X-70259255-G-A

Variant summary

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

The NM_002565.4(P2RY4):​c.370C>T​(p.Leu124Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00014 in 1,211,279 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 55 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00018 ( 0 hom., 5 hem., cov: 24)
Exomes 𝑓: 0.00014 ( 0 hom. 50 hem. )

Consequence

P2RY4
NM_002565.4 missense

Scores

6
11

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.49
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=0.22495705).
BS2
High Hemizygotes in GnomAd4 at 5 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
P2RY4NM_002565.4 linkuse as main transcriptc.370C>T p.Leu124Phe missense_variant 1/1 ENST00000374519.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
P2RY4ENST00000374519.4 linkuse as main transcriptc.370C>T p.Leu124Phe missense_variant 1/1 NM_002565.4 P1

Frequencies

GnomAD3 genomes
AF:
0.000177
AC:
20
AN:
113193
Hom.:
0
Cov.:
24
AF XY:
0.000142
AC XY:
5
AN XY:
35321
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000278
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:
0.000318
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000137
AC:
25
AN:
183033
Hom.:
0
AF XY:
0.000119
AC XY:
8
AN XY:
67501
show subpopulations
Gnomad AFR exome
AF:
0.000152
Gnomad AMR exome
AF:
0.000110
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:
0.000233
Gnomad OTH exome
AF:
0.000221
GnomAD4 exome
AF:
0.000136
AC:
149
AN:
1098086
Hom.:
0
Cov.:
32
AF XY:
0.000138
AC XY:
50
AN XY:
363442
show subpopulations
Gnomad4 AFR exome
AF:
0.000114
Gnomad4 AMR exome
AF:
0.000170
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:
0.000151
Gnomad4 OTH exome
AF:
0.000239
GnomAD4 genome
AF:
0.000177
AC:
20
AN:
113193
Hom.:
0
Cov.:
24
AF XY:
0.000142
AC XY:
5
AN XY:
35321
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000278
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000318
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000210
Hom.:
6
Bravo
AF:
0.000162
ESP6500AA
AF:
0.000261
AC:
1
ESP6500EA
AF:
0.000149
AC:
1
ExAC
AF:
0.0000988
AC:
12
EpiCase
AF:
0.000382
EpiControl
AF:
0.000357

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 GeneticsJun 02, 2023The c.370C>T (p.L124F) alteration is located in exon 1 (coding exon 1) of the P2RY4 gene. This alteration results from a C to T substitution at nucleotide position 370, causing the leucine (L) at amino acid position 124 to be replaced by a phenylalanine (F). 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
0.25
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.14
T
FATHMM_MKL
Uncertain
0.83
D
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.22
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.6
L
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.62
T
PROVEAN
Uncertain
-3.0
D
REVEL
Benign
0.14
Sift
Uncertain
0.029
D
Sift4G
Benign
0.10
T
Polyphen
0.94
P
Vest4
0.14
MVP
0.89
MPC
0.12
ClinPred
0.12
T
GERP RS
1.3
Varity_R
0.75
gMVP
0.41

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs142470306; hg19: chrX-69479105; API