chr1-204525540-G-A

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_002393.5(MDM4):​c.22G>A​(p.Ala8Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000767 in 1,611,496 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.0044 ( 3 hom., cov: 32)
Exomes 𝑓: 0.00039 ( 6 hom. )

Consequence

MDM4
NM_002393.5 missense

Scores

3
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.98
Variant links:
Genes affected
MDM4 (HGNC:6974): (MDM4 regulator of p53) This gene encodes a nuclear protein that contains a p53 binding domain at the N-terminus and a RING finger domain at the C-terminus, and shows structural similarity to p53-binding protein MDM2. Both proteins bind the p53 tumor suppressor protein and inhibit its activity, and have been shown to be overexpressed in a variety of human cancers. However, unlike MDM2 which degrades p53, this protein inhibits p53 by binding its transcriptional activation domain. This protein also interacts with MDM2 protein via the RING finger domain, and inhibits the latter's degradation. So this protein can reverse MDM2-targeted degradation of p53, while maintaining suppression of p53 transactivation and apoptotic functions. Alternatively spliced transcript variants encoding different isoforms have been noted for this gene. [provided by RefSeq, Feb 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0050046444).
BP6
Variant 1-204525540-G-A is Benign according to our data. Variant chr1-204525540-G-A is described in ClinVar as [Benign]. Clinvar id is 709590.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 662 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MDM4NM_002393.5 linkuse as main transcriptc.22G>A p.Ala8Thr missense_variant 2/11 ENST00000367182.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MDM4ENST00000367182.8 linkuse as main transcriptc.22G>A p.Ala8Thr missense_variant 2/111 NM_002393.5 P1O15151-1

Frequencies

GnomAD3 genomes
AF:
0.00436
AC:
662
AN:
151690
Hom.:
3
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0153
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00138
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:
0.0000588
Gnomad OTH
AF:
0.00192
GnomAD3 exomes
AF:
0.00100
AC:
250
AN:
249858
Hom.:
1
AF XY:
0.000667
AC XY:
90
AN XY:
135006
show subpopulations
Gnomad AFR exome
AF:
0.0147
Gnomad AMR exome
AF:
0.000174
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000332
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000883
Gnomad OTH exome
AF:
0.000491
GnomAD4 exome
AF:
0.000393
AC:
574
AN:
1459722
Hom.:
6
Cov.:
30
AF XY:
0.000343
AC XY:
249
AN XY:
726100
show subpopulations
Gnomad4 AFR exome
AF:
0.0145
Gnomad4 AMR exome
AF:
0.000404
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000466
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000720
Gnomad4 OTH exome
AF:
0.000945
GnomAD4 genome
AF:
0.00436
AC:
662
AN:
151774
Hom.:
3
Cov.:
32
AF XY:
0.00415
AC XY:
308
AN XY:
74136
show subpopulations
Gnomad4 AFR
AF:
0.0153
Gnomad4 AMR
AF:
0.00138
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00190
Alfa
AF:
0.000821
Hom.:
1
Bravo
AF:
0.00487
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.0107
AC:
47
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00124
AC:
151
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 10, 2018- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.069
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.049
T;.;.;.;.;.;T;.;T;.
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.0045
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.86
D;D;.;D;D;D;D;D;D;D
MetaRNN
Benign
0.0050
T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.5
.;.;.;.;L;L;L;.;.;.
MutationTaster
Benign
1.0
D;D;D;D;N
PrimateAI
Benign
0.38
T
PROVEAN
Benign
0.020
.;.;N;.;N;N;N;.;N;N
REVEL
Benign
0.12
Sift
Benign
0.36
.;.;T;.;T;T;T;.;T;T
Sift4G
Benign
0.11
T;T;T;T;T;T;T;T;T;T
Polyphen
0.016
.;.;.;.;.;.;B;.;.;.
Vest4
0.26
MVP
0.50
MPC
1.1
ClinPred
0.017
T
GERP RS
4.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.068
gMVP
0.37

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs115828402; hg19: chr1-204494668; API