chr19-40472749-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_020971.3(SPTBN4):​c.128C>T​(p.Ala43Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000279 in 1,578,058 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000029 ( 0 hom. )

Consequence

SPTBN4
NM_020971.3 missense

Scores

6
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.41

Publications

1 publications found
Variant links:
Genes affected
SPTBN4 (HGNC:14896): (spectrin beta, non-erythrocytic 4) Spectrin is an actin crosslinking and molecular scaffold protein that links the plasma membrane to the actin cytoskeleton, and functions in the determination of cell shape, arrangement of transmembrane proteins, and organization of organelles. It is composed of two antiparallel dimers of alpha- and beta- subunits. This gene is one member of a family of beta-spectrin genes. The encoded protein localizes to the nuclear matrix, PML nuclear bodies, and cytoplasmic vesicles. A highly similar gene in the mouse is required for localization of specific membrane proteins in polarized regions of neurons. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
SPTBN4 Gene-Disease associations (from GenCC):
  • neurodevelopmental disorder with hypotonia, neuropathy, and deafness
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P, PanelApp Australia, Illumina, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.24361783).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_020971.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SPTBN4
NM_020971.3
MANE Select
c.128C>Tp.Ala43Val
missense
Exon 2 of 36NP_066022.2Q9H254-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SPTBN4
ENST00000598249.6
TSL:1 MANE Select
c.128C>Tp.Ala43Val
missense
Exon 2 of 36ENSP00000469242.1Q9H254-1
SPTBN4
ENST00000352632.7
TSL:5
c.128C>Tp.Ala43Val
missense
Exon 2 of 36ENSP00000263373.2Q9H254-1
SPTBN4
ENST00000595535.5
TSL:5
c.128C>Tp.Ala43Val
missense
Exon 2 of 27ENSP00000470693.1M0QZQ3

Frequencies

GnomAD3 genomes
AF:
0.0000199
AC:
3
AN:
150952
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000243
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:
0.0000295
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000357
AC:
8
AN:
223860
AF XY:
0.0000328
show subpopulations
Gnomad AFR exome
AF:
0.000143
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000615
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000287
AC:
41
AN:
1427106
Hom.:
0
Cov.:
33
AF XY:
0.0000268
AC XY:
19
AN XY:
708942
show subpopulations
African (AFR)
AF:
0.000123
AC:
4
AN:
32562
American (AMR)
AF:
0.00
AC:
0
AN:
42342
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24874
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37828
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84490
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49424
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5448
European-Non Finnish (NFE)
AF:
0.0000339
AC:
37
AN:
1091986
Other (OTH)
AF:
0.00
AC:
0
AN:
58152
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.476
Heterozygous variant carriers
0
2
4
6
8
10
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000199
AC:
3
AN:
150952
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
73698
show subpopulations
African (AFR)
AF:
0.0000243
AC:
1
AN:
41138
American (AMR)
AF:
0.00
AC:
0
AN:
15140
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3456
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5064
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4706
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10310
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.0000295
AC:
2
AN:
67840
Other (OTH)
AF:
0.00
AC:
0
AN:
2082
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0000282
Hom.:
0
Bravo
AF:
0.0000302
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000330
AC:
4
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.025
T
Eigen
Benign
-0.029
Eigen_PC
Benign
-0.070
FATHMM_MKL
Benign
0.41
N
LIST_S2
Benign
0.76
T
M_CAP
Uncertain
0.11
D
MetaRNN
Benign
0.24
T
MetaSVM
Uncertain
-0.14
T
MutationAssessor
Benign
0.69
N
PhyloP100
2.4
PrimateAI
Uncertain
0.56
T
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.26
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.0030
D
Polyphen
1.0
D
Vest4
0.35
MVP
0.87
ClinPred
0.12
T
GERP RS
5.1
Varity_R
0.13
gMVP
0.51
Mutation Taster
=84/16
polymorphism

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

Other links and lift over

dbSNP: rs377262825; hg19: chr19-40978656; API