chr20-3661106-G-A
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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
NM_022139.4 missense
Scores
4
7
8
Clinical Significance
Conservation
PhyloP100: 3.03
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]
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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 |
---|---|---|---|---|---|---|---|---|
GFRA4 | NM_022139.4 | c.230C>T | p.Pro77Leu | missense_variant | 2/6 | ENST00000290417.7 | NP_071422.1 | |
GFRA4 | NM_145762.3 | c.230C>T | p.Pro77Leu | missense_variant | 2/5 | NP_665705.1 | ||
GFRA4 | XM_005260793.2 | c.230C>T | p.Pro77Leu | missense_variant | 2/4 | XP_005260850.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
GFRA4 | ENST00000290417.7 | c.230C>T | p.Pro77Leu | missense_variant | 2/6 | 1 | NM_022139.4 | ENSP00000290417.2 | ||
GFRA4 | ENST00000319242.8 | c.230C>T | p.Pro77Leu | missense_variant | 2/5 | 1 | ENSP00000313423.3 | |||
GFRA4 | ENST00000477160.1 | n.230C>T | non_coding_transcript_exon_variant | 2/4 | 1 | ENSP00000435801.1 |
Frequencies
GnomAD3 genomes AF: 0.0000396 AC: 6AN: 151504Hom.: 0 Cov.: 33
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GnomAD4 exome AF: 0.0000215 AC: 25AN: 1161758Hom.: 1 Cov.: 37 AF XY: 0.0000249 AC XY: 14AN XY: 562200
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GnomAD4 genome AF: 0.0000396 AC: 6AN: 151612Hom.: 0 Cov.: 33 AF XY: 0.0000540 AC XY: 4AN XY: 74104
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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 submitter | clinical testing | Ambry Genetics | Mar 20, 2024 | The 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:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Uncertain
DANN
Uncertain
DEOGEN2
Benign
.;T
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Pathogenic
D
LIST_S2
Benign
T;T
M_CAP
Pathogenic
D
MetaRNN
Uncertain
D;D
MetaSVM
Benign
T
MutationAssessor
Uncertain
M;M
PrimateAI
Pathogenic
D
PROVEAN
Pathogenic
D;D
REVEL
Benign
Sift
Uncertain
D;D
Sift4G
Uncertain
D;D
Polyphen
D;D
Vest4
MutPred
Loss of catalytic residue at P76 (P = 0.0185);Loss of catalytic residue at P76 (P = 0.0185);
MVP
MPC
1.0
ClinPred
D
GERP RS
Varity_R
gMVP
Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at