AN:
112550
Hom.:
0
Cov.:
24
AF XY:
0.0000864
AC XY:
3
AN XY:
34710
show subpopulations
Gnomad AFR
AF:
0.000161
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:
0.0000375
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000109
AC:
2
AN:
183131
Hom.:
0
AF XY:
0.0000148
AC XY:
1
AN XY:
67625
show subpopulations
Gnomad AFR exome
AF:
0.000152
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000155
AC:
17
AN:
1098186
Hom.:
0
Cov.:
32
AF XY:
0.00000550
AC XY:
2
AN XY:
363542
show subpopulations
Gnomad4 AFR exome
AF:
0.000379
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000594
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000622
AC:
7
AN:
112550
Hom.:
0
Cov.:
24
AF XY:
0.0000864
AC XY:
3
AN XY:
34710
show subpopulations
Gnomad4 AFR
AF:
0.000161
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:
0.0000375
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000145
Hom.:
2
Bravo
AF:
0.0000491
ExAC
AF:
0.0000247
AC:
3

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 GeneticsOct 12, 2022The c.493G>A (p.G165S) alteration is located in exon 1 (coding exon 1) of the P2RY4 gene. This alteration results from a G to A substitution at nucleotide position 493, causing the glycine (G) at amino acid position 165 to be replaced by a serine (S). 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
0.11
BayesDel_addAF
Benign
-0.65
T
BayesDel_noAF
Benign
-0.91
CADD
Benign
12
DANN
Uncertain
0.99
DEOGEN2
Benign
0.042
T
FATHMM_MKL
Benign
0.18
N
LIST_S2
Benign
0.64
T
M_CAP
Benign
0.0044
T
MetaRNN
Benign
0.082
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.23
N
MutationTaster
Benign
0.53
N
PrimateAI
Benign
0.35
T
PROVEAN
Benign
0.77
N
REVEL
Benign
0.014
Sift
Benign
0.14
T
Sift4G
Benign
0.51
T
Polyphen
0.0
B
Vest4
0.033
MutPred
0.44
Gain of glycosylation at G165 (P = 0.1234);
MVP
0.83
MPC
0.082
ClinPred
0.089
T
GERP RS
2.4
Varity_R
0.086
gMVP
0.30

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: rs772388978; hg19: chrX-69478982; API