chr4-125451587-G-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001291303.3(FAT4):​c.10577G>A​(p.Gly3526Asp) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.279 in 1,613,874 control chromosomes in the GnomAD database, including 65,712 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. G3526G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.22 ( 4646 hom., cov: 32)
Exomes 𝑓: 0.29 ( 61066 hom. )

Consequence

FAT4
NM_001291303.3 missense

Scores

4
7
7

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 9.80
Variant links:
Genes affected
FAT4 (HGNC:23109): (FAT atypical cadherin 4) The protein encoded by this gene is a member of the protocadherin family. This gene may play a role in regulating planar cell polarity (PCP). Studies in mice suggest that loss of PCP signaling may cause cystic kidney disease, and mutations in this gene have been associated with Van Maldergem Syndrome 2. Alternatively spliced transcript variants have been noted for this gene. [provided by RefSeq, Mar 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0034423769).
BP6
Variant 4-125451587-G-A is Benign according to our data. Variant chr4-125451587-G-A is described in ClinVar as [Benign]. Clinvar id is 380813.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr4-125451587-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.393 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
FAT4NM_001291303.3 linkuse as main transcriptc.10577G>A p.Gly3526Asp missense_variant 10/18 ENST00000394329.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
FAT4ENST00000394329.9 linkuse as main transcriptc.10577G>A p.Gly3526Asp missense_variant 10/185 NM_001291303.3 P1
FAT4ENST00000335110.5 linkuse as main transcriptc.5465G>A p.Gly1822Asp missense_variant 9/151 Q6V0I7-2
FAT4ENST00000674496.2 linkuse as main transcriptc.5348G>A p.Gly1783Asp missense_variant 9/17

Frequencies

GnomAD3 genomes
AF:
0.224
AC:
34068
AN:
151900
Hom.:
4637
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0641
Gnomad AMI
AF:
0.403
Gnomad AMR
AF:
0.246
Gnomad ASJ
AF:
0.281
Gnomad EAS
AF:
0.407
Gnomad SAS
AF:
0.279
Gnomad FIN
AF:
0.241
Gnomad MID
AF:
0.177
Gnomad NFE
AF:
0.291
Gnomad OTH
AF:
0.248
GnomAD3 exomes
AF:
0.272
AC:
68286
AN:
251236
Hom.:
9963
AF XY:
0.277
AC XY:
37584
AN XY:
135794
show subpopulations
Gnomad AFR exome
AF:
0.0591
Gnomad AMR exome
AF:
0.246
Gnomad ASJ exome
AF:
0.270
Gnomad EAS exome
AF:
0.420
Gnomad SAS exome
AF:
0.293
Gnomad FIN exome
AF:
0.242
Gnomad NFE exome
AF:
0.286
Gnomad OTH exome
AF:
0.270
GnomAD4 exome
AF:
0.285
AC:
416655
AN:
1461854
Hom.:
61066
Cov.:
81
AF XY:
0.286
AC XY:
207893
AN XY:
727230
show subpopulations
Gnomad4 AFR exome
AF:
0.0556
Gnomad4 AMR exome
AF:
0.244
Gnomad4 ASJ exome
AF:
0.273
Gnomad4 EAS exome
AF:
0.411
Gnomad4 SAS exome
AF:
0.291
Gnomad4 FIN exome
AF:
0.239
Gnomad4 NFE exome
AF:
0.292
Gnomad4 OTH exome
AF:
0.275
GnomAD4 genome
AF:
0.224
AC:
34099
AN:
152020
Hom.:
4646
Cov.:
32
AF XY:
0.223
AC XY:
16603
AN XY:
74296
show subpopulations
Gnomad4 AFR
AF:
0.0640
Gnomad4 AMR
AF:
0.247
Gnomad4 ASJ
AF:
0.281
Gnomad4 EAS
AF:
0.407
Gnomad4 SAS
AF:
0.279
Gnomad4 FIN
AF:
0.241
Gnomad4 NFE
AF:
0.291
Gnomad4 OTH
AF:
0.252
Alfa
AF:
0.282
Hom.:
15486
Bravo
AF:
0.220
TwinsUK
AF:
0.297
AC:
1101
ALSPAC
AF:
0.302
AC:
1163
ESP6500AA
AF:
0.0663
AC:
292
ESP6500EA
AF:
0.300
AC:
2578
ExAC
AF:
0.267
AC:
32446
Asia WGS
AF:
0.314
AC:
1092
AN:
3478
EpiCase
AF:
0.291
EpiControl
AF:
0.290

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
Benign, criteria provided, single submitterclinical testingGeneDxJan 27, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJan 24, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 46% of patients studied by a panel of primary immunodeficiencies. Number of patients: 44. Only high quality variants are reported. -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 29, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: 27% of total chromosomes in ExAC -
Benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Van Maldergem syndrome 2 Benign:2
Benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 10, 2021- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingInvitaeFeb 01, 2024- -
Hennekam lymphangiectasia-lymphedema syndrome 2 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 10, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.26
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.23
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Benign
0.39
T;.
Eigen
Pathogenic
0.89
Eigen_PC
Pathogenic
0.86
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.91
D;D
MetaRNN
Benign
0.0034
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.8
M;.
MutationTaster
Benign
4.6e-12
P;P
PrimateAI
Uncertain
0.67
T
PROVEAN
Pathogenic
-4.6
D;D
REVEL
Uncertain
0.50
Sift
Uncertain
0.013
D;D
Sift4G
Uncertain
0.0050
D;D
Polyphen
1.0
D;D
Vest4
0.88
MPC
0.74
ClinPred
0.026
T
GERP RS
5.8
Varity_R
0.41
gMVP
0.72

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: rs1567047; hg19: chr4-126372742; COSMIC: COSV58676353; COSMIC: COSV58676353; API