chr1-180230533-A-G

Variant summary

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

The NM_033343.4(LHX4):ā€‹c.4A>Gā€‹(p.Met2Val) variant causes a missense change. The variant allele was found at a frequency of 0.00000684 in 1,461,372 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 31)
Exomes š‘“: 0.0000068 ( 0 hom. )

Consequence

LHX4
NM_033343.4 missense

Scores

1
8
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.02
Variant links:
Genes affected
LHX4 (HGNC:21734): (LIM homeobox 4) This gene encodes a member of a large protein family which contains the LIM domain, a unique cysteine-rich zinc-binding domain. The encoded protein is a transcription factor involved in the control of differentiation and development of the pituitary gland. Mutations in this gene cause combined pituitary hormone deficiency 4. [provided by RefSeq, Dec 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAdExome4 at 10 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LHX4NM_033343.4 linkuse as main transcriptc.4A>G p.Met2Val missense_variant 1/6 ENST00000263726.4 NP_203129.1 Q969G2A0A0S2Z5S4
LHX4XM_011510105.3 linkuse as main transcriptc.-108+1620A>G intron_variant XP_011508407.1
LHX4XM_011510106.4 linkuse as main transcriptc.-108+1380A>G intron_variant XP_011508408.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LHX4ENST00000263726.4 linkuse as main transcriptc.4A>G p.Met2Val missense_variant 1/61 NM_033343.4 ENSP00000263726.2 Q969G2
LHX4ENST00000558139.1 linkuse as main transcriptn.236A>G non_coding_transcript_exon_variant 1/23

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.0000160
AC:
4
AN:
250240
Hom.:
0
AF XY:
0.0000148
AC XY:
2
AN XY:
135570
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.0000354
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000684
AC:
10
AN:
1461372
Hom.:
0
Cov.:
30
AF XY:
0.0000124
AC XY:
9
AN XY:
727006
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:
0.0000376
Gnomad4 NFE exome
AF:
0.00000720
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
ExAC
AF:
0.0000330
AC:
4

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 21, 2024The c.4A>G (p.M2V) alteration is located in exon 1 (coding exon 1) of the LHX4 gene. This alteration results from a A to G substitution at nucleotide position 4, causing the methionine (M) at amino acid position 2 to be replaced by a valine (V). 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
0.33
BayesDel_addAF
Uncertain
0.14
D
BayesDel_noAF
Uncertain
0.070
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.15
T
Eigen
Benign
-0.21
Eigen_PC
Benign
0.030
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.41
T
M_CAP
Benign
0.059
D
MetaRNN
Uncertain
0.43
T
MetaSVM
Benign
-0.50
T
MutationAssessor
Benign
0.90
L
PrimateAI
Uncertain
0.71
T
PROVEAN
Benign
-0.32
N
REVEL
Uncertain
0.46
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.034
D
Polyphen
0.14
B
Vest4
0.68
MutPred
0.12
Loss of loop (P = 0.1258);
MVP
0.91
MPC
0.31
ClinPred
0.39
T
GERP RS
5.5
Varity_R
0.82
gMVP
0.32

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: rs759855950; hg19: chr1-180199668; API