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chr1-204530752-A-T

Variant summary

Our verdict is Benign. Variant got -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2

The NM_002393.5(MDM4):​c.222A>T​(p.Val74=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00827 in 1,614,198 control chromosomes in the GnomAD database, including 73 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0073 ( 8 hom., cov: 33)
Exomes 𝑓: 0.0084 ( 65 hom. )

Consequence

MDM4
NM_002393.5 synonymous

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -3.28
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 -17 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 1-204530752-A-T is Benign according to our data. Variant chr1-204530752-A-T is described in ClinVar as [Likely_benign]. Clinvar id is 774283.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-3.28 with no splicing effect.
BS2
High AC in GnomAd4 at 1110 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
MDM4NM_002393.5 linkuse as main transcriptc.222A>T p.Val74= synonymous_variant 4/11 ENST00000367182.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
MDM4ENST00000367182.8 linkuse as main transcriptc.222A>T p.Val74= synonymous_variant 4/111 NM_002393.5 P1O15151-1

Frequencies

GnomAD3 genomes
AF:
0.00729
AC:
1109
AN:
152212
Hom.:
7
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00251
Gnomad AMI
AF:
0.0307
Gnomad AMR
AF:
0.00681
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.000384
Gnomad SAS
AF:
0.000827
Gnomad FIN
AF:
0.0174
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.00971
Gnomad OTH
AF:
0.00717
GnomAD3 exomes
AF:
0.00663
AC:
1667
AN:
251482
Hom.:
9
AF XY:
0.00660
AC XY:
897
AN XY:
135918
show subpopulations
Gnomad AFR exome
AF:
0.00215
Gnomad AMR exome
AF:
0.00275
Gnomad ASJ exome
AF:
0.000595
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.000784
Gnomad FIN exome
AF:
0.0164
Gnomad NFE exome
AF:
0.00971
Gnomad OTH exome
AF:
0.00733
GnomAD4 exome
AF:
0.00837
AC:
12240
AN:
1461868
Hom.:
65
Cov.:
31
AF XY:
0.00819
AC XY:
5957
AN XY:
727232
show subpopulations
Gnomad4 AFR exome
AF:
0.00212
Gnomad4 AMR exome
AF:
0.00300
Gnomad4 ASJ exome
AF:
0.000383
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.000951
Gnomad4 FIN exome
AF:
0.0159
Gnomad4 NFE exome
AF:
0.00959
Gnomad4 OTH exome
AF:
0.00661
GnomAD4 genome
AF:
0.00729
AC:
1110
AN:
152330
Hom.:
8
Cov.:
33
AF XY:
0.00790
AC XY:
588
AN XY:
74474
show subpopulations
Gnomad4 AFR
AF:
0.00245
Gnomad4 AMR
AF:
0.00680
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.000385
Gnomad4 SAS
AF:
0.000828
Gnomad4 FIN
AF:
0.0174
Gnomad4 NFE
AF:
0.00972
Gnomad4 OTH
AF:
0.00851
Alfa
AF:
0.00898
Hom.:
2
Bravo
AF:
0.00634
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.0101
EpiControl
AF:
0.0120

ClinVar

Significance: Benign/Likely 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 testingInvitaeJul 04, 2018- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJan 01, 2023MDM4: BP4, BP7, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
0.56
DANN
Benign
0.76

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: rs61749329; hg19: chr1-204499880; COSMIC: COSV65798272; COSMIC: COSV65798272; API