rs147795328

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_005050.4(ABCD4):​c.1042C>T​(p.Arg348Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00138 in 1,614,070 control chromosomes in the GnomAD database, including 37 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.00092 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0014 ( 35 hom. )

Consequence

ABCD4
NM_005050.4 missense

Scores

1
5
12

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 3.09
Variant links:
Genes affected
ABCD4 (HGNC:68): (ATP binding cassette subfamily D member 4) The protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ALD subfamily, which is involved in peroxisomal import of fatty acids and/or fatty acyl-CoAs in the organelle. All known peroxisomal ABC transporters are half transporters which require a partner half transporter molecule to form a functional homodimeric or heterodimeric transporter. The function of this peroxisomal membrane protein is unknown. However, it is speculated that it may function as a heterodimer for another peroxisomal ABC transporter and, therefore, may modify the adrenoleukodystrophy phenotype. It may also play a role in the process of peroxisome biogenesis. Alternative splicing results in several protein-coding and non-protein-coding variants. [provided by RefSeq, Jul 2017]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0085271895).
BP6
Variant 14-74292363-G-A is Benign according to our data. Variant chr14-74292363-G-A is described in ClinVar as [Benign]. Clinvar id is 389017.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-74292363-G-A is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.000919 (140/152296) while in subpopulation SAS AF= 0.016 (77/4818). AF 95% confidence interval is 0.0131. There are 2 homozygotes in gnomad4. There are 94 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCD4NM_005050.4 linkc.1042C>T p.Arg348Trp missense_variant 11/19 ENST00000356924.9 NP_005041.1 O14678A0A024R6B9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCD4ENST00000356924.9 linkc.1042C>T p.Arg348Trp missense_variant 11/191 NM_005050.4 ENSP00000349396.4 O14678

Frequencies

GnomAD3 genomes
AF:
0.000927
AC:
141
AN:
152178
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000507
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.0162
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.00144
GnomAD3 exomes
AF:
0.00256
AC:
644
AN:
251188
Hom.:
13
AF XY:
0.00348
AC XY:
472
AN XY:
135756
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.000347
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0180
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000590
Gnomad OTH exome
AF:
0.000653
GnomAD4 exome
AF:
0.00143
AC:
2094
AN:
1461774
Hom.:
35
Cov.:
34
AF XY:
0.00196
AC XY:
1425
AN XY:
727188
show subpopulations
Gnomad4 AFR exome
AF:
0.000478
Gnomad4 AMR exome
AF:
0.000380
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0175
Gnomad4 FIN exome
AF:
0.0000563
Gnomad4 NFE exome
AF:
0.000363
Gnomad4 OTH exome
AF:
0.00179
GnomAD4 genome
AF:
0.000919
AC:
140
AN:
152296
Hom.:
2
Cov.:
32
AF XY:
0.00126
AC XY:
94
AN XY:
74456
show subpopulations
Gnomad4 AFR
AF:
0.000505
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.0160
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.000538
Hom.:
1
Bravo
AF:
0.000582
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.00268
AC:
326
Asia WGS
AF:
0.00433
AC:
15
AN:
3478
EpiCase
AF:
0.000981
EpiControl
AF:
0.000711

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Methylmalonic acidemia with homocystinuria, type cblJ Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 18, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxOct 11, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
ABCD4-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesApr 26, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Uncertain
-0.060
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.058
T
Eigen
Benign
-0.046
Eigen_PC
Benign
0.050
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.85
D
MetaRNN
Benign
0.0085
T
MetaSVM
Uncertain
0.15
D
MutationAssessor
Benign
1.1
L
PrimateAI
Benign
0.23
T
PROVEAN
Benign
-0.68
N
REVEL
Uncertain
0.41
Sift
Benign
0.19
T
Sift4G
Uncertain
0.025
D
Polyphen
0.012
B
Vest4
0.32
MVP
1.0
MPC
0.25
ClinPred
0.010
T
GERP RS
4.2
Varity_R
0.12
gMVP
0.76

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs147795328; hg19: chr14-74759066; COSMIC: COSV53991303; COSMIC: COSV53991303; API