rs1298412798

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_174907.4(PPP4R2):​c.118A>G​(p.Ile40Val) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000724 in 1,380,638 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/24 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.2e-7 ( 0 hom. )

Consequence

PPP4R2
NM_174907.4 missense, splice_region

Scores

1
18
Splicing: ADA: 0.0005342
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.27

Publications

0 publications found
Variant links:
Genes affected
PPP4R2 (HGNC:18296): (protein phosphatase 4 regulatory subunit 2) The protein encoded by this gene is a regulatory subunit of the serine/threonine-protein phosphatase 4 complex. In addition to being required for efficient DNA double strand break repair, this complex plays a role in organization of microtubules at centrosomes and processing of spliceosomal snRNPs. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Dec 2015]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.059205085).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PPP4R2NM_174907.4 linkc.118A>G p.Ile40Val missense_variant, splice_region_variant Exon 3 of 9 ENST00000356692.10 NP_777567.1 Q9NY27-1
PPP4R2NM_001318026.2 linkc.4A>G p.Ile2Val missense_variant, splice_region_variant Exon 3 of 9 NP_001304955.1 Q9NY27
PPP4R2NM_001318025.2 linkc.117-11850A>G intron_variant Intron 2 of 7 NP_001304954.1 Q9NY27-2
PPP4R2NM_001318027.2 linkc.-164-11850A>G intron_variant Intron 2 of 7 NP_001304956.1 Q9NY27

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PPP4R2ENST00000356692.10 linkc.118A>G p.Ile40Val missense_variant, splice_region_variant Exon 3 of 9 1 NM_174907.4 ENSP00000349124.5 Q9NY27-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000638
AC:
1
AN:
156732
AF XY:
0.0000120
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:
0.0000158
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
7.24e-7
AC:
1
AN:
1380638
Hom.:
0
Cov.:
27
AF XY:
0.00000146
AC XY:
1
AN XY:
683054
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30496
American (AMR)
AF:
0.00
AC:
0
AN:
32738
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24512
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35992
South Asian (SAS)
AF:
0.00
AC:
0
AN:
77420
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50044
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4462
European-Non Finnish (NFE)
AF:
9.36e-7
AC:
1
AN:
1067896
Other (OTH)
AF:
0.00
AC:
0
AN:
57078
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000843
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Apr 08, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.118A>G (p.I40V) alteration is located in exon 3 (coding exon 3) of the PPP4R2 gene. This alteration results from a A to G substitution at nucleotide position 118, causing the isoleucine (I) at amino acid position 40 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.20
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
21
DANN
Benign
0.77
DEOGEN2
Benign
0.0039
T;T;T
Eigen
Benign
-0.33
Eigen_PC
Benign
-0.10
FATHMM_MKL
Benign
0.69
D
LIST_S2
Benign
0.84
T;T;T
M_CAP
Benign
0.0034
T
MetaRNN
Benign
0.059
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.73
N;.;.
PhyloP100
3.3
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-0.26
N;N;N
REVEL
Benign
0.045
Sift
Benign
0.60
T;T;T
Sift4G
Benign
1.0
T;T;.
Polyphen
0.016
B;.;.
Vest4
0.085
MutPred
0.22
Gain of catalytic residue at I40 (P = 0.0983);Gain of catalytic residue at I40 (P = 0.0983);.;
MVP
0.15
MPC
0.064
ClinPred
0.29
T
GERP RS
4.3
Varity_R
0.057
gMVP
0.29
Mutation Taster
=74/26
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00053
dbscSNV1_RF
Benign
0.028
SpliceAI score (max)
0.010
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: rs1298412798; hg19: chr3-73096338; API