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chr5-148509954-G-A

Variant summary

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

The NM_000870.7(HTR4):​c.578C>T​(p.Ala193Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000116 in 1,461,694 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 (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

HTR4
NM_000870.7 missense

Scores

5
7
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 10.0
Variant links:
Genes affected
HTR4 (HGNC:5299): (5-hydroxytryptamine receptor 4) This gene is a member of the family of serotonin receptors, which are G protein coupled receptors that stimulate cAMP production in response to serotonin (5-hydroxytryptamine). The gene product is a glycosylated transmembrane protein that functions in both the peripheral and central nervous system to modulate the release of various neurotransmitters. Multiple transcript variants encoding proteins with distinct C-terminal sequences have been described. [provided by RefSeq, May 2010]

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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, 0.834

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HTR4NM_000870.7 linkuse as main transcriptc.578C>T p.Ala193Val missense_variant 6/7 ENST00000377888.8
LOC107986462XR_001742935.2 linkuse as main transcriptn.442-40131G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HTR4ENST00000377888.8 linkuse as main transcriptc.578C>T p.Ala193Val missense_variant 6/71 NM_000870.7 Q13639-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000120
AC:
3
AN:
250924
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135628
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.000164
GnomAD4 exome
AF:
0.0000116
AC:
17
AN:
1461694
Hom.:
0
Cov.:
31
AF XY:
0.0000124
AC XY:
9
AN XY:
727134
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000144
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000868
Hom.:
0
Bravo
AF:
0.0000151

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 GeneticsOct 12, 2022The c.578C>T (p.A193V) alteration is located in exon 5 (coding exon 5) of the HTR4 gene. This alteration results from a C to T substitution at nucleotide position 578, causing the alanine (A) at amino acid position 193 to be replaced by a valine (V). 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
0.96
BayesDel_addAF
Pathogenic
0.17
D
BayesDel_noAF
Uncertain
0.060
CADD
Pathogenic
29
DANN
Pathogenic
1.0
Eigen
Uncertain
0.61
Eigen_PC
Uncertain
0.63
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.93
D;D;D;D;.;.;D;D
M_CAP
Benign
0.028
D
MetaRNN
Pathogenic
0.83
D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
0.64
N;N;N;N;N;N;N;N
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.71
T
PROVEAN
Uncertain
-3.4
D;D;D;D;D;D;.;.
REVEL
Uncertain
0.44
Sift
Benign
0.080
T;T;D;D;T;D;.;.
Sift4G
Benign
0.11
T;T;T;T;T;T;T;T
Polyphen
1.0
D;.;D;.;D;.;.;D
Vest4
0.84
MutPred
0.70
Gain of ubiquitination at K190 (P = 0.1375);Gain of ubiquitination at K190 (P = 0.1375);Gain of ubiquitination at K190 (P = 0.1375);Gain of ubiquitination at K190 (P = 0.1375);Gain of ubiquitination at K190 (P = 0.1375);Gain of ubiquitination at K190 (P = 0.1375);Gain of ubiquitination at K190 (P = 0.1375);Gain of ubiquitination at K190 (P = 0.1375);
MVP
0.68
MPC
0.81
ClinPred
0.71
D
GERP RS
6.0
Varity_R
0.36
gMVP
0.79

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: rs201392976; hg19: chr5-147889517; API