chrX-72130073-C-G

Variant summary

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

The NM_001024455.4(RTL5):ā€‹c.1468G>Cā€‹(p.Ala490Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0001 in 1,208,928 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 38 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 11/16 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000090 ( 0 hom., 3 hem., cov: 21)
Exomes š‘“: 0.00010 ( 0 hom. 35 hem. )

Consequence

RTL5
NM_001024455.4 missense

Scores

13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.691
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=0.09528506).
BS2
High Hemizygotes in GnomAd4 at 3 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RTL5NM_001405151.1 linkuse as main transcriptc.1468G>C p.Ala490Pro missense_variant 1/1 ENST00000609883.3 NP_001392080.1
RTL5NM_001024455.4 linkuse as main transcriptc.1468G>C p.Ala490Pro missense_variant 1/2 NP_001019626.1
NHSL2NM_001013627.3 linkuse as main transcriptc.281-2006C>G 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.1468G>C p.Ala490Pro missense_variant 1/1 NM_001405151.1 ENSP00000476792 P1
NHSL2ENST00000633930.2 linkuse as main transcriptc.281-2006C>G intron_variant 5 NM_001013627.3 ENSP00000488668 P3Q5HYW2-1

Frequencies

GnomAD3 genomes
AF:
0.0000902
AC:
10
AN:
110912
Hom.:
0
Cov.:
21
AF XY:
0.0000906
AC XY:
3
AN XY:
33124
show subpopulations
Gnomad AFR
AF:
0.0000329
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000947
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000151
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000827
AC:
15
AN:
181458
Hom.:
0
AF XY:
0.0000742
AC XY:
5
AN XY:
67410
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000804
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000111
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000101
AC:
111
AN:
1098016
Hom.:
0
Cov.:
34
AF XY:
0.0000963
AC XY:
35
AN XY:
363442
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000284
Gnomad4 ASJ exome
AF:
0.00124
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000855
Gnomad4 OTH exome
AF:
0.000195
GnomAD4 genome
AF:
0.0000902
AC:
10
AN:
110912
Hom.:
0
Cov.:
21
AF XY:
0.0000906
AC XY:
3
AN XY:
33124
show subpopulations
Gnomad4 AFR
AF:
0.0000329
Gnomad4 AMR
AF:
0.0000947
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000151
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000172
Hom.:
5
Bravo
AF:
0.0000680
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000457
AC:
3
ExAC
AF:
0.0000991
AC:
12
EpiCase
AF:
0.000164
EpiControl
AF:
0.000119

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 GeneticsOct 13, 2023The c.1468G>C (p.A490P) alteration is located in exon 1 (coding exon 1) of the RGAG4 gene. This alteration results from a G to C substitution at nucleotide position 1468, causing the alanine (A) at amino acid position 490 to be replaced by a proline (P). 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
0.20
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
12
DANN
Benign
0.79
DEOGEN2
Benign
0.0041
T
FATHMM_MKL
Benign
0.059
N
LIST_S2
Benign
0.42
T
M_CAP
Benign
0.0028
T
MetaRNN
Benign
0.095
T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.27
T
Sift4G
Benign
0.15
T
Polyphen
0.99
D
Vest4
0.27
MVP
0.13
ClinPred
0.056
T
GERP RS
2.1
Varity_R
0.31
gMVP
0.34

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: rs200189694; hg19: chrX-71349923; API