rs1057520299

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM1PM2PP3PP5

The NM_018684.4(ZC4H2):​c.53G>A​(p.Arg18Lys) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00000893 in 111,923 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 0 hem., cov: 22)

Consequence

ZC4H2
NM_018684.4 missense, splice_region

Scores

2
8
7
Splicing: ADA: 0.9925
2

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 5.23
Variant links:
Genes affected
ZC4H2 (HGNC:24931): (zinc finger C4H2-type containing) This gene encodes a member of the zinc finger domain-containing protein family. This family member has a C-terminal zinc finger domain that is characterized by four cysteine residues and two histidine residues, and it also includes a coiled-coil region. This protein has been detected as an autoantigen in hepatocellular carcinoma patients. This gene has been identified as a potential candidate for X-linked cognitive disability. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2011]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM1
In a chain Zinc finger C4H2 domain-containing protein (size 223) in uniprot entity ZC4H2_HUMAN there are 6 pathogenic changes around while only 0 benign (100%) in NM_018684.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.769
PP5
Variant X-64976325-C-T is Pathogenic according to our data. Variant chrX-64976325-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 378045.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ZC4H2NM_018684.4 linkuse as main transcriptc.53G>A p.Arg18Lys missense_variant, splice_region_variant 1/5 ENST00000374839.8 NP_061154.1 Q9NQZ6-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ZC4H2ENST00000374839.8 linkuse as main transcriptc.53G>A p.Arg18Lys missense_variant, splice_region_variant 1/51 NM_018684.4 ENSP00000363972.3 Q9NQZ6-1

Frequencies

GnomAD3 genomes
AF:
0.00000893
AC:
1
AN:
111923
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34093
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000941
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
Cov.:
29
GnomAD4 genome
AF:
0.00000893
AC:
1
AN:
111923
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
34093
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000941
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Wieacker-Wolff syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMMar 02, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.74
BayesDel_addAF
Uncertain
0.061
T
BayesDel_noAF
Benign
-0.15
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.49
.;T
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.89
D;D
M_CAP
Benign
0.017
T
MetaRNN
Pathogenic
0.77
D;D
MetaSVM
Benign
-0.64
T
MutationAssessor
Benign
1.6
L;L
PrimateAI
Uncertain
0.77
T
PROVEAN
Uncertain
-2.4
N;N
REVEL
Benign
0.23
Sift
Benign
0.16
T;T
Sift4G
Uncertain
0.030
D;T
Polyphen
0.98
.;D
Vest4
0.76
MutPred
0.61
Gain of methylation at R18 (P = 0.0377);Gain of methylation at R18 (P = 0.0377);
MVP
0.62
MPC
1.6
ClinPred
0.97
D
GERP RS
4.7
Varity_R
0.68
gMVP
0.90

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Pathogenic
0.88
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: rs1057520299; hg19: chrX-64196205; API