chr4-114845861-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_022569.3(NDST4):​c.2077C>T​(p.Leu693Phe) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000041 in 1,461,830 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

NDST4
NM_022569.3 missense

Scores

9
8
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.63
Variant links:
Genes affected
NDST4 (HGNC:20779): (N-deacetylase and N-sulfotransferase 4) Predicted to enable [heparan sulfate]-glucosamine N-sulfotransferase activity and deacetylase activity. Predicted to be involved in heparan sulfate proteoglycan biosynthetic process, polysaccharide chain biosynthetic process. Predicted to be located in Golgi membrane. Predicted to be integral component of membrane. Predicted to be active in Golgi apparatus. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.787

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
NDST4NM_022569.3 linkuse as main transcriptc.2077C>T p.Leu693Phe missense_variant 10/14 ENST00000264363.7 NP_072091.1 Q9H3R1-1A8K0V5
NDST4XM_017008545.3 linkuse as main transcriptc.940C>T p.Leu314Phe missense_variant 9/13 XP_016864034.1
NDST4XM_017008546.2 linkuse as main transcriptc.940C>T p.Leu314Phe missense_variant 8/12 XP_016864035.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
NDST4ENST00000264363.7 linkuse as main transcriptc.2077C>T p.Leu693Phe missense_variant 10/141 NM_022569.3 ENSP00000264363.2 Q9H3R1-1
NDST4ENST00000504854.1 linkuse as main transcriptn.940C>T non_coding_transcript_exon_variant 8/131 ENSP00000423218.1 Q9H3R1-2
NDST4ENST00000613194.4 linkuse as main transcriptc.940C>T p.Leu314Phe missense_variant 10/155 ENSP00000483949.1 Q9H3R1-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000410
AC:
6
AN:
1461830
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727216
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32

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 GeneticsJan 23, 2024The c.2077C>T (p.L693F) alteration is located in exon 10 (coding exon 9) of the NDST4 gene. This alteration results from a C to T substitution at nucleotide position 2077, causing the leucine (L) at amino acid position 693 to be replaced by a phenylalanine (F). 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
Uncertain
0.35
BayesDel_addAF
Pathogenic
0.33
D
BayesDel_noAF
Pathogenic
0.24
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.72
D;.
Eigen
Pathogenic
0.95
Eigen_PC
Pathogenic
0.90
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.95
D;D
M_CAP
Benign
0.067
D
MetaRNN
Pathogenic
0.79
D;D
MetaSVM
Uncertain
0.098
D
MutationAssessor
Pathogenic
3.0
M;.
PrimateAI
Uncertain
0.78
T
PROVEAN
Uncertain
-3.4
D;.
REVEL
Pathogenic
0.69
Sift
Uncertain
0.0010
D;.
Sift4G
Uncertain
0.0030
D;D
Polyphen
1.0
D;.
Vest4
0.70
MutPred
0.68
Loss of catalytic residue at L693 (P = 0.0059);.;
MVP
0.68
MPC
0.69
ClinPred
0.99
D
GERP RS
5.6
Varity_R
0.76
gMVP
0.79

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr4-115767017; COSMIC: COSV52133046; API