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chrX-136344734-C-A

Variant summary

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

The NM_153834.4(ADGRG4):​c.1028C>A​(p.Thr343Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000174 in 1,207,333 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 10 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 12/19 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. T343R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000027 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000016 ( 0 hom. 9 hem. )

Consequence

ADGRG4
NM_153834.4 missense

Scores

1
2
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.775
Variant links:
Genes affected
ADGRG4 (HGNC:18992): (adhesion G protein-coupled receptor G4) This gene encodes a G-protein coupled receptor belonging to a large family of diverse integral membrane proteins that participate in various physiological functions. Members of this superfamily are characterized by a signature 7-transmembrane domain motif. The ligand for this family member is unknown, and it is therefore an orphan receptor. This receptor is known to be expressed in normal enterochromaffin cells and in gastrointestinal neuroendocrine carcinoma cells, and it is therefore considered to be a novel biomarker or target for immunotherapy. [provided by RefSeq, May 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.099919945).
BS2
High Hemizygotes in GnomAdExome4 at 9 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ADGRG4NM_153834.4 linkuse as main transcriptc.1028C>A p.Thr343Lys missense_variant 6/26 ENST00000394143.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ADGRG4ENST00000394143.6 linkuse as main transcriptc.1028C>A p.Thr343Lys missense_variant 6/261 NM_153834.4 P1Q8IZF6-1
ADGRG4ENST00000394141.1 linkuse as main transcriptc.413C>A p.Thr138Lys missense_variant 3/231 Q8IZF6-3
ADGRG4ENST00000370652.5 linkuse as main transcriptc.1028C>A p.Thr343Lys missense_variant 4/245 P1Q8IZF6-1

Frequencies

GnomAD3 genomes
AF:
0.0000269
AC:
3
AN:
111596
Hom.:
0
Cov.:
23
AF XY:
0.0000295
AC XY:
1
AN XY:
33848
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000281
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000377
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000331
AC:
6
AN:
181010
Hom.:
0
AF XY:
0.0000455
AC XY:
3
AN XY:
66004
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000369
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000362
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000164
AC:
18
AN:
1095737
Hom.:
0
Cov.:
32
AF XY:
0.0000249
AC XY:
9
AN XY:
361331
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000571
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000994
Gnomad4 SAS exome
AF:
0.0000186
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000143
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000269
AC:
3
AN:
111596
Hom.:
0
Cov.:
23
AF XY:
0.0000295
AC XY:
1
AN XY:
33848
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000281
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000377
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000340
ExAC
AF:
0.0000330
AC:
4

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 GeneticsDec 17, 2023The c.1028C>A (p.T343K) alteration is located in exon 6 (coding exon 3) of the ADGRG4 gene. This alteration results from a C to A substitution at nucleotide position 1028, causing the threonine (T) at amino acid position 343 to be replaced by a lysine (K). 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
0.19
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
15
DANN
Benign
0.93
DEOGEN2
Benign
0.017
T;T;.
FATHMM_MKL
Benign
0.16
N
M_CAP
Uncertain
0.095
D
MetaRNN
Benign
0.10
T;T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Benign
0.36
T
PROVEAN
Benign
-1.6
N;N;N
REVEL
Benign
0.066
Sift
Pathogenic
0.0
D;D;D
Sift4G
Uncertain
0.0050
D;D;D
Polyphen
0.95
P;P;D
Vest4
0.24
MutPred
0.36
Gain of solvent accessibility (P = 0.0044);Gain of solvent accessibility (P = 0.0044);.;
MVP
0.014
MPC
0.18
ClinPred
0.23
T
GERP RS
0.40
Varity_R
0.30
gMVP
0.43

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: rs201466383; hg19: chrX-135426893; API