chr4-161386405-A-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_020116.5(FSTL5):ā€‹c.1886T>Cā€‹(p.Ile629Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000769 in 1,613,404 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000026 ( 0 hom., cov: 32)
Exomes š‘“: 0.000082 ( 4 hom. )

Consequence

FSTL5
NM_020116.5 missense

Scores

2
10
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.04
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.12221661).
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FSTL5NM_020116.5 linkuse as main transcriptc.1886T>C p.Ile629Thr missense_variant 16/16 ENST00000306100.10 NP_064501.2
FSTL5NM_001128427.3 linkuse as main transcriptc.1883T>C p.Ile628Thr missense_variant 16/16 NP_001121899.1
FSTL5NM_001128428.3 linkuse as main transcriptc.1856T>C p.Ile619Thr missense_variant 15/15 NP_001121900.1
FSTL5XM_011532126.1 linkuse as main transcriptc.1859T>C p.Ile620Thr 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.1886T>C p.Ile629Thr missense_variant 16/161 NM_020116.5 ENSP00000305334 P5Q8N475-1
FSTL5ENST00000379164.8 linkuse as main transcriptc.1883T>C p.Ile628Thr missense_variant 16/161 ENSP00000368462 A1Q8N475-2
FSTL5ENST00000427802.2 linkuse as main transcriptc.1856T>C p.Ile619Thr missense_variant 15/151 ENSP00000389270 A1Q8N475-3
ENST00000508189.1 linkuse as main transcriptn.828A>G non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152144
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000153
AC:
38
AN:
249032
Hom.:
1
AF XY:
0.000171
AC XY:
23
AN XY:
134604
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000218
Gnomad SAS exome
AF:
0.000982
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.00000893
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000821
AC:
120
AN:
1461142
Hom.:
4
Cov.:
33
AF XY:
0.000111
AC XY:
81
AN XY:
726848
show subpopulations
Gnomad4 AFR exome
AF:
0.0000598
Gnomad4 AMR exome
AF:
0.0000448
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000757
Gnomad4 SAS exome
AF:
0.000940
Gnomad4 FIN exome
AF:
0.0000187
Gnomad4 NFE exome
AF:
0.0000198
Gnomad4 OTH exome
AF:
0.000149
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152262
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74446
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227
ExAC
AF:
0.000148
AC:
18
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.0000594

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 GeneticsNov 30, 2022The c.1886T>C (p.I629T) alteration is located in exon 16 (coding exon 15) of the FSTL5 gene. This alteration results from a T to C substitution at nucleotide position 1886, causing the isoleucine (I) at amino acid position 629 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
Pathogenic
0.65
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.11
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T;.;.
Eigen
Uncertain
0.48
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.67
T;T;T
M_CAP
Benign
0.048
D
MetaRNN
Benign
0.12
T;T;T
MetaSVM
Uncertain
0.14
D
MutationAssessor
Uncertain
2.7
M;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.62
T
PROVEAN
Uncertain
-3.1
D;D;D
REVEL
Uncertain
0.57
Sift
Uncertain
0.013
D;D;D
Sift4G
Uncertain
0.049
D;D;D
Polyphen
1.0
D;.;.
Vest4
0.32
MVP
0.86
MPC
0.33
ClinPred
0.18
T
GERP RS
4.6
Varity_R
0.35
gMVP
0.78

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: rs181527249; hg19: chr4-162307557; COSMIC: COSV105874968; API