chr8-144512318-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP6BS1BS2

The NM_004260.4(RECQL4):​c.3062G>A​(p.Arg1021Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00513 in 1,612,274 control chromosomes in the GnomAD database, including 24 homozygotes. In-silico tool predicts a benign outcome for this variant. 10/16 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0041 ( 0 hom., cov: 35)
Exomes 𝑓: 0.0052 ( 24 hom. )

Consequence

RECQL4
NM_004260.4 missense

Scores

12

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:10O:1

Conservation

PhyloP100: -0.313
Variant links:
Genes affected
RECQL4 (HGNC:9949): (RecQ like helicase 4) The protein encoded by this gene is a DNA helicase that belongs to the RecQ helicase family. DNA helicases unwind double-stranded DNA into single-stranded DNAs and may modulate chromosome segregation. This gene is predominantly expressed in thymus and testis. Mutations in this gene are associated with Rothmund-Thomson, RAPADILINO and Baller-Gerold syndromes. [provided by RefSeq, Jan 2010]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP6
Variant 8-144512318-C-T is Benign according to our data. Variant chr8-144512318-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 135147.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Uncertain_significance=3, not_provided=1, Benign=2}. Variant chr8-144512318-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.00411 (627/152382) while in subpopulation NFE AF= 0.00682 (464/68044). AF 95% confidence interval is 0.00631. There are 0 homozygotes in gnomad4. There are 290 alleles in male gnomad4 subpopulation. Median coverage is 35. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 24 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RECQL4NM_004260.4 linkuse as main transcriptc.3062G>A p.Arg1021Gln missense_variant 18/21 ENST00000617875.6 NP_004251.4 O94761

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RECQL4ENST00000617875.6 linkuse as main transcriptc.3062G>A p.Arg1021Gln missense_variant 18/211 NM_004260.4 ENSP00000482313.2 O94761

Frequencies

GnomAD3 genomes
AF:
0.00412
AC:
627
AN:
152264
Hom.:
0
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.00106
Gnomad AMI
AF:
0.00768
Gnomad AMR
AF:
0.00418
Gnomad ASJ
AF:
0.00692
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.000565
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00682
Gnomad OTH
AF:
0.00621
GnomAD3 exomes
AF:
0.00408
AC:
1006
AN:
246782
Hom.:
1
AF XY:
0.00401
AC XY:
540
AN XY:
134672
show subpopulations
Gnomad AFR exome
AF:
0.000853
Gnomad AMR exome
AF:
0.00319
Gnomad ASJ exome
AF:
0.00704
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000360
Gnomad FIN exome
AF:
0.000280
Gnomad NFE exome
AF:
0.00688
Gnomad OTH exome
AF:
0.00516
GnomAD4 exome
AF:
0.00523
AC:
7640
AN:
1459892
Hom.:
24
Cov.:
79
AF XY:
0.00512
AC XY:
3716
AN XY:
726186
show subpopulations
Gnomad4 AFR exome
AF:
0.000896
Gnomad4 AMR exome
AF:
0.00340
Gnomad4 ASJ exome
AF:
0.00785
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.000510
Gnomad4 FIN exome
AF:
0.000578
Gnomad4 NFE exome
AF:
0.00618
Gnomad4 OTH exome
AF:
0.00472
GnomAD4 genome
AF:
0.00411
AC:
627
AN:
152382
Hom.:
0
Cov.:
35
AF XY:
0.00389
AC XY:
290
AN XY:
74518
show subpopulations
Gnomad4 AFR
AF:
0.00106
Gnomad4 AMR
AF:
0.00418
Gnomad4 ASJ
AF:
0.00692
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.000565
Gnomad4 NFE
AF:
0.00682
Gnomad4 OTH
AF:
0.00614
Alfa
AF:
0.00526
Hom.:
0
Bravo
AF:
0.00430
TwinsUK
AF:
0.00566
AC:
21
ALSPAC
AF:
0.00545
AC:
21
ESP6500AA
AF:
0.000238
AC:
1
ESP6500EA
AF:
0.00769
AC:
65
ExAC
AF:
0.00389
AC:
468
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.00747
EpiControl
AF:
0.00717

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:10Other:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:6
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Likely benign, no assertion criteria providedclinical testingClinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center-- -
Likely benign, no assertion criteria providedclinical testingLaboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)-- -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenNov 01, 2024RECQL4: BP4 -
Likely benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, Amsterdam University Medical Center-- -
Benign, criteria provided, single submitterclinical testingGeneDxJan 06, 2020This variant is associated with the following publications: (PMID: 15897384, 30007837, 12734318, 24728327) -
Uncertain significance, criteria provided, single submitterclinical testingInstitute for Clinical Genetics, University Hospital TU Dresden, University Hospital TU DresdenNov 03, 2021- -
not specified Uncertain:1Benign:1Other:1
Likely benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jun 30, 2016- -
not provided, no classification providedreference populationITMISep 19, 2013- -
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoJul 27, 2015- -
Rothmund-Thomson syndrome type 2 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingDivision Of Personalized Genomic Medicine, Columbia University Irving Medical CenterOct 16, 2019The paternally inherited c.3062G>A variant is a single base pair substitution at nucleotide c.3062 in the exon (19 of 22) of the RECQL4 gene, resulting in the substitution of arginine to glutamine at amino acid position 1021 (1209 in total). This variant is present in the Genome Aggregation Database (gnomAD) with a general frequency of 0.004 (1125/278178, 1 HOMO), indicating it is not a rare variant in the populations represented in this database. This variant is predicted to be tolerated by multiple in silico tools. In Clinvar, this variant has been reported several times with conflicting level of evidence [Benign/Likely Benign/ Variant of Uncertain Significance]. In literature, this R1021Q variant has been observed in a single heterozygous state or with another truncation variant in individual with features of Rothmund-Thomson Syndrome, however this variant has not been established as disease-causing [PMID:12734318;PMID:30007837]. Based on these evidences, the c.3062C>G p.Arg1021Gln variant is classified as Variant of Uncertain Significance (VUS). -
Inborn genetic diseases Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsMay 17, 2021This alteration is classified as likely 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. -
Hereditary cancer-predisposing syndrome Benign:1
Likely benign, criteria provided, single submittercurationSema4, Sema4May 25, 2021- -
Baller-Gerold syndrome Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.083
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
3.2
DANN
Benign
0.66
DEOGEN2
Benign
0.019
T;T;T
FATHMM_MKL
Benign
0.25
N
LIST_S2
Benign
0.23
T;T;T
M_CAP
Benign
0.0031
T
MetaRNN
Benign
0.0053
T;T;T
MutationAssessor
Benign
1.1
.;L;.
PrimateAI
Benign
0.28
T
Sift4G
Benign
0.33
T;T;T
Polyphen
0.40
.;B;.
Vest4
0.66
MVP
0.72
GERP RS
-4.4
RBP_binding_hub_radar
0.92
RBP_regulation_power_radar
2.2
Varity_R
0.089
gMVP
0.36

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.26
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.26
Position offset: -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: rs34666647; hg19: chr8-145737701; COSMIC: COSV56740861; COSMIC: COSV56740861; API