rs112149155

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_017636.4(TRPM4):​c.127G>A​(p.Ala43Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000581 in 1,600,998 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00025 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000038 ( 0 hom. )

Consequence

TRPM4
NM_017636.4 missense

Scores

18

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:7

Conservation

PhyloP100: -0.265

Publications

0 publications found
Variant links:
Genes affected
TRPM4 (HGNC:17993): (transient receptor potential cation channel subfamily M member 4) The protein encoded by this gene is a calcium-activated nonselective ion channel that mediates transport of monovalent cations across membranes, thereby depolarizing the membrane. The activity of the encoded protein increases with increasing intracellular calcium concentration, but this channel does not transport calcium. [provided by RefSeq, Mar 2016]
TRPM4 Gene-Disease associations (from GenCC):
  • erythrokeratodermia variabilis et progressiva 6
    Inheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), G2P, Ambry Genetics
  • progressive familial heart block type IB
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
  • erythrokeratodermia variabilis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • progressive familial heart block
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Brugada syndrome
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Genomics England PanelApp, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.022551656).
BS2
High AC in GnomAd4 at 38 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_017636.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TRPM4
NM_017636.4
MANE Select
c.127G>Ap.Ala43Thr
missense
Exon 3 of 25NP_060106.2
TRPM4
NM_001321281.2
c.127G>Ap.Ala43Thr
missense
Exon 3 of 23NP_001308210.1
TRPM4
NM_001195227.2
c.127G>Ap.Ala43Thr
missense
Exon 3 of 24NP_001182156.1Q8TD43-3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TRPM4
ENST00000252826.10
TSL:1 MANE Select
c.127G>Ap.Ala43Thr
missense
Exon 3 of 25ENSP00000252826.4Q8TD43-1
TRPM4
ENST00000427978.6
TSL:1
c.127G>Ap.Ala43Thr
missense
Exon 3 of 24ENSP00000407492.1Q8TD43-3
TRPM4
ENST00000598502.5
TSL:1
n.127G>A
non_coding_transcript_exon
Exon 3 of 24ENSP00000470229.1M0QZ19

Frequencies

GnomAD3 genomes
AF:
0.000243
AC:
37
AN:
152158
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000844
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
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
GnomAD2 exomes
AF:
0.0000489
AC:
11
AN:
224744
AF XY:
0.0000490
show subpopulations
Gnomad AFR exome
AF:
0.000584
Gnomad AMR exome
AF:
0.0000633
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000182
GnomAD4 exome
AF:
0.0000380
AC:
55
AN:
1448722
Hom.:
0
Cov.:
31
AF XY:
0.0000431
AC XY:
31
AN XY:
719606
show subpopulations
African (AFR)
AF:
0.00102
AC:
34
AN:
33346
American (AMR)
AF:
0.0000472
AC:
2
AN:
42406
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25728
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39170
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84228
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51518
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5246
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1107254
Other (OTH)
AF:
0.000318
AC:
19
AN:
59826
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
4
7
11
14
18
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000250
AC:
38
AN:
152276
Hom.:
0
Cov.:
32
AF XY:
0.000269
AC XY:
20
AN XY:
74450
show subpopulations
African (AFR)
AF:
0.000866
AC:
36
AN:
41568
American (AMR)
AF:
0.000131
AC:
2
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67990
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.511
Heterozygous variant carriers
0
3
6
8
11
14
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000285
Hom.:
0
Bravo
AF:
0.000215
ESP6500AA
AF:
0.000684
AC:
3
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000662
AC:
8
Asia WGS
AF:
0.00144
AC:
5
AN:
3478

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
3
-
not provided (3)
-
2
-
Progressive familial heart block type IB (2)
-
1
-
Cardiovascular phenotype (1)
-
1
-
Progressive familial heart block type IB;C5193144:Erythrokeratodermia variabilis et progressiva 6 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.067
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
2.3
DANN
Benign
0.92
DEOGEN2
Benign
0.11
T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.41
T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.023
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.1
L
PhyloP100
-0.27
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.53
N
REVEL
Benign
0.014
Sift
Benign
0.44
T
Sift4G
Benign
1.0
T
Polyphen
0.0040
B
Vest4
0.10
MVP
0.54
MPC
0.28
ClinPred
0.0070
T
GERP RS
-2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.032
gMVP
0.19
Mutation Taster
=94/6
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs112149155; hg19: chr19-49669332; API
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.