chr4-127805739-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_014278.4(HSPA4L):ā€‹c.1190T>Gā€‹(p.Leu397Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00000342 in 1,460,678 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000034 ( 0 hom. )

Consequence

HSPA4L
NM_014278.4 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.64
Variant links:
Genes affected
HSPA4L (HGNC:17041): (heat shock protein family A (Hsp70) member 4 like) The protein encoded by this gene is heat shock inducible and may act as a chaperone. The encoded protein can protect the heat-shocked cell against the harmful effects of aggregated proteins. This gene is highly expressed in leukemia cells and may be a good target for therapeutic intervention. Several transcripts encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2015]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HSPA4LNM_014278.4 linkuse as main transcriptc.1190T>G p.Leu397Arg missense_variant 10/19 ENST00000296464.9 NP_055093.2 O95757A0A140VKE7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HSPA4LENST00000296464.9 linkuse as main transcriptc.1190T>G p.Leu397Arg missense_variant 10/191 NM_014278.4 ENSP00000296464.3 O95757
HSPA4LENST00000508549.5 linkuse as main transcriptc.1067T>G p.Leu356Arg missense_variant 9/131 ENSP00000427305.1 D6RJ96
HSPA4LENST00000508776.5 linkuse as main transcriptc.1190T>G p.Leu397Arg missense_variant 11/202 ENSP00000422482.1 O95757
HSPA4LENST00000505726.1 linkuse as main transcriptc.1112T>G p.Leu371Arg missense_variant 10/192 ENSP00000425645.1 E9PDE8

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000199
AC:
5
AN:
251086
Hom.:
0
AF XY:
0.0000147
AC XY:
2
AN XY:
135702
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000145
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:
0.00000342
AC:
5
AN:
1460678
Hom.:
0
Cov.:
29
AF XY:
0.00000275
AC XY:
2
AN XY:
726664
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000112
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1

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 GeneticsApr 01, 2024The c.1190T>G (p.L397R) alteration is located in exon 10 (coding exon 10) of the HSPA4L gene. This alteration results from a T to G substitution at nucleotide position 1190, causing the leucine (L) at amino acid position 397 to be replaced by an arginine (R). 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
0.32
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.42
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.18
T;T;T;T
Eigen
Benign
0.081
Eigen_PC
Benign
0.19
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.94
.;D;D;D
M_CAP
Benign
0.011
T
MetaRNN
Uncertain
0.55
D;D;D;D
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
0.22
N;N;.;.
PrimateAI
Benign
0.47
T
PROVEAN
Uncertain
-3.1
D;D;D;D
REVEL
Benign
0.18
Sift
Uncertain
0.0040
D;D;D;D
Sift4G
Benign
0.24
T;T;T;T
Polyphen
0.29
B;B;.;P
Vest4
0.68
MutPred
0.81
Gain of methylation at L397 (P = 0.0266);Gain of methylation at L397 (P = 0.0266);.;.;
MVP
0.53
MPC
0.29
ClinPred
0.38
T
GERP RS
4.5
Varity_R
0.59
gMVP
0.74

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs755232976; hg19: chr4-128726894; API