Our verdict is Benign. The variant received -10 ACMG points: 2P and 12B. PM2BP4_StrongBP6_Very_Strong
The NM_004260.4(RECQL4):c.1729C>T(p.Leu577Leu) variant causes a synonymous change. The variant allele was found at a frequency of 0.00000138 in 1,454,544 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. L577L) has been classified as Likely benign.
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]
Our verdict: Benign. The variant received -10 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.59).
BP6
Variant 8-144514338-G-A is Benign according to our data. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-144514338-G-A is described in CliVar as Likely_benign. Clinvar id is 459340.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000300
AC:
1
AN:
33386
American (AMR)
AF:
0.00
AC:
0
AN:
44456
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25890
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39576
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86002
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51274
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5746
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1108106
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60108
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.044843), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.350
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Age Distribution
Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
152162
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
74332
African (AFR)
AF:
0.00
AC:
0
AN:
41418
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5198
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4838
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10616
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68016
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Alfa
AF:
0.00
Hom.:
0
ClinVar
Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
This 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. -