chr19-38411368-G-C

Variant names:

• chr19-38411368-G-C
• rs370977740
• NM_170604.3:c.1694C>G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2 BP4_Moderate

The NM_170604.3(RASGRP4):​c.1694C>G​(p.Thr565Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000126 in 1,588,458 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: 𝑓 0.0000066 (0 hom., cov: 32)
  • Exomes 𝑓: 7.0e-7 (0 hom.)
• Consequence: RASGRP4 NM_170604.3 missense
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 1.34

Genes affected

RASGRP4 (HGNC:18958): (RAS guanyl releasing protein 4) The protein encoded by this gene is a member of the Ras guanyl nucleotide-releasing protein (RasGRP) family of Ras guanine nucleotide exchange factors. It contains a Ras exchange motif, a diacylglycerol-binding domain, and two calcium-binding EF hands. This protein was shown to activate H-Ras in a cation-dependent manner in vitro. Expression of this protein in myeloid cell lines was found to be correlated with elevated level of activated RAS protein, and the RAS activation can be greatly enhanced by phorbol ester treatment, which suggested a role of this protein in diacylglycerol regulated cell signaling pathways. Studies of a mast cell leukemia cell line expressing substantial amounts of abnormal transcripts of this gene indicated that this gene may play an important role in the final stages of mast cell development. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Apr 2009]

ACMG classification

Verdict is Uncertain_significance. Variant got 0 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• BP4: Computational evidence support a benign effect (MetaRNN=0.255706).

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
RASGRP4	NM_170604.3	c.1694C>G	p.Thr565Ser	missense_variant	Exon 14 of 17	ENST00000615439.5	NP_733749.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
RASGRP4	ENST00000615439.5	c.1694C>G	p.Thr565Ser	missense_variant	Exon 14 of 17	1	NM_170604.3	ENSP00000479844.1
RASGRP4	ENST00000587738.2	c.1694C>G	p.Thr565Ser	missense_variant	Exon 14 of 17	5		ENSP00000465772.1
RASGRP4	ENST00000586305.5	c.1652C>G	p.Thr551Ser	missense_variant	Exon 14 of 17	1		ENSP00000467604.1
RASGRP4	ENST00000454404.6	c.1592C>G	p.Thr531Ser	missense_variant	Exon 14 of 17	1		ENSP00000416463.2
RASGRP4	ENST00000587753.5	c.1487C>G	p.Thr496Ser	missense_variant	Exon 14 of 17	1		ENSP00000468483.1
RASGRP4	ENST00000614135.4	c.1418C>G	p.Thr473Ser	missense_variant	Exon 13 of 16	5		ENSP00000479078.1
RASGRP4	ENST00000617966.4	c.1403C>G	p.Thr468Ser	missense_variant	Exon 12 of 15	5		ENSP00000479888.1
RASGRP4	ENST00000622174.4	c.1127C>G	p.Thr376Ser	missense_variant	Exon 11 of 14	5		ENSP00000484345.1
RASGRP4	ENST00000589358.5	n.1694C>G		non_coding_transcript_exon_variant	Exon 14 of 18	5		ENSP00000465742.1
RASGRP4	ENST00000589474.5	n.1652C>G		non_coding_transcript_exon_variant	Exon 14 of 18	5		ENSP00000466928.1

Frequencies

GnomAD3 genomes AF: 0.00000657 AC: 1 AN: 152226 Hom.: 0 Cov.: 32

Gnomad AFR AF: 0.00

Gnomad AMI AF: 0.00

Gnomad AMR AF: 0.00

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: 0.0000147

Gnomad OTH AF: 0.00

GnomAD4 exome AF: 6.96e-7 AC: 1 AN: 1436232 Hom.: 0 Cov.: 32 AF XY: 0.00000141 AC XY: 1 AN XY: 711682

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: 9.10e-7

Gnomad4 OTH exome AF: 0.00

GnomAD4 genome AF: 0.00000657 AC: 1 AN: 152226 Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0 AN XY: 74372

Gnomad4 AFR AF: 0.00

Gnomad4 AMR AF: 0.00

Gnomad4 ASJ AF: 0.00

Gnomad4 EAS AF: 0.00

Gnomad4 SAS AF: 0.00

Gnomad4 FIN AF: 0.00

Gnomad4 NFE AF: 0.0000147

Gnomad4 OTH AF: 0.00

Bravo AF: 0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.13
BayesDel_addAF	Benign	-0.022	T
BayesDel_noAF	Benign	-0.27
CADD	Benign	19
DANN	Uncertain	0.99
DEOGEN2	Benign	0.034	.;.;.;.;.;.;T;.;.;T;.;T
Eigen	Benign	-0.30
Eigen_PC	Benign	-0.11
FATHMM_MKL	Uncertain	0.81	D
LIST_S2	Benign	0.61	.;.;.;T;T;.;T;T;T;T;T;.
M_CAP	Benign	0.024	T
MetaRNN	Benign	0.26	T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM	Benign	-0.41	T
MutationAssessor	Benign	0.73	.;.;.;.;.;.;.;.;.;N;.;N
PrimateAI	Benign	0.47	T
PROVEAN	Benign	-1.3	.;.;.;.;.;.;.;N;N;.;N;.
REVEL	Benign	0.25
Sift	Benign	0.13	.;.;.;.;.;.;.;T;T;.;T;.
Sift4G	Benign	0.26	T;T;T;T;T;T;T;T;T;T;T;T
Polyphen		0.0	B;.;.;.;.;.;.;.;.;B;.;B
Vest4		0.32
MutPred		0.38		.;.;.;.;.;.;Gain of sheet (P = 0.0827);.;.;Gain of sheet (P = 0.0827);.;Gain of sheet (P = 0.0827);
MVP		0.81
MPC		0.29
ClinPred		0.33	T
GERP RS		2.1
Varity_R		0.078
gMVP		0.45

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

Other links and lift over

dbSNP: rs370977740; hg19: chr19-38902008;