chr20-3660817-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_022139.4(GFRA4):​c.440C>T​(p.Ala147Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00044 in 1,416,404 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/16 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 0.00026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00046 ( 0 hom. )

Consequence

GFRA4
NM_022139.4 missense

Scores

3
13

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.142
Variant links:
Genes affected
GFRA4 (HGNC:13821): (GDNF family receptor alpha 4) The protein encoded by this gene is a member of the GDNF receptor family. It is a glycosylphosphatidylinositol(GPI)-linked cell surface receptor for persephin, and mediates activation of the RET tyrosine kinase receptor. This gene is a candidate gene for RET-associated diseases. Alternatively spliced transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.06232661).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GFRA4NM_022139.4 linkuse as main transcriptc.440C>T p.Ala147Val missense_variant 3/6 ENST00000290417.7 NP_071422.1 Q9GZZ7-2
GFRA4XM_005260793.2 linkuse as main transcriptc.440C>T p.Ala147Val missense_variant 3/4 XP_005260850.1 Q9GZZ7-3
GFRA4NM_145762.3 linkuse as main transcriptc.519C>T p.Arg173Arg synonymous_variant 2/5 NP_665705.1 Q9GZZ7-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GFRA4ENST00000290417.7 linkuse as main transcriptc.440C>T p.Ala147Val missense_variant 3/61 NM_022139.4 ENSP00000290417.2 Q9GZZ7-2
GFRA4ENST00000319242.8 linkuse as main transcriptc.519C>T p.Arg173Arg synonymous_variant 2/51 ENSP00000313423.3 Q9GZZ7-1
GFRA4ENST00000477160.1 linkuse as main transcriptn.440C>T non_coding_transcript_exon_variant 3/41 ENSP00000435801.1 Q9GZZ7-3

Frequencies

GnomAD3 genomes
AF:
0.000263
AC:
40
AN:
151914
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000967
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
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:
0.000515
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000122
AC:
4
AN:
32882
Hom.:
0
AF XY:
0.000214
AC XY:
4
AN XY:
18680
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000239
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000461
AC:
583
AN:
1264490
Hom.:
0
Cov.:
39
AF XY:
0.000452
AC XY:
279
AN XY:
617072
show subpopulations
Gnomad4 AFR exome
AF:
0.000240
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:
0.0000328
Gnomad4 NFE exome
AF:
0.000527
Gnomad4 OTH exome
AF:
0.000632
GnomAD4 genome
AF:
0.000263
AC:
40
AN:
151914
Hom.:
0
Cov.:
33
AF XY:
0.000189
AC XY:
14
AN XY:
74200
show subpopulations
Gnomad4 AFR
AF:
0.0000967
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000515
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000485
Hom.:
0
Bravo
AF:
0.000280
ExAC
AF:
0.0000299
AC:
3

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsNov 13, 2024This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.27
T
BayesDel_noAF
Benign
-0.26
CADD
Benign
14
DANN
Benign
0.97
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.42
T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.062
T
MetaSVM
Benign
-0.99
T
PrimateAI
Uncertain
0.77
T
PROVEAN
Benign
-2.3
N
REVEL
Benign
0.068
Sift
Benign
0.037
D
Sift4G
Uncertain
0.047
D
Polyphen
0.0020
B
Vest4
0.052
MutPred
0.40
Loss of disorder (P = 0.0669);
MVP
0.085
ClinPred
0.023
T
GERP RS
0.57

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs779065189; hg19: chr20-3641464; API