chrX-72129904-C-T

Variant summary

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

The NM_001024455.4(RTL5):​c.1637G>A​(p.Arg546His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000109 in 1,096,876 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. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 24)
Exomes 𝑓: 0.000011 ( 0 hom. 2 hem. )

Consequence

RTL5
NM_001024455.4 missense

Scores

3
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.0770
Variant links:
Genes affected
RTL5 (HGNC:29430): (retrotransposon Gag like 5)
NHSL2 (HGNC:33737): (NHS like 2) Predicted to enable calcium ion binding activity. Predicted to be involved in cell differentiation. Predicted to be active in cytoplasm. [provided by Alliance of Genome Resources, Apr 2022]

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=0.09946433).
BS2
High Hemizygotes in GnomAdExome4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RTL5NM_001405151.1 linkuse as main transcriptc.1637G>A p.Arg546His missense_variant 1/1 ENST00000609883.3 NP_001392080.1
RTL5NM_001024455.4 linkuse as main transcriptc.1637G>A p.Arg546His missense_variant 1/2 NP_001019626.1
NHSL2NM_001013627.3 linkuse as main transcriptc.281-2175C>T intron_variant ENST00000633930.2 NP_001013649.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RTL5ENST00000609883.3 linkuse as main transcriptc.1637G>A p.Arg546His missense_variant 1/1 NM_001405151.1 ENSP00000476792 P1
NHSL2ENST00000633930.2 linkuse as main transcriptc.281-2175C>T intron_variant 5 NM_001013627.3 ENSP00000488668 P3Q5HYW2-1

Frequencies

GnomAD3 genomes
Cov.:
24
GnomAD3 exomes
AF:
0.0000223
AC:
4
AN:
179244
Hom.:
0
AF XY:
0.0000153
AC XY:
1
AN XY:
65364
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000734
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:
0.0000250
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000109
AC:
12
AN:
1096876
Hom.:
0
Cov.:
38
AF XY:
0.00000552
AC XY:
2
AN XY:
362368
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000853
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000951
Gnomad4 OTH exome
AF:
0.0000217
GnomAD4 genome
Cov.:
24
Alfa
AF:
0.0000936
Hom.:
0
Bravo
AF:
0.00000756
ExAC
AF:
0.0000579
AC:
7

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 26, 2023The c.1637G>A (p.R546H) alteration is located in exon 1 (coding exon 1) of the RGAG4 gene. This alteration results from a G to A substitution at nucleotide position 1637, causing the arginine (R) at amino acid position 546 to be replaced by a histidine (H). 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
0.13
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
14
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0033
T
FATHMM_MKL
Benign
0.015
N
LIST_S2
Benign
0.59
T
M_CAP
Benign
0.0044
T
MetaRNN
Benign
0.099
T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Uncertain
0.58
T
Sift4G
Uncertain
0.060
T
Polyphen
0.99
D
Vest4
0.23
MutPred
0.30
Loss of glycosylation at P547 (P = 0.0655);
MVP
0.17
ClinPred
0.14
T
GERP RS
3.1
Varity_R
0.070
gMVP
0.096

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: rs768312794; hg19: chrX-71349754; COSMIC: COSV65454236; COSMIC: COSV65454236; API