chr13-45193909-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_198404.3(KCTD4):ā€‹c.659T>Gā€‹(p.Leu220Trp) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,844 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

KCTD4
NM_198404.3 missense

Scores

8
3
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.95
Variant links:
Genes affected
KCTD4 (HGNC:23227): (potassium channel tetramerization domain containing 4) Predicted to be involved in protein homooligomerization. [provided by Alliance of Genome Resources, Apr 2022]
GTF2F2 (HGNC:4653): (general transcription factor IIF subunit 2) Predicted to enable RNA polymerase II general transcription initiation factor activity. Involved in transcription by RNA polymerase II. Located in microtubule cytoskeleton and nucleoplasm. Part of transcription preinitiation complex. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.807

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
KCTD4NM_198404.3 linkuse as main transcriptc.659T>G p.Leu220Trp missense_variant 2/2 ENST00000379108.2 NP_940686.2
GTF2F2NM_004128.3 linkuse as main transcriptc.305-13515A>C intron_variant ENST00000340473.8 NP_004119.1
GTF2F2XM_011535052.4 linkuse as main transcriptc.382+10431A>C intron_variant XP_011533354.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
KCTD4ENST00000379108.2 linkuse as main transcriptc.659T>G p.Leu220Trp missense_variant 2/2 NM_198404.3 ENSP00000368402 P1
GTF2F2ENST00000340473.8 linkuse as main transcriptc.305-13515A>C intron_variant 1 NM_004128.3 ENSP00000340823 P1
GTF2F2ENST00000706694.1 linkuse as main transcriptc.134-13515A>C intron_variant, NMD_transcript_variant ENSP00000516507

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000798
AC:
2
AN:
250752
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135460
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000579
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461844
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
727222
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000447
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
Bravo
AF:
0.0000113

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 18, 2021The c.659T>G (p.L220W) alteration is located in exon 2 (coding exon 1) of the KCTD4 gene. This alteration results from a T to G substitution at nucleotide position 659, causing the leucine (L) at amino acid position 220 to be replaced by a tryptophan (W). 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
Pathogenic
0.85
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.28
CADD
Pathogenic
27
DANN
Benign
0.97
DEOGEN2
Benign
0.081
T
Eigen
Pathogenic
0.69
Eigen_PC
Pathogenic
0.75
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.86
D
M_CAP
Benign
0.041
D
MetaRNN
Pathogenic
0.81
D
MetaSVM
Benign
-0.45
T
MutationAssessor
Benign
0.0
N
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.86
D
PROVEAN
Benign
-1.3
N
REVEL
Uncertain
0.46
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.012
D
Polyphen
1.0
D
Vest4
0.73
MutPred
0.52
Gain of catalytic residue at F225 (P = 5e-04);
MVP
0.91
ClinPred
0.67
D
GERP RS
6.0
Varity_R
0.43
gMVP
0.92

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: rs1256778698; hg19: chr13-45768044; API