chr4-73438185-T-A

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_001134.3(AFP):​c.149T>A​(p.Phe50Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000174 in 1,613,388 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.00096 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000092 ( 0 hom. )

Consequence

AFP
NM_001134.3 missense

Scores

2
16

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: 0.0980

Publications

0 publications found
Variant links:
Genes affected
AFP (HGNC:317): (alpha fetoprotein) This gene encodes alpha-fetoprotein, a major plasma protein produced by the yolk sac and the liver during fetal life. Alpha-fetoprotein expression in adults is often associated with hepatocarcinoma and with teratoma, and has prognostic value for managing advanced gastric cancer. However, hereditary persistance of alpha-fetoprotein may also be found in individuals with no obvious pathology. The protein is thought to be the fetal counterpart of serum albumin, and the alpha-fetoprotein and albumin genes are present in tandem in the same transcriptional orientation on chromosome 4. Alpha-fetoprotein is found in monomeric as well as dimeric and trimeric forms, and binds copper, nickel, fatty acids and bilirubin. The level of alpha-fetoprotein in amniotic fluid is used to measure renal loss of protein to screen for spina bifida and anencephaly. [provided by RefSeq, Oct 2019]
AFP Gene-Disease associations (from GenCC):
  • hereditary persistence of alpha-fetoprotein
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital deficiency in alpha-fetoprotein
    Inheritance: AR Classification: NO_KNOWN Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010208845).
BP6
Variant 4-73438185-T-A is Benign according to our data. Variant chr4-73438185-T-A is described in ClinVar as Likely_benign. ClinVar VariationId is 3051185.Status of the report is no_assertion_criteria_provided, 0 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001134.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AFP
NM_001134.3
MANE Select
c.149T>Ap.Phe50Tyr
missense
Exon 3 of 15NP_001125.1P02771
AFP
NM_001354717.2
c.-184T>A
5_prime_UTR
Exon 3 of 16NP_001341646.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
AFP
ENST00000395792.7
TSL:1 MANE Select
c.149T>Ap.Phe50Tyr
missense
Exon 3 of 15ENSP00000379138.2P02771
AFP
ENST00000226359.2
TSL:5
c.149T>Ap.Phe50Tyr
missense
Exon 3 of 14ENSP00000226359.2J3KMX3

Frequencies

GnomAD3 genomes
AF:
0.000934
AC:
142
AN:
152092
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00319
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000655
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000295
AC:
74
AN:
251202
AF XY:
0.000191
show subpopulations
Gnomad AFR exome
AF:
0.00357
Gnomad AMR exome
AF:
0.000463
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000917
AC:
134
AN:
1461178
Hom.:
0
Cov.:
31
AF XY:
0.0000770
AC XY:
56
AN XY:
726892
show subpopulations
African (AFR)
AF:
0.00308
AC:
103
AN:
33450
American (AMR)
AF:
0.000380
AC:
17
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26116
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39616
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86244
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53412
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5760
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111500
Other (OTH)
AF:
0.000232
AC:
14
AN:
60362
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
8
16
23
31
39
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000959
AC:
146
AN:
152210
Hom.:
0
Cov.:
32
AF XY:
0.00106
AC XY:
79
AN XY:
74428
show subpopulations
African (AFR)
AF:
0.00327
AC:
136
AN:
41560
American (AMR)
AF:
0.000654
AC:
10
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67956
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
8
16
23
31
39
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000335
Hom.:
0
Bravo
AF:
0.00112
ESP6500AA
AF:
0.00182
AC:
8
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000313
AC:
38
Asia WGS
AF:
0.000578
AC:
2
AN:
3476

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
AFP-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
20
DANN
Uncertain
0.99
DEOGEN2
Benign
0.086
T
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.35
N
LIST_S2
Benign
0.58
T
M_CAP
Benign
0.0085
T
MetaRNN
Benign
0.010
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.4
M
PhyloP100
0.098
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-0.46
N
REVEL
Benign
0.13
Sift
Benign
0.055
T
Sift4G
Benign
0.075
T
Polyphen
0.59
P
Vest4
0.44
MVP
0.31
MPC
0.19
ClinPred
0.047
T
GERP RS
1.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.2
Varity_R
0.17
gMVP
0.20
Mutation Taster
=90/10
polymorphism

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

Other links and lift over

dbSNP: rs146576905; hg19: chr4-74303902; API