chr12-6591713-C-T

Variant summary

Our verdict is Pathogenic. Variant got 15 ACMG points: 15P and 0B. PM1PM2PP2PP3_ModeratePP5_Very_Strong

The NM_001273.5(CHD4):​c.3203G>A​(p.Arg1068His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★).

Frequency

Genomes: not found (cov: 32)

Consequence

CHD4
NM_001273.5 missense

Scores

16
1
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 7.53
Variant links:
Genes affected
CHD4 (HGNC:1919): (chromodomain helicase DNA binding protein 4) The product of this gene belongs to the SNF2/RAD54 helicase family. It represents the main component of the nucleosome remodeling and deacetylase complex and plays an important role in epigenetic transcriptional repression. Patients with dermatomyositis develop antibodies against this protein. Somatic mutations in this gene are associated with serous endometrial tumors. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2014]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 15 ACMG points.

PM1
In a domain Helicase C-terminal (size 149) in uniprot entity CHD4_HUMAN there are 6 pathogenic changes around while only 0 benign (100%) in NM_001273.5
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), CHD4. . Gene score misZ 6.3412 (greater than the threshold 3.09). Trascript score misZ 8.6114 (greater than threshold 3.09). GenCC has associacion of gene with syndromic intellectual disability, Sifrim-Hitz-Weiss syndrome.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.913
PP5
Variant 12-6591713-C-T is Pathogenic according to our data. Variant chr12-6591713-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 266124.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr12-6591713-C-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CHD4NM_001273.5 linkuse as main transcriptc.3203G>A p.Arg1068His missense_variant 21/40 ENST00000544040.7 NP_001264.2
CHD4NM_001297553.2 linkuse as main transcriptc.3182G>A p.Arg1061His missense_variant 20/39 NP_001284482.1
CHD4NM_001363606.2 linkuse as main transcriptc.3164G>A p.Arg1055His missense_variant 21/40 NP_001350535.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CHD4ENST00000544040.7 linkuse as main transcriptc.3203G>A p.Arg1068His missense_variant 21/405 NM_001273.5 ENSP00000440542 A1Q14839-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Sifrim-Hitz-Weiss syndrome Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsMar 15, 2024- -
Pathogenic, no assertion criteria providedliterature onlyOMIMJul 12, 2021- -
Inborn genetic diseases Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingAmbry GeneticsOct 05, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.97
BayesDel_addAF
Pathogenic
0.45
D
BayesDel_noAF
Pathogenic
0.41
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.27
.;T;.;D;.;.;.;.;.;.;.;.
Eigen
Pathogenic
0.93
Eigen_PC
Pathogenic
0.85
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Pathogenic
0.98
D;D;D;D;D;D;D;D;D;D;D;D
M_CAP
Uncertain
0.27
D
MetaRNN
Pathogenic
0.91
D;D;D;D;D;D;D;D;D;D;D;D
MetaSVM
Pathogenic
0.81
D
MutationAssessor
Pathogenic
3.6
.;.;.;H;.;.;.;.;H;.;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Pathogenic
0.88
D
PROVEAN
Pathogenic
-4.7
.;D;.;.;.;.;.;.;.;.;.;.
REVEL
Pathogenic
0.93
Sift
Pathogenic
0.0
.;D;.;.;.;.;.;.;.;.;.;.
Sift4G
Pathogenic
0.0
.;D;.;.;.;.;.;.;.;.;.;.
Polyphen
1.0, 1.0
.;.;D;D;.;.;.;.;D;.;.;.
Vest4
0.95
MutPred
0.74
.;.;.;Loss of MoRF binding (P = 0.0092);.;.;.;.;Loss of MoRF binding (P = 0.0092);.;Loss of MoRF binding (P = 0.0092);.;
MVP
0.97
MPC
3.1
ClinPred
1.0
D
GERP RS
5.2
Varity_R
0.79
gMVP
0.97

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.26
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.26
Position offset: 10

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: rs886039915; hg19: chr12-6700879; COSMIC: COSV58894318; COSMIC: COSV58894318; API