chr1-155063955-G-A

Variant summary

Our verdict is Uncertain significance.
0 Uncertain · Cold
-7
-6
-1
0
+5
+6
+9
+10
B
LB
VUS
LP
P
The variant received 0 classification points (ACGS-UK Somatic Oncogenicity v2025).

The NM_005227.3(EFNA4):c.113+19G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The gene EFNA4 is a known oncogene (CancerMine: 4 oncogene citations). The variant allele was found at a cumulative frequency of 0.00029 (AC=443) in the gnomAD database across 1,528,728 control chromosomes (no homozygotes observed). The grpmax filtering allele frequency (95% CI) is 0.000183. In-silico predictor (BayesDel (noAF)) classifies this variant as likely benign. Splicing prediction tools (SpliceAI) predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign/Likely Benign (★).

Frequency

Genomes: 𝑓 0.00038 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00028 ( 0 hom. )

Consequence

EFNA4
NM_005227.3 intron

Scores

3

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.569

Publications

0 publications found
Variant links:
Genes affected
EFNA4 (HGNC:3224): (ephrin A4) This gene encodes a member of the ephrin (EPH) family. The ephrins and EPH-related receptors comprise the largest subfamily of receptor protein-tyrosine kinases and have been implicated in mediating developmental events, especially in the nervous system and in erythropoiesis. Based on their structures and sequence relationships, ephrins are divided into the ephrin-A (EFNA) class, which are anchored to the membrane by a glycosylphosphatidylinositol linkage, and the ephrin-B (EFNB) class, which are transmembrane proteins. This gene encodes an EFNA class ephrin that has been implicated in proliferation and metastasis of several types of cancers. [provided by RefSeq, May 2022]
EFNA4 Gene-Disease associations (from GenCC):
  • craniosynostosis
    Inheritance: AD Classification: LIMITED Submitted by: PanelApp Australia
DCST1-AS1 (HGNC:41147): (DCST1 antisense RNA 1)

Genome browser will be placed here

new If you want to explore the variant's impact on the transcript NM_005227.3, check out the Mutation Effect Viewer. This is especially useful for frameshift variants or if you want to visualize the effect of exon loss / intron retention.

Classification according to ACGS-UK Somatic Oncogenicity v2025

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 points.

Variant Effect in Transcripts

Automated classification analysis was done for transcript: NM_005227.3. You can select a different transcript below to see updated classification assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EFNA4
NM_005227.3
MANE Select
c.113+19G>A
intron
N/ANP_005218.1P52798-1
EFNA4-EFNA3
NM_001407761.1
c.113+19G>A
intron
N/ANP_001394690.1K9J7H7
EFNA4
NM_182689.2
c.113+19G>A
intron
N/ANP_872631.1P52798-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EFNA4
ENST00000368409.8
TSL:1 MANE Select
c.113+19G>A
intron
N/AENSP00000357394.3P52798-1
EFNA4-EFNA3
ENST00000505139.1
TSL:2
c.113+19G>A
intron
N/AENSP00000426741.1K9J7H7
EFNA4
ENST00000359751.8
TSL:1
c.113+19G>A
intron
N/AENSP00000352789.4P52798-2

Frequencies

GnomAD3 genomes
AF:
0.000381
AC:
58
AN:
152102
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.0130
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.00144
GnomAD2 exomes
AF:
0.000999
AC:
126
AN:
126128
AF XY:
0.000767
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000516
Gnomad ASJ exome
AF:
0.0124
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000316
Gnomad OTH exome
AF:
0.00144
GnomAD4 exome
AF:
0.000280
AC:
385
AN:
1376626
Hom.:
0
Cov.:
29
AF XY:
0.000263
AC XY:
179
AN XY:
679946
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
28894
American (AMR)
AF:
0.000327
AC:
11
AN:
33676
Ashkenazi Jewish (ASJ)
AF:
0.0108
AC:
266
AN:
24586
East Asian (EAS)
AF:
0.00
AC:
0
AN:
32546
South Asian (SAS)
AF:
0.00
AC:
0
AN:
76894
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47960
Middle Eastern (MID)
AF:
0.000592
AC:
3
AN:
5070
European-Non Finnish (NFE)
AF:
0.0000495
AC:
53
AN:
1069966
Other (OTH)
AF:
0.000912
AC:
52
AN:
57034
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
20
39
59
78
98
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000381
AC:
58
AN:
152102
Hom.:
0
Cov.:
32
AF XY:
0.000431
AC XY:
32
AN XY:
74288
show subpopulations
African (AFR)
AF:
0.0000483
AC:
2
AN:
41436
American (AMR)
AF:
0.000262
AC:
4
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.0130
AC:
45
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5156
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10604
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
68004
Other (OTH)
AF:
0.00144
AC:
3
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.00188
Hom.:
0
Bravo
AF:
0.000431

Local populations

ABraOM SABE-WGS-1171
AF:
0.000854
AC:
2
AN:
2342
Hom.:
0

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.56
CADD
Benign
14
DANN
Benign
0.95
PhyloP100
0.57
PromoterAI
0.011
Neutral

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

MaxEntScan Visualizer can be used to analyze the impact of this mutation on the neighboring sequence.

Publications

Other links and lift over

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