rs142365973

Variant summary

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

The NM_000670.5(ADH4):​c.680G>T​(p.Gly227Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00228 in 1,614,130 control chromosomes in the GnomAD database, including 7 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0014 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0024 ( 6 hom. )

Consequence

ADH4
NM_000670.5 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.307

Publications

4 publications found
Variant links:
Genes affected
ADH4 (HGNC:252): (alcohol dehydrogenase 4 (class II), pi polypeptide) This gene encodes class II alcohol dehydrogenase 4 pi subunit, which is a member of the alcohol dehydrogenase family. Members of this enzyme family metabolize a wide variety of substrates, including ethanol, retinol, other aliphatic alcohols, hydroxysteroids, and lipid peroxidation products. Class II alcohol dehydrogenase is a homodimer composed of 2 pi subunits. It exhibits a high activity for oxidation of long-chain aliphatic alcohols and aromatic alcohols and is less sensitive to pyrazole. This gene is localized to chromosome 4 in the cluster of alcohol dehydrogenase genes. [provided by RefSeq, Jul 2008]

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=0.023301274).
BS2
High Homozygotes in GnomAdExome4 at 6 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ADH4NM_000670.5 linkc.680G>T p.Gly227Val missense_variant Exon 6 of 9 ENST00000265512.12 NP_000661.2 P08319-1V9HVX7
ADH4NM_001306171.2 linkc.737G>T p.Gly246Val missense_variant Exon 7 of 10 NP_001293100.1 P08319-2V9HVX7
ADH4NM_001306172.2 linkc.737G>T p.Gly246Val missense_variant Exon 7 of 10 NP_001293101.1 P08319-2V9HVX7
LOC100507053NR_037884.1 linkn.429-1888C>A intron_variant Intron 1 of 9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ADH4ENST00000265512.12 linkc.680G>T p.Gly227Val missense_variant Exon 6 of 9 1 NM_000670.5 ENSP00000265512.7 P08319-1

Frequencies

GnomAD3 genomes
AF:
0.00139
AC:
211
AN:
152148
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000555
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000459
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.00250
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00104
AC:
261
AN:
251354
AF XY:
0.000950
show subpopulations
Gnomad AFR exome
AF:
0.000246
Gnomad AMR exome
AF:
0.000376
Gnomad ASJ exome
AF:
0.000496
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000370
Gnomad NFE exome
AF:
0.00199
Gnomad OTH exome
AF:
0.000815
GnomAD4 exome
AF:
0.00238
AC:
3476
AN:
1461864
Hom.:
6
Cov.:
36
AF XY:
0.00229
AC XY:
1662
AN XY:
727236
show subpopulations
African (AFR)
AF:
0.000448
AC:
15
AN:
33478
American (AMR)
AF:
0.000313
AC:
14
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.000689
AC:
18
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39698
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86258
European-Finnish (FIN)
AF:
0.000262
AC:
14
AN:
53420
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5768
European-Non Finnish (NFE)
AF:
0.00296
AC:
3290
AN:
1111986
Other (OTH)
AF:
0.00202
AC:
122
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
203
407
610
814
1017
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
138
276
414
552
690
<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:
0.00139
AC:
212
AN:
152266
Hom.:
1
Cov.:
32
AF XY:
0.00109
AC XY:
81
AN XY:
74454
show subpopulations
African (AFR)
AF:
0.000553
AC:
23
AN:
41564
American (AMR)
AF:
0.000458
AC:
7
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.000576
AC:
2
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.000377
AC:
4
AN:
10614
Middle Eastern (MID)
AF:
0.0170
AC:
5
AN:
294
European-Non Finnish (NFE)
AF:
0.00251
AC:
171
AN:
68014
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
11
23
34
46
57
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00180
Hom.:
1
Bravo
AF:
0.00128
TwinsUK
AF:
0.00270
AC:
10
ALSPAC
AF:
0.00415
AC:
16
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00302
AC:
26
ExAC
AF:
0.000939
AC:
114
EpiCase
AF:
0.00245
EpiControl
AF:
0.00190

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Jan 18, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.680G>T (p.G227V) alteration is located in exon 6 (coding exon 6) of the ADH4 gene. This alteration results from a G to T substitution at nucleotide position 680, causing the glycine (G) at amino acid position 227 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
Uncertain
0.38
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
13
DANN
Benign
0.93
DEOGEN2
Benign
0.080
.;T;T;.;.
Eigen
Benign
-0.59
Eigen_PC
Benign
-0.74
FATHMM_MKL
Benign
0.050
N
LIST_S2
Benign
0.84
.;T;T;T;T
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.023
T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.5
.;.;L;.;.
PhyloP100
-0.31
PrimateAI
Benign
0.31
T
PROVEAN
Pathogenic
-5.9
D;.;D;D;D
REVEL
Benign
0.16
Sift
Benign
0.033
D;.;D;D;D
Sift4G
Benign
0.095
T;T;T;T;.
Polyphen
0.48
P;.;P;P;.
Vest4
0.34
MVP
0.18
MPC
0.048
ClinPred
0.049
T
GERP RS
-0.94
Varity_R
0.69
gMVP
0.75
Mutation Taster
=66/34
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: rs142365973; hg19: chr4-100052818; COSMIC: COSV99039257; COSMIC: COSV99039257; API