chr12-100493402-G-T

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_ModeratePP5_Moderate

The NM_001206979.2(NR1H4):​c.79G>T​(p.Gly27Cys) variant causes a missense, splice region change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

NR1H4
NM_001206979.2 missense, splice_region

Scores

6
5
4
Splicing: ADA: 0.9999
2

Clinical Significance

Pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 5.21
Variant links:
Genes affected
NR1H4 (HGNC:7967): (nuclear receptor subfamily 1 group H member 4) This gene encodes a ligand-activated transcription factor that shares structural features in common with nuclear hormone receptor family members. This protein functions as a receptor for bile acids, and when bound to bile acids, binds to DNA and regulates the expression of genes involved in bile acid synthesis and transport. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Feb 2016]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF, max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 12-100493402-G-T is Pathogenic according to our data. Variant chr12-100493402-G-T is described in ClinVar as [Pathogenic]. Clinvar id is 3237163.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
NR1H4NM_001206979.2 linkuse as main transcriptc.79G>T p.Gly27Cys missense_variant, splice_region_variant 3/11 ENST00000392986.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
NR1H4ENST00000392986.8 linkuse as main transcriptc.79G>T p.Gly27Cys missense_variant, splice_region_variant 3/111 NM_001206979.2 A1Q96RI1-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1286388
Hom.:
0
Cov.:
20
AF XY:
0.00
AC XY:
0
AN XY:
645142
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:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Cholestasis, progressive familial intrahepatic, 5 Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingPalindrome, Gene Kavoshgaran AriaOct 10, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.37
D
BayesDel_noAF
Pathogenic
0.30
CADD
Pathogenic
33
DANN
Uncertain
1.0
Eigen
Pathogenic
0.74
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.89
D;.;D;D
M_CAP
Benign
0.078
D
MetaRNN
Pathogenic
0.82
D;D;D;D
MetaSVM
Benign
-0.41
T
MutationTaster
Benign
1.0
D;D;D;D
PROVEAN
Benign
-2.2
N;N;N;.
REVEL
Pathogenic
0.80
Sift
Uncertain
0.012
D;D;D;.
Sift4G
Uncertain
0.011
D;D;D;.
Vest4
0.84
MutPred
0.59
Gain of catalytic residue at E31 (P = 0.0148);Gain of catalytic residue at E31 (P = 0.0148);Gain of catalytic residue at E31 (P = 0.0148);Gain of catalytic residue at E31 (P = 0.0148);
MVP
0.87
ClinPred
0.95
D
GERP RS
5.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.8

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.74
SpliceAI score (max)
0.86
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.86
Position offset: 0

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

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr12-100887180; COSMIC: COSV100321036; API