X-72130403-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001024455.4(RTL5):​c.1138G>A​(p.Glu380Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000153 in 1,173,012 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 44 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 0.00076 ( 0 hom., 19 hem., cov: 22)
Exomes 𝑓: 0.000090 ( 0 hom. 25 hem. )

Consequence

RTL5
NM_001024455.4 missense

Scores

13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.101
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 Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0049708486).
BS2
High Hemizygotes in GnomAd4 at 19 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NHSL2NM_001013627.3 linkc.281-1676C>T intron_variant ENST00000633930.2 NP_001013649.2 Q5HYW2-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RTL5ENST00000609883.3 linkc.1138G>A p.Glu380Lys missense_variant 1/16 ENSP00000476792.1 Q5HYW3
NHSL2ENST00000633930.2 linkc.281-1676C>T intron_variant 5 NM_001013627.3 ENSP00000488668.1 Q5HYW2-1

Frequencies

GnomAD3 genomes
AF:
0.000773
AC:
85
AN:
109978
Hom.:
0
Cov.:
22
AF XY:
0.000621
AC XY:
20
AN XY:
32216
show subpopulations
Gnomad AFR
AF:
0.00252
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000683
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:
0.00
Gnomad OTH
AF:
0.00136
GnomAD3 exomes
AF:
0.000115
AC:
17
AN:
147256
Hom.:
0
AF XY:
0.0000884
AC XY:
4
AN XY:
45270
show subpopulations
Gnomad AFR exome
AF:
0.00130
Gnomad AMR exome
AF:
0.000130
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:
0.000257
GnomAD4 exome
AF:
0.0000903
AC:
96
AN:
1062985
Hom.:
0
Cov.:
32
AF XY:
0.0000740
AC XY:
25
AN XY:
338025
show subpopulations
Gnomad4 AFR exome
AF:
0.00312
Gnomad4 AMR exome
AF:
0.0000947
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000579
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000245
Gnomad4 OTH exome
AF:
0.000178
GnomAD4 genome
AF:
0.000763
AC:
84
AN:
110027
Hom.:
0
Cov.:
22
AF XY:
0.000589
AC XY:
19
AN XY:
32275
show subpopulations
Gnomad4 AFR
AF:
0.00249
Gnomad4 AMR
AF:
0.000682
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00135
Alfa
AF:
0.000490
Hom.:
4
Bravo
AF:
0.000994
ESP6500AA
AF:
0.00115
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000176
AC:
21

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 23, 2024The c.1138G>A (p.E380K) 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 1138, causing the glutamic acid (E) at amino acid position 380 to be replaced by a lysine (K). 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
0.084
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.79
CADD
Benign
10
DANN
Benign
0.97
DEOGEN2
Benign
0.0014
T
FATHMM_MKL
Benign
0.015
N
LIST_S2
Benign
0.50
T
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.0050
T
MetaSVM
Benign
-0.97
T
PrimateAI
Benign
0.31
T
Sift4G
Benign
0.26
T
Polyphen
0.0
B
Vest4
0.11
MVP
0.048
ClinPred
0.031
T
GERP RS
1.4
Varity_R
0.059
gMVP
0.24

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: rs183714924; hg19: chrX-71350253; API