chr4-119505936-C-T

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_001083.4(PDE5A):​c.2190-4G>A variant causes a splice region, splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00595 in 1,533,452 control chromosomes in the GnomAD database, including 29 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 Benign (★★).

Frequency

Genomes: 𝑓 0.0047 ( 5 hom., cov: 32)
Exomes 𝑓: 0.0061 ( 24 hom. )

Consequence

PDE5A
NM_001083.4 splice_region, splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.00008263
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.208
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 -16 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.81).
BP6
Variant 4-119505936-C-T is Benign according to our data. Variant chr4-119505936-C-T is described in ClinVar as [Benign]. Clinvar id is 777148.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 5 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PDE5ANM_001083.4 linkuse as main transcriptc.2190-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000354960.8
PDE5ANM_033430.3 linkuse as main transcriptc.2064-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant
PDE5ANM_033437.4 linkuse as main transcriptc.2034-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PDE5AENST00000354960.8 linkuse as main transcriptc.2190-4G>A splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 1 NM_001083.4 O76074-1
ENST00000688315.1 linkuse as main transcriptn.1004-6415C>T intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.00468
AC:
709
AN:
151582
Hom.:
5
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00123
Gnomad AMI
AF:
0.0384
Gnomad AMR
AF:
0.00765
Gnomad ASJ
AF:
0.00578
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00332
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.00662
Gnomad OTH
AF:
0.00674
GnomAD3 exomes
AF:
0.00467
AC:
980
AN:
209884
Hom.:
4
AF XY:
0.00511
AC XY:
587
AN XY:
114940
show subpopulations
Gnomad AFR exome
AF:
0.000771
Gnomad AMR exome
AF:
0.00577
Gnomad ASJ exome
AF:
0.00579
Gnomad EAS exome
AF:
0.0000677
Gnomad SAS exome
AF:
0.00355
Gnomad FIN exome
AF:
0.000239
Gnomad NFE exome
AF:
0.00666
Gnomad OTH exome
AF:
0.00496
GnomAD4 exome
AF:
0.00609
AC:
8410
AN:
1381752
Hom.:
24
Cov.:
23
AF XY:
0.00600
AC XY:
4133
AN XY:
689232
show subpopulations
Gnomad4 AFR exome
AF:
0.00106
Gnomad4 AMR exome
AF:
0.00569
Gnomad4 ASJ exome
AF:
0.00487
Gnomad4 EAS exome
AF:
0.0000538
Gnomad4 SAS exome
AF:
0.00343
Gnomad4 FIN exome
AF:
0.000548
Gnomad4 NFE exome
AF:
0.00686
Gnomad4 OTH exome
AF:
0.00699
GnomAD4 genome
AF:
0.00467
AC:
709
AN:
151700
Hom.:
5
Cov.:
32
AF XY:
0.00444
AC XY:
329
AN XY:
74118
show subpopulations
Gnomad4 AFR
AF:
0.00123
Gnomad4 AMR
AF:
0.00764
Gnomad4 ASJ
AF:
0.00578
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00332
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.00663
Gnomad4 OTH
AF:
0.00667
Alfa
AF:
0.00546
Hom.:
4
Bravo
AF:
0.00511
Asia WGS
AF:
0.00145
AC:
5
AN:
3468

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 09, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.81
CADD
Benign
1.8
DANN
Benign
0.65

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000083
dbscSNV1_RF
Benign
0.0020
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: rs142272118; hg19: chr4-120427091; COSMIC: COSV105868094; COSMIC: COSV105868094; API