chr20-3661106-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_022139.4(GFRA4):​c.230C>T​(p.Pro77Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000236 in 1,313,370 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000022 ( 1 hom. )

Consequence

GFRA4
NM_022139.4 missense

Scores

4
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.03
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 Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GFRA4NM_022139.4 linkuse as main transcriptc.230C>T p.Pro77Leu missense_variant 2/6 ENST00000290417.7 NP_071422.1 Q9GZZ7-2
GFRA4NM_145762.3 linkuse as main transcriptc.230C>T p.Pro77Leu missense_variant 2/5 NP_665705.1 Q9GZZ7-1
GFRA4XM_005260793.2 linkuse as main transcriptc.230C>T p.Pro77Leu missense_variant 2/4 XP_005260850.1 Q9GZZ7-3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GFRA4ENST00000290417.7 linkuse as main transcriptc.230C>T p.Pro77Leu missense_variant 2/61 NM_022139.4 ENSP00000290417.2 Q9GZZ7-2
GFRA4ENST00000319242.8 linkuse as main transcriptc.230C>T p.Pro77Leu missense_variant 2/51 ENSP00000313423.3 Q9GZZ7-1
GFRA4ENST00000477160.1 linkuse as main transcriptn.230C>T non_coding_transcript_exon_variant 2/41 ENSP00000435801.1 Q9GZZ7-3

Frequencies

GnomAD3 genomes
AF:
0.0000396
AC:
6
AN:
151504
Hom.:
0
Cov.:
33
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:
0.00116
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
GnomAD4 exome
AF:
0.0000215
AC:
25
AN:
1161758
Hom.:
1
Cov.:
37
AF XY:
0.0000249
AC XY:
14
AN XY:
562200
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000799
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000103
Gnomad4 OTH exome
AF:
0.0000637
GnomAD4 genome
AF:
0.0000396
AC:
6
AN:
151612
Hom.:
0
Cov.:
33
AF XY:
0.0000540
AC XY:
4
AN XY:
74104
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00117
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000491

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 20, 2024The c.230C>T (p.P77L) alteration is located in exon 2 (coding exon 2) of the GFRA4 gene. This alteration results from a C to T substitution at nucleotide position 230, causing the proline (P) at amino acid position 77 to be replaced by a leucine (L). 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
0.28
BayesDel_addAF
Benign
-0.031
T
BayesDel_noAF
Benign
-0.28
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.33
.;T
Eigen
Uncertain
0.60
Eigen_PC
Uncertain
0.55
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.75
T;T
M_CAP
Pathogenic
0.96
D
MetaRNN
Uncertain
0.65
D;D
MetaSVM
Benign
-0.32
T
MutationAssessor
Uncertain
2.5
M;M
PrimateAI
Pathogenic
0.92
D
PROVEAN
Pathogenic
-5.1
D;D
REVEL
Benign
0.28
Sift
Uncertain
0.0080
D;D
Sift4G
Uncertain
0.0090
D;D
Polyphen
1.0
D;D
Vest4
0.33
MutPred
0.45
Loss of catalytic residue at P76 (P = 0.0185);Loss of catalytic residue at P76 (P = 0.0185);
MVP
0.87
MPC
1.0
ClinPred
0.98
D
GERP RS
4.3
Varity_R
0.26
gMVP
0.73

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1254834032; hg19: chr20-3641753; COSMIC: COSV105866543; API