chr7-99758183-G-GT
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Variant summary
Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP6_ModerateBS2
The NM_017460.6(CYP3A4):c.1461dupA(p.Pro488fs) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000445 in 1,613,988 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely benign (★).
Frequency
Genomes: 𝑓 0.00035 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00045 ( 0 hom. )
Consequence
CYP3A4
NM_017460.6 frameshift
NM_017460.6 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: -0.411
Genes affected
CYP3A4 (HGNC:2637): (cytochrome P450 family 3 subfamily A member 4) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases that catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and its expression is induced by glucocorticoids and some pharmacological agents. This enzyme is involved in the metabolism of approximately half the drugs in use today, including acetaminophen, codeine, cyclosporin A, diazepam, erythromycin, and chloroquine. The enzyme also metabolizes some steroids and carcinogens. This gene is part of a cluster of cytochrome P450 genes on chromosome 7q21.1. Previously another CYP3A gene, CYP3A3, was thought to exist; however, it is now thought that this sequence represents a transcript variant of CYP3A4. Alternatively spliced transcript variants encoding different isoforms have been identified. [provided by RefSeq, Aug 2020]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -6 ACMG points.
BP6
Variant 7-99758183-G-GT is Benign according to our data. Variant chr7-99758183-G-GT is described in ClinVar as [Likely_benign]. Clinvar id is 1318112.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAd4 at 54 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CYP3A4 | NM_017460.6 | c.1461dupA | p.Pro488fs | frameshift_variant | 13/13 | ENST00000651514.1 | NP_059488.2 | |
CYP3A4 | NM_001202855.3 | c.1458dupA | p.Pro487fs | frameshift_variant | 13/13 | NP_001189784.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CYP3A4 | ENST00000651514.1 | c.1461dupA | p.Pro488fs | frameshift_variant | 13/13 | NM_017460.6 | ENSP00000498939.1 |
Frequencies
GnomAD3 genomes AF: 0.000355 AC: 54AN: 152152Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.000342 AC: 86AN: 251248Hom.: 0 AF XY: 0.000302 AC XY: 41AN XY: 135780
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GnomAD4 exome AF: 0.000455 AC: 665AN: 1461718Hom.: 0 Cov.: 30 AF XY: 0.000441 AC XY: 321AN XY: 727158
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GnomAD4 genome AF: 0.000355 AC: 54AN: 152270Hom.: 0 Cov.: 32 AF XY: 0.000336 AC XY: 25AN XY: 74476
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ClinVar
Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link
Submissions by phenotype
not provided Benign:1
Likely benign, criteria provided, single submitter | clinical testing | GeneDx | Oct 31, 2018 | This variant is associated with the following publications: (PMID: 25348618, 16580902, 31448785, 26689913) - |
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at