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chr2-181536860-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_000885.6(ITGA4):​c.*1333C>T variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0178 in 427,446 control chromosomes in the GnomAD database, including 98 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.017 ( 33 hom., cov: 33)
Exomes 𝑓: 0.018 ( 65 hom. )

Consequence

ITGA4
NM_000885.6 3_prime_UTR

Scores

2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.433
Variant links:
Genes affected
ITGA4 (HGNC:6140): (integrin subunit alpha 4) The gene encodes a member of the integrin alpha chain family of proteins. Integrins are heterodimeric integral membrane proteins composed of an alpha chain and a beta chain that function in cell surface adhesion and signaling. The encoded preproprotein is proteolytically processed to generate light and heavy chains that comprise the alpha 4 subunit. This subunit associates with a beta 1 or beta 7 subunit to form an integrin that may play a role in cell motility and migration. This integrin is a therapeutic target for the treatment of multiple sclerosis, Crohn's disease and inflammatory bowel disease. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2015]
CERKL (HGNC:21699): (ceramide kinase like) This gene was initially identified as a locus (RP26) associated with an autosomal recessive form of retinitis pigmentosa (arRP) disease. This gene encodes a protein with ceramide kinase-like domains, however, the protein does not phosphorylate ceramide and its target substrate is currently unknown. This protein may be a negative regulator of apoptosis in photoreceptor cells. Mutations in this gene cause a form of retinitis pigmentosa characterized by autosomal recessive cone and rod dystrophy (arCRD). Alternative splicing of this gene results in multiple transcript variants encoding different isoforms and non-coding transcripts.[provided by RefSeq, May 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.86).
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0168 (2556/152008) while in subpopulation NFE AF= 0.0276 (1874/67944). AF 95% confidence interval is 0.0265. There are 33 homozygotes in gnomad4. There are 1152 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High AC in GnomAd4 at 2556 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ITGA4NM_000885.6 linkuse as main transcriptc.*1333C>T 3_prime_UTR_variant 28/28 ENST00000397033.7
CERKLNM_201548.5 linkuse as main transcriptc.*1324G>A 3_prime_UTR_variant 13/13 ENST00000410087.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ITGA4ENST00000397033.7 linkuse as main transcriptc.*1333C>T 3_prime_UTR_variant 28/281 NM_000885.6 P1P13612-1
CERKLENST00000410087.8 linkuse as main transcriptc.*1324G>A 3_prime_UTR_variant 13/131 NM_201548.5 P1Q49MI3-2
CERKLENST00000684145.1 linkuse as main transcriptc.*1324G>A 3_prime_UTR_variant 12/12

Frequencies

GnomAD3 genomes
AF:
0.0168
AC:
2558
AN:
151888
Hom.:
33
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00484
Gnomad AMI
AF:
0.00877
Gnomad AMR
AF:
0.0181
Gnomad ASJ
AF:
0.00664
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00290
Gnomad FIN
AF:
0.0119
Gnomad MID
AF:
0.0255
Gnomad NFE
AF:
0.0276
Gnomad OTH
AF:
0.0144
GnomAD3 exomes
AF:
0.0153
AC:
1764
AN:
114956
Hom.:
16
AF XY:
0.0153
AC XY:
965
AN XY:
63072
show subpopulations
Gnomad AFR exome
AF:
0.00402
Gnomad AMR exome
AF:
0.0154
Gnomad ASJ exome
AF:
0.00643
Gnomad EAS exome
AF:
0.000102
Gnomad SAS exome
AF:
0.00177
Gnomad FIN exome
AF:
0.0105
Gnomad NFE exome
AF:
0.0281
Gnomad OTH exome
AF:
0.0176
GnomAD4 exome
AF:
0.0183
AC:
5033
AN:
275438
Hom.:
65
Cov.:
0
AF XY:
0.0168
AC XY:
2626
AN XY:
156534
show subpopulations
Gnomad4 AFR exome
AF:
0.00548
Gnomad4 AMR exome
AF:
0.0155
Gnomad4 ASJ exome
AF:
0.00728
Gnomad4 EAS exome
AF:
0.000115
Gnomad4 SAS exome
AF:
0.00245
Gnomad4 FIN exome
AF:
0.0133
Gnomad4 NFE exome
AF:
0.0275
Gnomad4 OTH exome
AF:
0.0175
GnomAD4 genome
AF:
0.0168
AC:
2556
AN:
152008
Hom.:
33
Cov.:
33
AF XY:
0.0155
AC XY:
1152
AN XY:
74296
show subpopulations
Gnomad4 AFR
AF:
0.00482
Gnomad4 AMR
AF:
0.0180
Gnomad4 ASJ
AF:
0.00664
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00270
Gnomad4 FIN
AF:
0.0119
Gnomad4 NFE
AF:
0.0276
Gnomad4 OTH
AF:
0.0142
Alfa
AF:
0.0209
Hom.:
6
Bravo
AF:
0.0168
Asia WGS
AF:
0.00318
AC:
11
AN:
3478

ClinVar

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

Submissions by phenotype

Retinitis pigmentosa Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.86
CADD
Benign
3.3
DANN
Benign
0.48

Splicing

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: rs11553355; hg19: chr2-182401587; API