X-72129943-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001024455.4(RTL5):​c.1598G>A​(p.Arg533His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000496 in 1,209,183 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 11/16 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000036 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000018 ( 0 hom. 1 hem. )

Consequence

RTL5
NM_001024455.4 missense

Scores

1
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.631
Variant links:
Genes affected
RTL5 (HGNC:29430): (retrotransposon Gag like 5)
NHSL2 (HGNC:33737): (NHS like 2) Predicted to enable calcium ion binding activity. Predicted to be involved in cell differentiation. Predicted to be active in cytoplasm. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.08734807).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RTL5NM_001405151.1 linkuse as main transcriptc.1598G>A p.Arg533His missense_variant 1/1 ENST00000609883.3
RTL5NM_001024455.4 linkuse as main transcriptc.1598G>A p.Arg533His missense_variant 1/2
NHSL2NM_001013627.3 linkuse as main transcriptc.281-2136C>T intron_variant ENST00000633930.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RTL5ENST00000609883.3 linkuse as main transcriptc.1598G>A p.Arg533His missense_variant 1/1 NM_001405151.1 P1
NHSL2ENST00000633930.2 linkuse as main transcriptc.281-2136C>T intron_variant 5 NM_001013627.3 P3Q5HYW2-1

Frequencies

GnomAD3 genomes
AF:
0.0000359
AC:
4
AN:
111386
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33590
show subpopulations
Gnomad AFR
AF:
0.0000655
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:
0.0000378
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000182
AC:
2
AN:
1097797
Hom.:
0
Cov.:
34
AF XY:
0.00000275
AC XY:
1
AN XY:
363229
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:
0.0000185
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000359
AC:
4
AN:
111386
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33590
show subpopulations
Gnomad4 AFR
AF:
0.0000655
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:
0.0000378
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000264

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 GeneticsJan 29, 2024The c.1598G>A (p.R533H) alteration is located in exon 1 (coding exon 1) of the RGAG4 gene. This alteration results from a G to A substitution at nucleotide position 1598, causing the arginine (R) at amino acid position 533 to be replaced by a histidine (H). 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
-0.26
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
12
DANN
Benign
0.93
DEOGEN2
Benign
0.0034
T
FATHMM_MKL
Benign
0.099
N
LIST_S2
Benign
0.61
T
M_CAP
Benign
0.0048
T
MetaRNN
Benign
0.087
T
MetaSVM
Benign
-0.98
T
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.48
T
Sift4G
Pathogenic
0.0010
D
Polyphen
0.013
B
Vest4
0.16
MutPred
0.26
Loss of MoRF binding (P = 0.0428);
MVP
0.11
ClinPred
0.13
T
GERP RS
3.2
Varity_R
0.035
gMVP
0.083

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: rs930832925; hg19: chrX-71349793; API