chr4-76168404-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005506.4(SCARB2):​c.1186G>A​(p.Val396Ile) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0043 in 1,613,768 control chromosomes in the GnomAD database, including 266 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.023 ( 120 hom., cov: 32)
Exomes 𝑓: 0.0024 ( 146 hom. )

Consequence

SCARB2
NM_005506.4 missense, splice_region

Scores

18
Splicing: ADA: 0.0001160
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.333
Variant links:
Genes affected
SCARB2 (HGNC:1665): (scavenger receptor class B member 2) The protein encoded by this gene is a type III glycoprotein that is located primarily in limiting membranes of lysosomes and endosomes. Earlier studies in mice and rat suggested that this protein may participate in membrane transportation and the reorganization of endosomal/lysosomal compartment. The protein deficiency in mice was reported to impair cell membrane transport processes and cause pelvic junction obstruction, deafness, and peripheral neuropathy. Further studies in human showed that this protein is a ubiquitously expressed protein and that it is involved in the pathogenesis of HFMD (hand, foot, and mouth disease) caused by enterovirus-71 and possibly by coxsackievirus A16. Mutations in this gene caused an autosomal recessive progressive myoclonic epilepsy-4 (EPM4), also known as action myoclonus-renal failure syndrome (AMRF). Alternatively spliced transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Feb 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0021950305).
BP6
Variant 4-76168404-C-T is Benign according to our data. Variant chr4-76168404-C-T is described in ClinVar as [Benign]. Clinvar id is 259780.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr4-76168404-C-T is described in Lovd as [Likely_benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0776 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SCARB2NM_005506.4 linkuse as main transcriptc.1186G>A p.Val396Ile missense_variant, splice_region_variant 9/12 ENST00000264896.8 NP_005497.1
SCARB2NM_001204255.2 linkuse as main transcriptc.757G>A p.Val253Ile missense_variant, splice_region_variant 6/9 NP_001191184.1
SCARB2XM_047416429.1 linkuse as main transcriptc.712G>A p.Val238Ile missense_variant, splice_region_variant 9/12 XP_047272385.1
SCARB2XM_047416430.1 linkuse as main transcriptc.712G>A p.Val238Ile missense_variant, splice_region_variant 9/12 XP_047272386.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SCARB2ENST00000264896.8 linkuse as main transcriptc.1186G>A p.Val396Ile missense_variant, splice_region_variant 9/121 NM_005506.4 ENSP00000264896 P4Q14108-1
ENST00000651366.1 linkuse as main transcriptn.102+19138C>T intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.0230
AC:
3505
AN:
152190
Hom.:
120
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0800
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00772
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000367
Gnomad OTH
AF:
0.0215
GnomAD3 exomes
AF:
0.00607
AC:
1526
AN:
251368
Hom.:
58
AF XY:
0.00425
AC XY:
578
AN XY:
135858
show subpopulations
Gnomad AFR exome
AF:
0.0829
Gnomad AMR exome
AF:
0.00387
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000202
Gnomad OTH exome
AF:
0.00293
GnomAD4 exome
AF:
0.00235
AC:
3435
AN:
1461460
Hom.:
146
Cov.:
30
AF XY:
0.00199
AC XY:
1446
AN XY:
727086
show subpopulations
Gnomad4 AFR exome
AF:
0.0829
Gnomad4 AMR exome
AF:
0.00474
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000209
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000999
Gnomad4 OTH exome
AF:
0.00484
GnomAD4 genome
AF:
0.0230
AC:
3508
AN:
152308
Hom.:
120
Cov.:
32
AF XY:
0.0224
AC XY:
1666
AN XY:
74464
show subpopulations
Gnomad4 AFR
AF:
0.0799
Gnomad4 AMR
AF:
0.00771
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000367
Gnomad4 OTH
AF:
0.0213
Alfa
AF:
0.00330
Hom.:
23
Bravo
AF:
0.0264
ESP6500AA
AF:
0.0747
AC:
329
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00753
AC:
914
Asia WGS
AF:
0.00318
AC:
11
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000119

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxMar 03, 2015- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsOct 25, 2017- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Inborn genetic diseases Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsJun 21, 2016This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Focal segmental glomerulosclerosis Benign:1
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenJun 04, 2021- -
Progressive myoclonic epilepsy Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.64
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
0.26
DANN
Benign
0.60
DEOGEN2
Benign
0.11
T;.;.;.;.;.;.
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.014
N
LIST_S2
Benign
0.71
T;T;T;T;T;T;T
MetaRNN
Benign
0.0022
T;T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.29
N;.;.;.;.;.;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-0.29
N;.;.;.;.;N;.
REVEL
Benign
0.052
Sift
Benign
0.41
T;.;.;.;.;T;.
Sift4G
Benign
0.41
T;.;.;.;.;T;.
Polyphen
0.0
B;.;.;.;.;.;.
Vest4
0.059
MVP
0.17
MPC
0.19
ClinPred
0.00047
T
GERP RS
-2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.047
gMVP
0.33

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00012
dbscSNV1_RF
Benign
0.010
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: rs2228380; hg19: chr4-77089557; COSMIC: COSV99069600; COSMIC: COSV99069600; API