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chr5-148523291-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_000870.7(HTR4):​c.409C>A​(p.Arg137Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000137 in 1,460,890 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: 31)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

HTR4
NM_000870.7 missense

Scores

5
8
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.24
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.924

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HTR4NM_000870.7 linkuse as main transcriptc.409C>A p.Arg137Ser missense_variant 5/7 ENST00000377888.8
LOC107986462XR_001742935.2 linkuse as main transcriptn.442-26794G>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HTR4ENST00000377888.8 linkuse as main transcriptc.409C>A p.Arg137Ser missense_variant 5/71 NM_000870.7 Q13639-1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1460890
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
726746
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000505
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
Bravo
AF:
0.00000378

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 GeneticsSep 29, 2023The c.409C>A (p.R137S) alteration is located in exon 4 (coding exon 4) of the HTR4 gene. This alteration results from a C to A substitution at nucleotide position 409, causing the arginine (R) at amino acid position 137 to be replaced by a serine (S). 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
0.84
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.080
CADD
Pathogenic
29
DANN
Uncertain
1.0
Eigen
Pathogenic
0.82
Eigen_PC
Pathogenic
0.78
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Uncertain
0.91
D;D;D;D;.;.;D;D
M_CAP
Benign
0.013
T
MetaRNN
Pathogenic
0.92
D;D;D;D;D;D;D;D
MetaSVM
Benign
-0.46
T
MutationAssessor
Uncertain
2.5
M;M;M;M;M;M;M;M
MutationTaster
Benign
1.0
D;D;D;D;D;D;D;D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-3.0
D;D;D;D;D;D;D;.
REVEL
Uncertain
0.43
Sift
Benign
0.041
D;D;D;T;D;T;D;.
Sift4G
Benign
0.14
T;T;T;T;T;T;T;T
Polyphen
1.0
D;.;D;.;D;.;.;D
Vest4
0.87
MutPred
0.78
Gain of ubiquitination at K132 (P = 0.1181);Gain of ubiquitination at K132 (P = 0.1181);Gain of ubiquitination at K132 (P = 0.1181);Gain of ubiquitination at K132 (P = 0.1181);Gain of ubiquitination at K132 (P = 0.1181);Gain of ubiquitination at K132 (P = 0.1181);Gain of ubiquitination at K132 (P = 0.1181);Gain of ubiquitination at K132 (P = 0.1181);
MVP
0.75
MPC
0.36
ClinPred
0.99
D
GERP RS
5.6
Varity_R
0.50
gMVP
0.94

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: rs186099216; hg19: chr5-147902854; API