chr4-161385860-T-A

Variant summary

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

The NM_020116.5(FSTL5):​c.2431A>T​(p.Met811Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,666 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict 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

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.10
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=0.12214035).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FSTL5NM_020116.5 linkuse as main transcriptc.2431A>T p.Met811Leu missense_variant 16/16 ENST00000306100.10 NP_064501.2
FSTL5NM_001128427.3 linkuse as main transcriptc.2428A>T p.Met810Leu missense_variant 16/16 NP_001121899.1
FSTL5NM_001128428.3 linkuse as main transcriptc.2401A>T p.Met801Leu missense_variant 15/15 NP_001121900.1
FSTL5XM_011532126.1 linkuse as main transcriptc.2404A>T p.Met802Leu 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.2431A>T p.Met811Leu missense_variant 16/161 NM_020116.5 ENSP00000305334 P5Q8N475-1
FSTL5ENST00000379164.8 linkuse as main transcriptc.2428A>T p.Met810Leu missense_variant 16/161 ENSP00000368462 A1Q8N475-2
FSTL5ENST00000427802.2 linkuse as main transcriptc.2401A>T p.Met801Leu missense_variant 15/151 ENSP00000389270 A1Q8N475-3
ENST00000508189.1 linkuse as main transcriptn.283T>A non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251116
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135688
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461666
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
727140
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:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
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 GeneticsFeb 06, 2023The c.2431A>T (p.M811L) alteration is located in exon 16 (coding exon 15) of the FSTL5 gene. This alteration results from a A to T substitution at nucleotide position 2431, causing the methionine (M) at amino acid position 811 to be replaced by a leucine (L). 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
0.13
BayesDel_addAF
Benign
-0.067
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
17
DANN
Benign
0.89
DEOGEN2
Benign
0.0011
T;.;.
Eigen
Benign
-0.27
Eigen_PC
Benign
-0.028
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.85
D;D;D
M_CAP
Benign
0.0060
T
MetaRNN
Benign
0.12
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.87
L;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
0.21
N;N;N
REVEL
Benign
0.11
Sift
Benign
0.88
T;T;T
Sift4G
Benign
1.0
T;T;T
Polyphen
0.0070
B;.;.
Vest4
0.19
MutPred
0.29
Gain of sheet (P = 0.0344);.;.;
MVP
0.26
MPC
0.057
ClinPred
0.26
T
GERP RS
5.7
Varity_R
0.27
gMVP
0.45

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: rs933767663; hg19: chr4-162307012; API