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GeneBe

X-96884959-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_013347.4(RPA4):​c.649G>A​(p.Gly217Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000719 in 1,209,195 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 26 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 1 hem., cov: 21)
Exomes 𝑓: 0.000076 ( 0 hom. 25 hem. )

Consequence

RPA4
NM_013347.4 missense

Scores

4
6
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.44
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 Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 25 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RPA4NM_013347.4 linkuse as main transcriptc.649G>A p.Gly217Arg missense_variant 1/1 ENST00000373040.4
DIAPH2NM_006729.5 linkuse as main transcriptc.587+3241G>A intron_variant ENST00000324765.13
DIAPH2NM_007309.4 linkuse as main transcriptc.587+3241G>A intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RPA4ENST00000373040.4 linkuse as main transcriptc.649G>A p.Gly217Arg missense_variant 1/1 NM_013347.4 P1
DIAPH2ENST00000324765.13 linkuse as main transcriptc.587+3241G>A intron_variant 1 NM_006729.5 A2O60879-1
DIAPH2ENST00000373049.8 linkuse as main transcriptc.587+3241G>A intron_variant 1 P3O60879-2

Frequencies

GnomAD3 genomes
AF:
0.0000270
AC:
3
AN:
111069
Hom.:
0
Cov.:
21
AF XY:
0.0000301
AC XY:
1
AN XY:
33263
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000565
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000875
AC:
16
AN:
182910
Hom.:
0
AF XY:
0.0000889
AC XY:
6
AN XY:
67520
show subpopulations
Gnomad AFR exome
AF:
0.0000760
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:
0.000184
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000765
AC:
84
AN:
1098126
Hom.:
0
Cov.:
32
AF XY:
0.0000688
AC XY:
25
AN XY:
363482
show subpopulations
Gnomad4 AFR exome
AF:
0.0000379
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:
0.0000974
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
AF:
0.0000270
AC:
3
AN:
111069
Hom.:
0
Cov.:
21
AF XY:
0.0000301
AC XY:
1
AN XY:
33263
show subpopulations
Gnomad4 AFR
AF:
0.00
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:
0.0000565
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000297
AC:
2
ExAC
AF:
0.000140
AC:
17
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

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 28, 2022The c.649G>A (p.G217R) 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 649, causing the glycine (G) at amino acid position 217 to be replaced by an arginine (R). 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
Pathogenic
0.85
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Benign
-0.12
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.24
T
FATHMM_MKL
Benign
0.56
D
LIST_S2
Benign
0.52
T
M_CAP
Pathogenic
0.35
D
MetaRNN
Uncertain
0.54
D
MetaSVM
Uncertain
0.19
D
MutationAssessor
Uncertain
2.7
M
MutationTaster
Benign
0.64
D;D;D;D;D;N
PrimateAI
Benign
0.39
T
PROVEAN
Pathogenic
-7.1
D
REVEL
Uncertain
0.46
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0080
D
Polyphen
1.0
D
Vest4
0.16
MutPred
0.75
Gain of solvent accessibility (P = 0.0037);
MVP
0.87
MPC
0.62
ClinPred
0.52
D
GERP RS
3.5
Varity_R
0.48
gMVP
0.73

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: rs144363735; hg19: chrX-96139958; API