chr7-133317372-A-G

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_021807.4(EXOC4):ā€‹c.745A>Gā€‹(p.Thr249Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000688 in 1,454,506 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000069 ( 0 hom. )

Consequence

EXOC4
NM_021807.4 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.284
Variant links:
Genes affected
EXOC4 (HGNC:30389): (exocyst complex component 4) The protein encoded by this gene is a component of the exocyst complex, a multiple protein complex essential for targeting exocytic vesicles to specific docking sites on the plasma membrane. Though best characterized in yeast, the component proteins and functions of exocyst complex have been demonstrated to be highly conserved in higher eukaryotes. At least eight components of the exocyst complex, including this protein, are found to interact with the actin cytoskeletal remodeling and vesicle transport machinery. The complex is also essential for the biogenesis of epithelial cell surface polarity. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.056117296).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EXOC4NM_021807.4 linkuse as main transcriptc.745A>G p.Thr249Ala missense_variant 5/18 ENST00000253861.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EXOC4ENST00000253861.5 linkuse as main transcriptc.745A>G p.Thr249Ala missense_variant 5/181 NM_021807.4 P1Q96A65-1
EXOC4ENST00000462055.5 linkuse as main transcriptn.752A>G non_coding_transcript_exon_variant 5/91
EXOC4ENST00000393161.6 linkuse as main transcriptc.745A>G p.Thr249Ala missense_variant 5/105 Q96A65-2
EXOC4ENST00000486013.5 linkuse as main transcriptn.774A>G non_coding_transcript_exon_variant 5/105

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251184
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135748
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:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000688
AC:
10
AN:
1454506
Hom.:
0
Cov.:
28
AF XY:
0.00000690
AC XY:
5
AN XY:
724128
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:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000814
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000756
ExAC
AF:
0.00000824
AC:
1
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

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 GeneticsJun 24, 2022The c.745A>G (p.T249A) alteration is located in exon 5 (coding exon 5) of the EXOC4 gene. This alteration results from a A to G substitution at nucleotide position 745, causing the threonine (T) at amino acid position 249 to be replaced by an alanine (A). 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
0.063
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
7.8
DANN
Benign
0.74
DEOGEN2
Benign
0.15
.;T
Eigen
Benign
-0.94
Eigen_PC
Benign
-0.90
FATHMM_MKL
Benign
0.38
N
LIST_S2
Benign
0.59
T;T
M_CAP
Benign
0.0025
T
MetaRNN
Benign
0.056
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L;L
MutationTaster
Benign
0.77
N;N;N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-0.21
N;N
REVEL
Benign
0.052
Sift
Benign
0.75
T;T
Sift4G
Pathogenic
0.0
D;T
Polyphen
0.47
.;P
Vest4
0.084
MutPred
0.33
Loss of phosphorylation at T249 (P = 0.0335);Loss of phosphorylation at T249 (P = 0.0335);
MVP
0.33
MPC
0.13
ClinPred
0.061
T
GERP RS
-2.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.021
gMVP
0.31

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: rs776194165; hg19: chr7-133002126; API