chr1-151909374-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_053055.5(THEM4):​c.85C>T​(p.Pro29Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000497 in 1,508,476 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000039 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000051 ( 0 hom. )

Consequence

THEM4
NM_053055.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.284
Variant links:
Genes affected
THEM4 (HGNC:17947): (thioesterase superfamily member 4) Protein kinase B (PKB) is a major downstream target of receptor tyrosine kinases that signal via phosphatidylinositol 3-kinase. Upon cell stimulation, PKB is translocated to the plasma membrane, where it is phosphorylated in the C-terminal regulatory domain. The protein encoded by this gene negatively regulates PKB activity by inhibiting phosphorylation. Transcription of this gene is commonly downregulated in glioblastomas. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.04029739).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
THEM4NM_053055.5 linkuse as main transcriptc.85C>T p.Pro29Ser missense_variant 1/6 ENST00000368814.8 NP_444283.2 Q5T1C6A8K0C9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
THEM4ENST00000368814.8 linkuse as main transcriptc.85C>T p.Pro29Ser missense_variant 1/61 NM_053055.5 ENSP00000357804.3 Q5T1C6
THEM4ENST00000471464.5 linkuse as main transcriptn.85C>T non_coding_transcript_exon_variant 1/71 ENSP00000431288.1 F6XC58
THEM4ENST00000489410.1 linkuse as main transcriptc.85C>T p.Pro29Ser missense_variant 1/22 ENSP00000433304.1 E9PLJ7

Frequencies

GnomAD3 genomes
AF:
0.0000394
AC:
6
AN:
152228
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000509
AC:
69
AN:
1356248
Hom.:
0
Cov.:
29
AF XY:
0.0000463
AC XY:
31
AN XY:
669182
show subpopulations
Gnomad4 AFR exome
AF:
0.0000357
Gnomad4 AMR exome
AF:
0.000154
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000907
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000516
Gnomad4 OTH exome
AF:
0.0000177
GnomAD4 genome
AF:
0.0000394
AC:
6
AN:
152228
Hom.:
0
Cov.:
32
AF XY:
0.0000538
AC XY:
4
AN XY:
74372
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000604
ExAC
AF:
0.0000572
AC:
4

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 04, 2022The c.85C>T (p.P29S) alteration is located in exon 1 (coding exon 1) of the THEM4 gene. This alteration results from a C to T substitution at nucleotide position 85, causing the proline (P) at amino acid position 29 to be replaced by a serine (S). 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
0.091
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
6.6
DANN
Benign
0.74
DEOGEN2
Benign
0.25
T;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.00088
N
LIST_S2
Benign
0.48
T;T
M_CAP
Benign
0.0033
T
MetaRNN
Benign
0.040
T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
0.55
N;.
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
0.070
N;N
REVEL
Benign
0.012
Sift
Benign
0.20
T;T
Sift4G
Benign
0.62
T;T
Polyphen
0.0050
B;.
Vest4
0.057
MutPred
0.14
Gain of phosphorylation at P29 (P = 0.0039);Gain of phosphorylation at P29 (P = 0.0039);
MVP
0.014
MPC
0.077
ClinPred
0.034
T
GERP RS
0.69
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.036
gMVP
0.12

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: rs778343849; hg19: chr1-151881850; API