rs11536898
Variant names: 
Variant summary
Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1
The NM_138554.5(TLR4):c.*3284C>A variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.142 in 152,054 control chromosomes in the GnomAD database, including 1,682 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: 𝑓 0.14   (  1682   hom.,  cov: 32) 
 Exomes 𝑓:  0.15   (  0   hom.  ) 
Consequence
 TLR4
NM_138554.5 3_prime_UTR
NM_138554.5 3_prime_UTR
Scores
 2
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  0.196  
Publications
39 publications found 
Genes affected
 TLR4  (HGNC:11850):  (toll like receptor 4) The protein encoded by this gene is a member of the Toll-like receptor (TLR) family which plays a fundamental role in pathogen recognition and activation of innate immunity. TLRs are highly conserved from Drosophila to humans and share structural and functional similarities. They recognize pathogen-associated molecular patterns that are expressed on infectious agents, and mediate the production of cytokines necessary for the development of effective immunity. The various TLRs exhibit different patterns of expression. In silico studies have found a particularly strong binding of surface TLR4 with the spike protein of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of Coronavirus disease-2019 (COVID-19). This receptor has also been implicated in signal transduction events induced by lipopolysaccharide (LPS) found in most gram-negative bacteria. Mutations in this gene have been associated with differences in LPS responsiveness, and with susceptibility to age-related macular degeneration. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2020] 
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ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -12 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.95). 
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.202  is higher than 0.05. 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| TLR4 | NM_138554.5 | c.*3284C>A | 3_prime_UTR_variant | Exon 3 of 3 | ENST00000355622.8 | NP_612564.1 | ||
| TLR4 | NM_003266.4 | c.*3284C>A | 3_prime_UTR_variant | Exon 4 of 4 | NP_003257.1 | |||
| TLR4 | NM_138557.3 | c.*3284C>A | 3_prime_UTR_variant | Exon 2 of 2 | NP_612567.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| TLR4 | ENST00000355622.8 | c.*3284C>A | 3_prime_UTR_variant | Exon 3 of 3 | 1 | NM_138554.5 | ENSP00000363089.5 | |||
| ENSG00000285082 | ENST00000697666.1 | c.140+9203C>A | intron_variant | Intron 3 of 4 | ENSP00000513391.1 | 
Frequencies
GnomAD3 genomes  0.142  AC: 21531AN: 151916Hom.:  1674  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
21531
AN: 
151916
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD4 exome  AF:  0.150  AC: 3AN: 20Hom.:  0  Cov.: 0 AF XY:  0.167  AC XY: 1AN XY: 6 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
3
AN: 
20
Hom.: 
Cov.: 
0
 AF XY: 
AC XY: 
1
AN XY: 
6
show subpopulations 
African (AFR) 
AC: 
0
AN: 
0
American (AMR) 
AC: 
0
AN: 
0
Ashkenazi Jewish (ASJ) 
AC: 
0
AN: 
0
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
4
South Asian (SAS) 
AC: 
0
AN: 
0
European-Finnish (FIN) 
AC: 
0
AN: 
0
Middle Eastern (MID) 
AC: 
0
AN: 
0
European-Non Finnish (NFE) 
 AF: 
AC: 
3
AN: 
16
Other (OTH) 
AC: 
0
AN: 
0
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.408 
Heterozygous variant carriers
 0 
 1 
 1 
 2 
 2 
 3 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
GnomAD4 genome  0.142  AC: 21570AN: 152034Hom.:  1682  Cov.: 32 AF XY:  0.138  AC XY: 10279AN XY: 74334 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
21570
AN: 
152034
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
10279
AN XY: 
74334
show subpopulations 
African (AFR) 
 AF: 
AC: 
8515
AN: 
41460
American (AMR) 
 AF: 
AC: 
1590
AN: 
15270
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
470
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
551
AN: 
5174
South Asian (SAS) 
 AF: 
AC: 
503
AN: 
4820
European-Finnish (FIN) 
 AF: 
AC: 
896
AN: 
10566
Middle Eastern (MID) 
 AF: 
AC: 
32
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
8660
AN: 
67958
Other (OTH) 
 AF: 
AC: 
275
AN: 
2108
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.497 
Heterozygous variant carriers
 0 
 925 
 1850 
 2776 
 3701 
 4626 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 228 
 456 
 684 
 912 
 1140 
 <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: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
408
AN: 
3478
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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