chr20-960442-C-T

Variant summary

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

The NM_001029871.4(RSPO4):​c.620G>A​(p.Gly207Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000461 in 1,539,546 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00023 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000026 ( 0 hom. )

Consequence

RSPO4
NM_001029871.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.801
Variant links:
Genes affected
RSPO4 (HGNC:16175): (R-spondin 4) This gene encodes a member of the R-spondin family of proteins that share a common domain organization consisting of a signal peptide, cysteine-rich/furin-like domain, thrombospondin domain and a C-terminal basic region. The encoded protein may be involved in activation of Wnt/beta-catenin signaling pathways. Mutations in this gene are associated with anonychia congenital. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Sep 2009]

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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=0.122752815).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
RSPO4NM_001029871.4 linkuse as main transcriptc.620G>A p.Gly207Asp missense_variant 5/5 ENST00000217260.9
RSPO4NM_001040007.3 linkuse as main transcriptc.434G>A p.Gly145Asp missense_variant 4/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
RSPO4ENST00000217260.9 linkuse as main transcriptc.620G>A p.Gly207Asp missense_variant 5/51 NM_001029871.4 P1Q2I0M5-1
RSPO4ENST00000400634.2 linkuse as main transcriptc.434G>A p.Gly145Asp missense_variant 4/41 Q2I0M5-2

Frequencies

GnomAD3 genomes
AF:
0.000230
AC:
35
AN:
152198
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000603
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000523
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:
0.00
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.0000416
AC:
6
AN:
144394
Hom.:
0
AF XY:
0.0000388
AC XY:
3
AN XY:
77278
show subpopulations
Gnomad AFR exome
AF:
0.000755
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000259
AC:
36
AN:
1387348
Hom.:
0
Cov.:
31
AF XY:
0.0000131
AC XY:
9
AN XY:
684750
show subpopulations
Gnomad4 AFR exome
AF:
0.00108
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:
0.0000271
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000173
GnomAD4 genome
AF:
0.000230
AC:
35
AN:
152198
Hom.:
0
Cov.:
33
AF XY:
0.000377
AC XY:
28
AN XY:
74342
show subpopulations
Gnomad4 AFR
AF:
0.000603
Gnomad4 AMR
AF:
0.000523
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000956
Bravo
AF:
0.000261
ExAC
AF:
0.0000111
AC:
1

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 23, 2024The c.620G>A (p.G207D) alteration is located in exon 5 (coding exon 5) of the RSPO4 gene. This alteration results from a G to A substitution at nucleotide position 620, causing the glycine (G) at amino acid position 207 to be replaced by an aspartic acid (D). 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
0.098
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.12
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.10
T;.
Eigen
Benign
0.17
Eigen_PC
Benign
0.17
FATHMM_MKL
Benign
0.60
D
LIST_S2
Benign
0.69
T;T
M_CAP
Uncertain
0.24
D
MetaRNN
Benign
0.12
T;T
MetaSVM
Uncertain
-0.12
T
MutationAssessor
Benign
1.5
L;.
MutationTaster
Benign
0.90
N;N
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-1.6
N;D
REVEL
Benign
0.28
Sift
Benign
0.070
T;D
Sift4G
Benign
0.12
T;D
Polyphen
0.99
D;P
Vest4
0.21
MVP
0.76
MPC
0.38
ClinPred
0.15
T
GERP RS
3.8
Varity_R
0.088
gMVP
0.20

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: rs750184862; hg19: chr20-941085; API