chr4-3013815-A-G

Variant summary

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

The NM_182982.3(GRK4):ā€‹c.728A>Gā€‹(p.Gln243Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000304 in 1,609,456 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 (ā˜…).

Frequency

Genomes: š‘“ 0.000046 ( 0 hom., cov: 31)
Exomes š‘“: 0.000029 ( 0 hom. )

Consequence

GRK4
NM_182982.3 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.25
Variant links:
Genes affected
GRK4 (HGNC:4543): (G protein-coupled receptor kinase 4) This gene encodes a member of the guanine nucleotide-binding protein (G protein)-coupled receptor kinase subfamily of the Ser/Thr protein kinase family. The protein phosphorylates the activated forms of G protein-coupled receptors thus initiating its deactivation. This gene has been linked to both genetic and acquired hypertension. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2013]

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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=0.23223612).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GRK4NM_182982.3 linkuse as main transcriptc.728A>G p.Gln243Arg missense_variant 8/16 ENST00000398052.9 NP_892027.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GRK4ENST00000398052.9 linkuse as main transcriptc.728A>G p.Gln243Arg missense_variant 8/161 NM_182982.3 ENSP00000381129 P1P32298-1
GRK4ENST00000345167.10 linkuse as main transcriptc.632A>G p.Gln211Arg missense_variant 7/151 ENSP00000264764 P32298-2
GRK4ENST00000504933.1 linkuse as main transcriptc.728A>G p.Gln243Arg missense_variant 8/151 ENSP00000427445 P32298-4
GRK4ENST00000398051.8 linkuse as main transcriptc.632A>G p.Gln211Arg missense_variant 7/141 ENSP00000381128 P32298-3

Frequencies

GnomAD3 genomes
AF:
0.0000460
AC:
7
AN:
152216
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000771
AC:
19
AN:
246436
Hom.:
0
AF XY:
0.0000750
AC XY:
10
AN XY:
133250
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000301
Gnomad ASJ exome
AF:
0.000101
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000712
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000288
AC:
42
AN:
1457240
Hom.:
0
Cov.:
30
AF XY:
0.0000331
AC XY:
24
AN XY:
724874
show subpopulations
Gnomad4 AFR exome
AF:
0.0000303
Gnomad4 AMR exome
AF:
0.000229
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:
0.0000234
Gnomad4 OTH exome
AF:
0.0000665
GnomAD4 genome
AF:
0.0000460
AC:
7
AN:
152216
Hom.:
0
Cov.:
31
AF XY:
0.0000538
AC XY:
4
AN XY:
74372
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000327
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000564
Hom.:
0
Bravo
AF:
0.0000378
ExAC
AF:
0.0000576
AC:
7
EpiCase
AF:
0.0000546
EpiControl
AF:
0.000119

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 GeneticsJul 19, 2022The c.728A>G (p.Q243R) alteration is located in exon 8 (coding exon 8) of the GRK4 gene. This alteration results from a A to G substitution at nucleotide position 728, causing the glutamine (Q) at amino acid position 243 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
0.075
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
19
DANN
Benign
0.96
DEOGEN2
Benign
0.11
.;T;.;.
Eigen
Benign
-0.071
Eigen_PC
Benign
0.0055
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.64
T;T;T;T
M_CAP
Benign
0.0044
T
MetaRNN
Benign
0.23
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.36
.;N;.;N
MutationTaster
Benign
0.82
N;N;N;N
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.27
N;N;N;N
REVEL
Benign
0.13
Sift
Uncertain
0.0080
D;D;D;D
Sift4G
Uncertain
0.0040
D;D;D;D
Polyphen
0.49
P;P;B;B
Vest4
0.23
MutPred
0.32
.;Gain of MoRF binding (P = 0.0337);.;Gain of MoRF binding (P = 0.0337);
MVP
0.38
MPC
0.066
ClinPred
0.13
T
GERP RS
4.8
Varity_R
0.36
gMVP
0.30

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: rs745989304; hg19: chr4-3015542; API