X-96884828-G-A

Variant summary

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

The NM_013347.4(RPA4):​c.518G>A​(p.Arg173His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000273 in 1,098,113 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. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 21)
Exomes 𝑓: 0.0000027 ( 0 hom. 1 hem. )

Consequence

RPA4
NM_013347.4 missense

Scores

17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.129
Variant links:
Genes affected
RPA4 (HGNC:30305): (replication protein A4) This gene encodes a single-stranded DNA-binding protein that is the 30-kDa subunit of the replication protein A complex. Replication protein A is an essential factor for DNA double-strand break repair and cell cycle checkpoint activation. The encoded protein localizes to DNA repair foci and may be involved in the cellular DNA damage response. This protein may also play a role in inhibiting viral replication.[provided by RefSeq, Apr 2010]
DIAPH2 (HGNC:2877): (diaphanous related formin 2) The product of this gene belongs to the diaphanous subfamily of the formin homology family of proteins. This gene may play a role in the development and normal function of the ovaries. Defects in this gene have been linked to premature ovarian failure 2. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Jul 2008]

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=0.0827764).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RPA4NM_013347.4 linkuse as main transcriptc.518G>A p.Arg173His missense_variant 1/1 ENST00000373040.4 NP_037479.1
DIAPH2NM_006729.5 linkuse as main transcriptc.587+3110G>A intron_variant ENST00000324765.13 NP_006720.1
DIAPH2NM_007309.4 linkuse as main transcriptc.587+3110G>A intron_variant NP_009293.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RPA4ENST00000373040.4 linkuse as main transcriptc.518G>A p.Arg173His missense_variant 1/1 NM_013347.4 ENSP00000362131 P1
DIAPH2ENST00000324765.13 linkuse as main transcriptc.587+3110G>A intron_variant 1 NM_006729.5 ENSP00000321348 A2O60879-1
DIAPH2ENST00000373049.8 linkuse as main transcriptc.587+3110G>A intron_variant 1 ENSP00000362140 P3O60879-2

Frequencies

GnomAD3 genomes
Cov.:
21
GnomAD4 exome
AF:
0.00000273
AC:
3
AN:
1098113
Hom.:
0
Cov.:
32
AF XY:
0.00000275
AC XY:
1
AN XY:
363469
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000356
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
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 GeneticsMar 29, 2022The c.518G>A (p.R173H) alteration is located in exon 1 (coding exon 1) of the RPA4 gene. This alteration results from a G to A substitution at nucleotide position 518, causing the arginine (R) at amino acid position 173 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
0.077
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.99
CADD
Benign
0.42
DANN
Benign
0.96
DEOGEN2
Benign
0.00047
T
FATHMM_MKL
Benign
0.00055
N
LIST_S2
Benign
0.31
T
M_CAP
Benign
0.0028
T
MetaRNN
Benign
0.083
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
N
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Benign
0.18
T
PROVEAN
Benign
-0.67
N
REVEL
Benign
0.0070
Sift
Benign
0.23
T
Sift4G
Benign
0.12
T
Polyphen
0.40
B
Vest4
0.073
MutPred
0.43
Gain of glycosylation at T176 (P = 0.0593);
MVP
0.23
MPC
0.23
ClinPred
0.12
T
GERP RS
-1.4
Varity_R
0.029
gMVP
0.11

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

No publications associated with this variant yet.

Other links and lift over

hg19: chrX-96139827; COSMIC: COSV61266302; API