chr19-38653527-A-G

Variant names:

• chr19-38653527-A-G
• rs979972
• NM_004924.6:c.162+5620A>G

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_004924.6(ACTN4):​c.162+5620A>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.388 in 151,942 control chromosomes in the GnomAD database, including 12,502 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.39 (12502 hom., cov: 32)
• Consequence: ACTN4 NM_004924.6 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 1.00
• Publications: 6 publications found

Genes affected

ACTN4 (HGNC:166): (actinin alpha 4) Alpha actinins belong to the spectrin gene superfamily which represents a diverse group of cytoskeletal proteins, including the alpha and beta spectrins and dystrophins. Alpha actinin is an actin-binding protein with multiple roles in different cell types. In nonmuscle cells, the cytoskeletal isoform is found along microfilament bundles and adherens-type junctions, where it is involved in binding actin to the membrane. In contrast, skeletal, cardiac, and smooth muscle isoforms are localized to the Z-disc and analogous dense bodies, where they help anchor the myofibrillar actin filaments. This gene encodes a nonmuscle, alpha actinin isoform which is concentrated in the cytoplasm, and thought to be involved in metastatic processes. Mutations in this gene have been associated with focal and segmental glomerulosclerosis. [provided by RefSeq, Jul 2008]

ACTN4 Gene-Disease associations (from GenCC):

• focal segmental glomerulosclerosis 1

  Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
• familial idiopathic steroid-resistant nephrotic syndrome

  Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.82).
• BA1: GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.467 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004924.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	ACTN4	NM_004924.6	MANE Select	c.162+5620A>G		intron	N/A	NP_004915.2
	ACTN4	NM_001440296.1		c.162+5620A>G		intron	N/A	NP_001427225.1
	ACTN4	NM_001440300.1		c.162+5620A>G		intron	N/A	NP_001427229.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	ACTN4	ENST00000252699.7	TSL:1 MANE Select	c.162+5620A>G		intron	N/A	ENSP00000252699.2
	ACTN4	ENST00000424234.7	TSL:1	c.162+5620A>G		intron	N/A	ENSP00000411187.4
	ACTN4	ENST00000390009.7	TSL:1	c.162+5620A>G		intron	N/A	ENSP00000439497.1

Frequencies

GnomAD3 genomes AF: 0.388 AC: 58949 AN: 151830 Hom.: 12512 Cov.: 32

Gnomad AFR AF: 0.227

Gnomad AMI AF: 0.518

Gnomad AMR AF: 0.356

Gnomad ASJ AF: 0.417

Gnomad EAS AF: 0.442

Gnomad SAS AF: 0.382

Gnomad FIN AF: 0.499

Gnomad MID AF: 0.236

Gnomad NFE AF: 0.471

Gnomad OTH AF: 0.366

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.388 AC: 58934 AN: 151942 Hom.: 12502 Cov.: 32 AF XY: 0.387 AC XY: 28762 AN XY: 74274

African (AFR) AF: 0.226 AC: 9376 AN: 41446

American (AMR) AF: 0.355 AC: 5425 AN: 15266

Ashkenazi Jewish (ASJ) AF: 0.417 AC: 1448 AN: 3472

East Asian (EAS) AF: 0.442 AC: 2284 AN: 5170

South Asian (SAS) AF: 0.382 AC: 1843 AN: 4822

European-Finnish (FIN) AF: 0.499 AC: 5252 AN: 10528

Middle Eastern (MID) AF: 0.214 AC: 62 AN: 290

European-Non Finnish (NFE) AF: 0.471 AC: 32012 AN: 67938

Other (OTH) AF: 0.363 AC: 762 AN: 2102

Alfa AF: 0.445 Hom.: 6987

Bravo AF: 0.368

Asia WGS AF: 0.341 AC: 1187 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.82
CADD	Benign	8.4
DANN	Benign	0.71
PhyloP100		1.0
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs979972; hg19: chr19-39144167;