rs11553600

Variant summary

Our verdict is Benign. The variant received -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_004924.6(ACTN4):​c.537G>A​(p.Pro179Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.17 in 1,613,962 control chromosomes in the GnomAD database, including 24,878 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. P179P) has been classified as Benign.

Frequency

Genomes: 𝑓 0.15 ( 2028 hom., cov: 33)
Exomes 𝑓: 0.17 ( 22850 hom. )

Consequence

ACTN4
NM_004924.6 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -3.55

Publications

15 publications found
Variant links:
Genes affected
ACTN4 (HGNC:166): (actinin alpha 4) Alpha actinins belong to the spectrin gene superfamily which represents a diverse group of cytoskeletal proteins, including the alpha and beta spectrins and dystrophins. Alpha actinin is an actin-binding protein with multiple roles in different cell types. In nonmuscle cells, the cytoskeletal isoform is found along microfilament bundles and adherens-type junctions, where it is involved in binding actin to the membrane. In contrast, skeletal, cardiac, and smooth muscle isoforms are localized to the Z-disc and analogous dense bodies, where they help anchor the myofibrillar actin filaments. This gene encodes a nonmuscle, alpha actinin isoform which is concentrated in the cytoplasm, and thought to be involved in metastatic processes. Mutations in this gene have been associated with focal and segmental glomerulosclerosis. [provided by RefSeq, Jul 2008]
ACTN4 Gene-Disease associations (from GenCC):
  • focal segmental glomerulosclerosis 1
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • familial idiopathic steroid-resistant nephrotic syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.49).
BP6
Variant 19-38706096-G-A is Benign according to our data. Variant chr19-38706096-G-A is described in ClinVar as [Benign]. Clinvar id is 259581.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-3.55 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.189 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACTN4NM_004924.6 linkc.537G>A p.Pro179Pro synonymous_variant Exon 5 of 21 ENST00000252699.7 NP_004915.2 O43707-1A0A0S2Z3G9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACTN4ENST00000252699.7 linkc.537G>A p.Pro179Pro synonymous_variant Exon 5 of 21 1 NM_004924.6 ENSP00000252699.2 O43707-1

Frequencies

GnomAD3 genomes
AF:
0.150
AC:
22844
AN:
152118
Hom.:
2028
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0807
Gnomad AMI
AF:
0.354
Gnomad AMR
AF:
0.157
Gnomad ASJ
AF:
0.218
Gnomad EAS
AF:
0.00810
Gnomad SAS
AF:
0.159
Gnomad FIN
AF:
0.159
Gnomad MID
AF:
0.335
Gnomad NFE
AF:
0.192
Gnomad OTH
AF:
0.181
GnomAD2 exomes
AF:
0.157
AC:
39589
AN:
251456
AF XY:
0.163
show subpopulations
Gnomad AFR exome
AF:
0.0788
Gnomad AMR exome
AF:
0.105
Gnomad ASJ exome
AF:
0.218
Gnomad EAS exome
AF:
0.00386
Gnomad FIN exome
AF:
0.166
Gnomad NFE exome
AF:
0.199
Gnomad OTH exome
AF:
0.195
GnomAD4 exome
AF:
0.172
AC:
251223
AN:
1461726
Hom.:
22850
Cov.:
32
AF XY:
0.173
AC XY:
126018
AN XY:
727186
show subpopulations
African (AFR)
AF:
0.0811
AC:
2716
AN:
33480
American (AMR)
AF:
0.111
AC:
4984
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.218
AC:
5687
AN:
26128
East Asian (EAS)
AF:
0.00229
AC:
91
AN:
39694
South Asian (SAS)
AF:
0.163
AC:
14032
AN:
86256
European-Finnish (FIN)
AF:
0.164
AC:
8747
AN:
53408
Middle Eastern (MID)
AF:
0.324
AC:
1866
AN:
5768
European-Non Finnish (NFE)
AF:
0.183
AC:
202978
AN:
1111878
Other (OTH)
AF:
0.168
AC:
10122
AN:
60390
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
12164
24329
36493
48658
60822
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
6808
13616
20424
27232
34040
<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:
0.150
AC:
22853
AN:
152236
Hom.:
2028
Cov.:
33
AF XY:
0.149
AC XY:
11068
AN XY:
74438
show subpopulations
African (AFR)
AF:
0.0808
AC:
3355
AN:
41540
American (AMR)
AF:
0.157
AC:
2404
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.218
AC:
758
AN:
3470
East Asian (EAS)
AF:
0.00812
AC:
42
AN:
5174
South Asian (SAS)
AF:
0.158
AC:
763
AN:
4828
European-Finnish (FIN)
AF:
0.159
AC:
1689
AN:
10602
Middle Eastern (MID)
AF:
0.357
AC:
105
AN:
294
European-Non Finnish (NFE)
AF:
0.192
AC:
13035
AN:
68002
Other (OTH)
AF:
0.180
AC:
381
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
994
1987
2981
3974
4968
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
240
480
720
960
1200
<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:
0.176
Hom.:
2077
Bravo
AF:
0.146
Asia WGS
AF:
0.0830
AC:
288
AN:
3476
EpiCase
AF:
0.213
EpiControl
AF:
0.210

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jul 05, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

not specified Benign:2
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 15, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 30% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 28. Only high quality variants are reported. -

Focal segmental glomerulosclerosis 1 Benign:2
Dec 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 12, 2017
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.49
CADD
Benign
0.56
DANN
Benign
0.57
PhyloP100
-3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Mutation Taster
=99/1
polymorphism (auto)

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

Other links and lift over

dbSNP: rs11553600; hg19: chr19-39196736; COSMIC: COSV53145434; COSMIC: COSV53145434; API