rs1274892461

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_153274.3(BEST4):​c.1391C>T​(p.Ala464Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000384 in 1,301,940 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000038 ( 0 hom. )

Consequence

BEST4
NM_153274.3 missense

Scores

1
1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.192

Publications

0 publications found
Variant links:
Genes affected
BEST4 (HGNC:17106): (bestrophin 4) This gene is a member of the bestrophin gene family of anion channels. Bestrophin genes share a similar gene structure with highly conserved exon-intron boundaries, but with distinct 3' ends. Bestrophins are transmembrane proteins that contain a homologous region rich in aromatic residues, including an invariant arg-phe-pro motif. Mutation in one of the family members (bestrophin 1) is associated with vitelliform macular dystrophy. The bestrophin 4 gene is predominantly expressed in the colon. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.08568275).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_153274.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BEST4
NM_153274.3
MANE Select
c.1391C>Tp.Ala464Val
missense
Exon 9 of 9NP_695006.1Q8NFU0

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BEST4
ENST00000372207.4
TSL:1 MANE Select
c.1391C>Tp.Ala464Val
missense
Exon 9 of 9ENSP00000361281.3Q8NFU0
BEST4
ENST00000881840.1
c.1391C>Tp.Ala464Val
missense
Exon 11 of 12ENSP00000551899.1
BEST4
ENST00000881841.1
c.1391C>Tp.Ala464Val
missense
Exon 9 of 10ENSP00000551900.1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000176
AC:
1
AN:
56684
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000479
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000384
AC:
5
AN:
1301940
Hom.:
0
Cov.:
31
AF XY:
0.00000625
AC XY:
4
AN XY:
639762
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
25950
American (AMR)
AF:
0.00
AC:
0
AN:
22086
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
21892
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28402
South Asian (SAS)
AF:
0.00
AC:
0
AN:
68928
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
32022
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4250
European-Non Finnish (NFE)
AF:
0.00000479
AC:
5
AN:
1044460
Other (OTH)
AF:
0.00
AC:
0
AN:
53950
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.455
Heterozygous variant carriers
0
1
1
2
2
3
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
Cov.:
32

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.079
BayesDel_addAF
Benign
-0.048
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
9.6
DANN
Benign
0.94
DEOGEN2
Benign
0.031
T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.082
N
LIST_S2
Benign
0.47
T
M_CAP
Pathogenic
0.39
D
MetaRNN
Benign
0.086
T
MetaSVM
Uncertain
0.18
D
MutationAssessor
Benign
1.1
L
PhyloP100
0.19
PrimateAI
Benign
0.37
T
PROVEAN
Benign
-0.43
N
REVEL
Benign
0.22
Sift
Benign
0.38
T
Sift4G
Benign
0.28
T
Polyphen
0.0
B
Vest4
0.052
MutPred
0.094
Loss of relative solvent accessibility (P = 0.0404)
MVP
0.50
MPC
0.84
ClinPred
0.068
T
GERP RS
0.069
Varity_R
0.023
gMVP
0.28
Mutation Taster
=98/2
polymorphism

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: rs1274892461; hg19: chr1-45249913; API