chr19-8254500-T-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_024552.3(CERS4):​c.175T>A​(p.Phe59Ile) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000496 in 1,613,458 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

CERS4
NM_024552.3 missense, splice_region

Scores

3
16
Splicing: ADA: 0.001238
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.945
Variant links:
Genes affected
CERS4 (HGNC:23747): (ceramide synthase 4) Enables sphingosine N-acyltransferase activity. Involved in ceramide biosynthetic process. Predicted to be located in endoplasmic reticulum membrane. Predicted to be active in endoplasmic reticulum. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

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=0.08810556).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CERS4NM_024552.3 linkuse as main transcriptc.175T>A p.Phe59Ile missense_variant, splice_region_variant 4/12 ENST00000251363.10 NP_078828.2 Q9HA82Q53HF9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CERS4ENST00000251363.10 linkuse as main transcriptc.175T>A p.Phe59Ile missense_variant, splice_region_variant 4/121 NM_024552.3 ENSP00000251363.5 Q9HA82

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
152004
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000194
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000159
AC:
4
AN:
251066
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135730
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000217
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:
0.00000479
AC:
7
AN:
1461454
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727028
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000176
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
AF:
0.00000658
AC:
1
AN:
152004
Hom.:
0
Cov.:
31
AF XY:
0.0000135
AC XY:
1
AN XY:
74246
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000194
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378
ExAC
AF:
0.0000247
AC:
3
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

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 GeneticsMar 18, 2024The c.175T>A (p.F59I) alteration is located in exon 4 (coding exon 2) of the CERS4 gene. This alteration results from a T to A substitution at nucleotide position 175, causing the phenylalanine (F) at amino acid position 59 to be replaced by an isoleucine (I). 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
Benign
0.13
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
15
DANN
Benign
0.93
DEOGEN2
Benign
0.22
T;T;T;.;T;T;T;.
Eigen
Benign
-0.79
Eigen_PC
Benign
-0.88
FATHMM_MKL
Benign
0.044
N
LIST_S2
Benign
0.65
T;T;T;T;.;T;T;T
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.088
T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Uncertain
2.6
.;.;.;.;M;M;.;.
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-3.0
D;D;N;D;N;N;N;N
REVEL
Benign
0.11
Sift
Benign
0.14
T;T;T;T;T;T;D;T
Sift4G
Uncertain
0.0070
D;D;T;T;T;T;T;T
Polyphen
0.10
.;.;.;.;B;B;.;.
Vest4
0.35, 0.38
MutPred
0.58
Gain of MoRF binding (P = 0.0937);Gain of MoRF binding (P = 0.0937);.;Gain of MoRF binding (P = 0.0937);Gain of MoRF binding (P = 0.0937);Gain of MoRF binding (P = 0.0937);Gain of MoRF binding (P = 0.0937);Gain of MoRF binding (P = 0.0937);
MVP
0.21
MPC
0.077
ClinPred
0.078
T
GERP RS
0.39
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.6
Varity_R
0.12
gMVP
0.62

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0012
dbscSNV1_RF
Benign
0.066
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: rs780375466; hg19: chr19-8319384; API