chr4-161385752-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_020116.5(FSTL5):​c.2539G>A​(p.Ala847Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000014 in 1,425,648 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

FSTL5
NM_020116.5 missense

Scores

1
9
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.55
Variant links:
Genes affected
FSTL5 (HGNC:21386): (follistatin like 5) Predicted to enable calcium ion binding activity. Predicted to be involved in cell differentiation. Predicted to be located in extracellular region. [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 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.22885457).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FSTL5NM_020116.5 linkuse as main transcriptc.2539G>A p.Ala847Thr missense_variant 16/16 ENST00000306100.10 NP_064501.2
FSTL5NM_001128427.3 linkuse as main transcriptc.2536G>A p.Ala846Thr missense_variant 16/16 NP_001121899.1
FSTL5NM_001128428.3 linkuse as main transcriptc.2509G>A p.Ala837Thr missense_variant 15/15 NP_001121900.1
FSTL5XM_011532126.1 linkuse as main transcriptc.2512G>A p.Ala838Thr missense_variant 15/15 XP_011530428.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FSTL5ENST00000306100.10 linkuse as main transcriptc.2539G>A p.Ala847Thr missense_variant 16/161 NM_020116.5 ENSP00000305334 P5Q8N475-1
FSTL5ENST00000379164.8 linkuse as main transcriptc.2536G>A p.Ala846Thr missense_variant 16/161 ENSP00000368462 A1Q8N475-2
FSTL5ENST00000427802.2 linkuse as main transcriptc.2509G>A p.Ala837Thr missense_variant 15/151 ENSP00000389270 A1Q8N475-3
ENST00000508189.1 linkuse as main transcriptn.254-79C>T intron_variant, non_coding_transcript_variant 2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000140
AC:
2
AN:
1425648
Hom.:
0
Cov.:
28
AF XY:
0.00000141
AC XY:
1
AN XY:
708224
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:
0.00000183
Gnomad4 OTH exome
AF:
0.00
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 GeneticsDec 19, 2023The c.2539G>A (p.A847T) alteration is located in exon 16 (coding exon 15) of the FSTL5 gene. This alteration results from a G to A substitution at nucleotide position 2539, causing the alanine (A) at amino acid position 847 to be replaced by a threonine (T). 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
0.088
BayesDel_addAF
Uncertain
0.033
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.0066
T;.;.
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.48
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.96
D;D;D
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.23
T;T;T
MetaSVM
Benign
-0.44
T
MutationAssessor
Uncertain
2.0
M;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-0.65
N;N;N
REVEL
Benign
0.18
Sift
Uncertain
0.013
D;D;D
Sift4G
Uncertain
0.019
D;D;D
Polyphen
0.91
P;.;.
Vest4
0.32
MutPred
0.30
Loss of sheet (P = 0.0037);.;.;
MVP
0.75
MPC
0.35
ClinPred
0.94
D
GERP RS
5.8
Varity_R
0.13
gMVP
0.52

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: chr4-162306904; API