chr4-119502654-A-G

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_ModerateBP6_ModerateBS2

The NM_001083.4(PDE5A):ā€‹c.2333T>Cā€‹(p.Ile778Thr) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00279 in 1,591,628 control chromosomes in the GnomAD database, including 14 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: š‘“ 0.0015 ( 0 hom., cov: 32)
Exomes š‘“: 0.0029 ( 14 hom. )

Consequence

PDE5A
NM_001083.4 missense, splice_region

Scores

4
7
8
Splicing: ADA: 0.7615
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 8.32
Variant links:
Genes affected
PDE5A (HGNC:8784): (phosphodiesterase 5A) This gene encodes a cGMP-binding, cGMP-specific phosphodiesterase, a member of the cyclic nucleotide phosphodiesterase family. This phosphodiesterase specifically hydrolyzes cGMP to 5'-GMP. It is involved in the regulation of intracellular concentrations of cyclic nucleotides and is important for smooth muscle relaxation in the cardiovascular system. Alternative splicing of this gene results in three transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17800876).
BP6
Variant 4-119502654-A-G is Benign according to our data. Variant chr4-119502654-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 779419.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 14 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PDE5ANM_001083.4 linkuse as main transcriptc.2333T>C p.Ile778Thr missense_variant, splice_region_variant 19/21 ENST00000354960.8
PDE5ANM_033430.3 linkuse as main transcriptc.2207T>C p.Ile736Thr missense_variant, splice_region_variant 19/21
PDE5ANM_033437.4 linkuse as main transcriptc.2177T>C p.Ile726Thr missense_variant, splice_region_variant 19/21

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PDE5AENST00000354960.8 linkuse as main transcriptc.2333T>C p.Ile778Thr missense_variant, splice_region_variant 19/211 NM_001083.4 O76074-1
ENST00000688315.1 linkuse as main transcriptn.1003+4751A>G intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.00147
AC:
223
AN:
152154
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000507
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00105
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00269
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.00133
AC:
328
AN:
247158
Hom.:
1
AF XY:
0.00142
AC XY:
189
AN XY:
133502
show subpopulations
Gnomad AFR exome
AF:
0.000618
Gnomad AMR exome
AF:
0.000708
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000710
Gnomad FIN exome
AF:
0.000140
Gnomad NFE exome
AF:
0.00240
Gnomad OTH exome
AF:
0.000167
GnomAD4 exome
AF:
0.00293
AC:
4224
AN:
1439356
Hom.:
14
Cov.:
26
AF XY:
0.00286
AC XY:
2053
AN XY:
716966
show subpopulations
Gnomad4 AFR exome
AF:
0.000638
Gnomad4 AMR exome
AF:
0.000840
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000800
Gnomad4 FIN exome
AF:
0.000227
Gnomad4 NFE exome
AF:
0.00355
Gnomad4 OTH exome
AF:
0.00331
GnomAD4 genome
AF:
0.00146
AC:
223
AN:
152272
Hom.:
0
Cov.:
32
AF XY:
0.00132
AC XY:
98
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.000505
Gnomad4 AMR
AF:
0.00105
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00269
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.00201
Hom.:
0
Bravo
AF:
0.00146
TwinsUK
AF:
0.00351
AC:
13
ALSPAC
AF:
0.00389
AC:
15
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00361
AC:
31
ExAC
AF:
0.00122
AC:
148
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00240
EpiControl
AF:
0.00273

ClinVar

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

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJun 16, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Uncertain
0.057
T
BayesDel_noAF
Pathogenic
0.31
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.46
T;D;.
Eigen
Uncertain
0.63
Eigen_PC
Pathogenic
0.70
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.84
T;T;T
M_CAP
Benign
0.052
D
MetaRNN
Benign
0.18
T;T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
0.87
L;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.77
T
PROVEAN
Uncertain
-3.0
D;D;D
REVEL
Pathogenic
0.72
Sift
Benign
0.034
D;D;D
Sift4G
Uncertain
0.037
D;D;D
Polyphen
0.87
P;.;P
Vest4
0.93
MVP
0.93
MPC
1.2
ClinPred
0.087
T
GERP RS
6.1
Varity_R
0.69
gMVP
0.60

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.76
dbscSNV1_RF
Benign
0.56
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: rs114886951; hg19: chr4-120423809; COSMIC: COSV53351095; COSMIC: COSV53351095; API