chr8-144516313-C-T

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PVS1PM2PP5_Moderate

The NM_004260.4(RECQL4):​c.806G>A​(p.Trp269Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000412 in 1,457,622 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 Pathogenic (★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

RECQL4
NM_004260.4 stop_gained

Scores

4

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: -2.87
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 Pathogenic. Variant got 12 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 8-144516313-C-T is Pathogenic according to our data. Variant chr8-144516313-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 6072.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr8-144516313-C-T is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RECQL4NM_004260.4 linkuse as main transcriptc.806G>A p.Trp269Ter stop_gained 5/21 ENST00000617875.6 NP_004251.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RECQL4ENST00000617875.6 linkuse as main transcriptc.806G>A p.Trp269Ter stop_gained 5/211 NM_004260.4 ENSP00000482313 P1
RECQL4ENST00000621189.4 linkuse as main transcriptc.-266G>A 5_prime_UTR_variant 4/201 ENSP00000483145
RECQL4ENST00000524998.1 linkuse as main transcriptc.329G>A p.Trp110Ter stop_gained 3/43 ENSP00000476579
RECQL4ENST00000534538.1 linkuse as main transcriptc.*610G>A 3_prime_UTR_variant, NMD_transcript_variant 4/43 ENSP00000476318

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD3 exomes
AF:
0.00000413
AC:
1
AN:
242414
Hom.:
0
AF XY:
0.00000756
AC XY:
1
AN XY:
132292
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000913
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000412
AC:
6
AN:
1457622
Hom.:
0
Cov.:
66
AF XY:
0.00000414
AC XY:
3
AN XY:
724914
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:
0.00
Gnomad4 FIN exome
AF:
0.0000393
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
34
ExAC
AF:
0.00000830
AC:
1

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Rapadilino syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMNov 01, 2003- -
Baller-Gerold syndrome Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpApr 11, 2021For these reasons, this variant has been classified as Pathogenic. This variant has been observed in an individual affected with RAPADILINO syndrome who was also reported to carry another pathogenic RECQL4 variant in trans (PMID: 12952869). ClinVar contains an entry for this variant (Variation ID: 6072). This variant is present in population databases (rs137853231, ExAC 0.002%). This sequence change creates a premature translational stop signal (p.Trp269*) in the RECQL4 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in RECQL4 are known to be pathogenic (PMID: 12734318, 12952869). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
0.0013
T
BayesDel_noAF
Benign
-0.24
CADD
Pathogenic
28
DANN
Benign
0.59
FATHMM_MKL
Benign
0.014
N
Vest4
0.56
GERP RS
-3.5
RBP_binding_hub_radar
1.0
RBP_regulation_power_radar
2.1

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs137853231; hg19: chr8-145741697; API