chrX-120366603-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001142447.3(ATP1B4):​c.142G>A​(p.Val48Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000642 in 1,090,770 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V48A) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.0000064 ( 0 hom. 2 hem. )

Consequence

ATP1B4
NM_001142447.3 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.07
Variant links:
Genes affected
ATP1B4 (HGNC:808): (ATPase Na+/K+ transporting family member beta 4) This gene has been found in all vertebrate genomes sequenced to date. However, this gene has undergone a change in function in placental mammals compared to other species. Specifically, in fish, avian, and amphibian species, this gene encodes plasma membrane-bound beta-subunits of Na,K-ATPase. In placental mammals, the encoded protein interacts with the nuclear transcriptional coregulator SKIP and may be involved in the regulation of TGF-beta signaling. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Mar 2010]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10589391).
BS2
High Hemizygotes in GnomAdExome4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP1B4NM_001142447.3 linkuse as main transcriptc.142G>A p.Val48Met missense_variant 2/8 ENST00000218008.8
ATP1B4NM_012069.5 linkuse as main transcriptc.142G>A p.Val48Met missense_variant 2/8
ATP1B4XM_017029381.2 linkuse as main transcriptc.142G>A p.Val48Met missense_variant 2/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP1B4ENST00000218008.8 linkuse as main transcriptc.142G>A p.Val48Met missense_variant 2/81 NM_001142447.3 P1Q9UN42-1
ATP1B4ENST00000361319.3 linkuse as main transcriptc.142G>A p.Val48Met missense_variant 2/81 Q9UN42-2
ATP1B4ENST00000539306.5 linkuse as main transcriptc.142G>A p.Val48Met missense_variant 2/72

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.0000166
AC:
3
AN:
180395
Hom.:
0
AF XY:
0.0000150
AC XY:
1
AN XY:
66657
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:
0.000157
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000642
AC:
7
AN:
1090770
Hom.:
0
Cov.:
29
AF XY:
0.00000561
AC XY:
2
AN XY:
356382
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000331
Gnomad4 SAS exome
AF:
0.0000371
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000120
Gnomad4 OTH exome
AF:
0.0000655
GnomAD4 genome
Cov.:
22
Bravo
AF:
0.00000378
ExAC
AF:
0.0000247
AC:
3

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 12, 2023The c.142G>A (p.V48M) alteration is located in exon 2 (coding exon 2) of the ATP1B4 gene. This alteration results from a G to A substitution at nucleotide position 142, causing the valine (V) at amino acid position 48 to be replaced by a methionine (M). 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
0.11
BayesDel_addAF
Benign
-0.63
T
BayesDel_noAF
Benign
-0.93
CADD
Benign
15
DANN
Uncertain
0.98
DEOGEN2
Benign
0.0064
T;T;.
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.73
T;T;T
M_CAP
Benign
0.012
T
MetaRNN
Benign
0.11
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.0
.;N;N
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.020
N;N;N
REVEL
Benign
0.034
Sift
Benign
0.067
T;T;T
Sift4G
Benign
0.074
T;T;T
Polyphen
0.21
B;B;P
Vest4
0.069
MutPred
0.12
Loss of sheet (P = 0.0315);Loss of sheet (P = 0.0315);Loss of sheet (P = 0.0315);
MVP
0.23
MPC
0.46
ClinPred
0.14
T
GERP RS
3.6
Varity_R
0.047
gMVP
0.27

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: rs766686718; hg19: chrX-119500458; API