chr4-161500098-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_020116.5(FSTL5):ā€‹c.1376A>Gā€‹(p.Glu459Gly) variant causes a missense change. The variant allele was found at a frequency of 0.00000206 in 1,454,426 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000021 ( 0 hom. )

Consequence

FSTL5
NM_020116.5 missense

Scores

1
10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.89
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 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.753

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
FSTL5NM_020116.5 linkuse as main transcriptc.1376A>G p.Glu459Gly missense_variant 12/16 ENST00000306100.10 NP_064501.2
FSTL5NM_001128427.3 linkuse as main transcriptc.1373A>G p.Glu458Gly missense_variant 12/16 NP_001121899.1
FSTL5NM_001128428.3 linkuse as main transcriptc.1346A>G p.Glu449Gly missense_variant 11/15 NP_001121900.1
FSTL5XM_011532126.1 linkuse as main transcriptc.1349A>G p.Glu450Gly missense_variant 11/15 XP_011530428.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
FSTL5ENST00000306100.10 linkuse as main transcriptc.1376A>G p.Glu459Gly missense_variant 12/161 NM_020116.5 ENSP00000305334 P5Q8N475-1
FSTL5ENST00000379164.8 linkuse as main transcriptc.1373A>G p.Glu458Gly missense_variant 12/161 ENSP00000368462 A1Q8N475-2
FSTL5ENST00000427802.2 linkuse as main transcriptc.1346A>G p.Glu449Gly missense_variant 11/151 ENSP00000389270 A1Q8N475-3
FSTL5ENST00000511999.1 linkuse as main transcript upstream_gene_variant 3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000123
AC:
3
AN:
244222
Hom.:
0
AF XY:
0.0000152
AC XY:
2
AN XY:
131948
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:
0.0000336
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000907
Gnomad OTH exome
AF:
0.000168
GnomAD4 exome
AF:
0.00000206
AC:
3
AN:
1454426
Hom.:
0
Cov.:
28
AF XY:
0.00000415
AC XY:
3
AN XY:
723430
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:
0.0000117
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000181
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 GeneticsJan 03, 2024The c.1376A>G (p.E459G) alteration is located in exon 12 (coding exon 11) of the FSTL5 gene. This alteration results from a A to G substitution at nucleotide position 1376, causing the glutamic acid (E) at amino acid position 459 to be replaced by a glycine (G). 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
0.23
BayesDel_addAF
Uncertain
0.047
T
BayesDel_noAF
Benign
-0.17
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.066
T;.;.
Eigen
Benign
0.058
Eigen_PC
Uncertain
0.24
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.92
D;D;D
M_CAP
Benign
0.049
D
MetaRNN
Pathogenic
0.75
D;D;D
MetaSVM
Benign
-0.69
T
MutationAssessor
Benign
1.9
L;.;.
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Uncertain
0.72
T
PROVEAN
Uncertain
-3.8
D;D;D
REVEL
Uncertain
0.37
Sift
Uncertain
0.0040
D;D;D
Sift4G
Uncertain
0.015
D;D;D
Polyphen
0.085
B;.;.
Vest4
0.74
MutPred
0.56
Gain of sheet (P = 0.0344);.;.;
MVP
0.77
MPC
0.37
ClinPred
0.94
D
GERP RS
5.3
Varity_R
0.27
gMVP
0.67

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs768436797; hg19: chr4-162421250; API