rs150103256

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000631.5(NCF4):​c.478G>A​(p.Val160Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00113 in 1,570,010 control chromosomes in the GnomAD database, including 11 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0012 ( 3 hom., cov: 33)
Exomes 𝑓: 0.0011 ( 8 hom. )

Consequence

NCF4
NM_000631.5 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 0.0690

Publications

4 publications found
Variant links:
Genes affected
NCF4 (HGNC:7662): (neutrophil cytosolic factor 4) The protein encoded by this gene is a cytosolic regulatory component of the superoxide-producing phagocyte NADPH-oxidase, a multicomponent enzyme system important for host defense. This protein is preferentially expressed in cells of myeloid lineage. It interacts primarily with neutrophil cytosolic factor 2 (NCF2/p67-phox) to form a complex with neutrophil cytosolic factor 1 (NCF1/p47-phox), which further interacts with the small G protein RAC1 and translocates to the membrane upon cell stimulation. This complex then activates flavocytochrome b, the membrane-integrated catalytic core of the enzyme system. The PX domain of this protein can bind phospholipid products of the PI(3) kinase, which suggests its role in PI(3) kinase-mediated signaling events. The phosphorylation of this protein was found to negatively regulate the enzyme activity. Alternatively spliced transcript variants encoding distinct isoforms have been observed. [provided by RefSeq, Jul 2008]
NCF4 Gene-Disease associations (from GenCC):
  • granulomatous disease, chronic, autosomal recessive, cytochrome b-positive, type 3
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • chronic granulomatous disease
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003737539).
BP6
Variant 22-36871659-G-A is Benign according to our data. Variant chr22-36871659-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 341554.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00123 (187/152366) while in subpopulation SAS AF = 0.0101 (49/4834). AF 95% confidence interval is 0.00788. There are 3 homozygotes in GnomAd4. There are 101 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NCF4NM_000631.5 linkc.478G>A p.Val160Met missense_variant Exon 6 of 10 ENST00000248899.11 NP_000622.2 Q15080-1
NCF4NM_013416.4 linkc.478G>A p.Val160Met missense_variant Exon 6 of 9 NP_038202.2 Q15080-3
NCF4XM_047441384.1 linkc.652G>A p.Val218Met missense_variant Exon 7 of 11 XP_047297340.1
NCF4XM_047441385.1 linkc.622G>A p.Val208Met missense_variant Exon 7 of 11 XP_047297341.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NCF4ENST00000248899.11 linkc.478G>A p.Val160Met missense_variant Exon 6 of 10 1 NM_000631.5 ENSP00000248899.6 Q15080-1

Frequencies

GnomAD3 genomes
AF:
0.00123
AC:
187
AN:
152248
Hom.:
3
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000434
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00118
Gnomad ASJ
AF:
0.00461
Gnomad EAS
AF:
0.00269
Gnomad SAS
AF:
0.0101
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000941
Gnomad OTH
AF:
0.00287
GnomAD2 exomes
AF:
0.00176
AC:
324
AN:
184276
AF XY:
0.00194
show subpopulations
Gnomad AFR exome
AF:
0.000632
Gnomad AMR exome
AF:
0.000362
Gnomad ASJ exome
AF:
0.00282
Gnomad EAS exome
AF:
0.00212
Gnomad FIN exome
AF:
0.0000599
Gnomad NFE exome
AF:
0.000705
Gnomad OTH exome
AF:
0.00205
GnomAD4 exome
AF:
0.00112
AC:
1587
AN:
1417644
Hom.:
8
Cov.:
31
AF XY:
0.00129
AC XY:
907
AN XY:
700982
show subpopulations
African (AFR)
AF:
0.000246
AC:
8
AN:
32586
American (AMR)
AF:
0.000366
AC:
14
AN:
38274
Ashkenazi Jewish (ASJ)
AF:
0.00335
AC:
85
AN:
25350
East Asian (EAS)
AF:
0.00324
AC:
122
AN:
37608
South Asian (SAS)
AF:
0.00682
AC:
550
AN:
80644
European-Finnish (FIN)
AF:
0.0000796
AC:
4
AN:
50250
Middle Eastern (MID)
AF:
0.00403
AC:
23
AN:
5704
European-Non Finnish (NFE)
AF:
0.000593
AC:
646
AN:
1088506
Other (OTH)
AF:
0.00230
AC:
135
AN:
58722
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
111
222
333
444
555
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.00123
AC:
187
AN:
152366
Hom.:
3
Cov.:
33
AF XY:
0.00136
AC XY:
101
AN XY:
74522
show subpopulations
African (AFR)
AF:
0.000433
AC:
18
AN:
41590
American (AMR)
AF:
0.00118
AC:
18
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00461
AC:
16
AN:
3470
East Asian (EAS)
AF:
0.00270
AC:
14
AN:
5188
South Asian (SAS)
AF:
0.0101
AC:
49
AN:
4834
European-Finnish (FIN)
AF:
0.0000941
AC:
1
AN:
10622
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000941
AC:
64
AN:
68032
Other (OTH)
AF:
0.00284
AC:
6
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
10
21
31
42
52
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.00123
Hom.:
2
Bravo
AF:
0.000948
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00137
AC:
6
ESP6500EA
AF:
0.000584
AC:
5
ExAC
AF:
0.00141
AC:
168
Asia WGS
AF:
0.00404
AC:
14
AN:
3478

ClinVar

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

Submissions by phenotype

not specified Benign:3
May 26, 2017
Eurofins Ntd Llc (ga)
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
Aug 01, 2021
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Granulomatous disease, chronic, autosomal recessive, cytochrome b-positive, type 3 Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

NCF4-related disorder Benign:1
May 26, 2020
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely 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
0.087
BayesDel_addAF
Benign
-0.61
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
9.2
DANN
Benign
0.84
DEOGEN2
Benign
0.024
T;T;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.031
N
LIST_S2
Benign
0.48
T;T;T
MetaRNN
Benign
0.0037
T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
-0.20
.;N;N
PhyloP100
0.069
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-0.50
N;N;N
REVEL
Benign
0.017
Sift
Benign
0.21
T;T;T
Sift4G
Benign
0.24
T;T;T
Polyphen
0.12
.;B;.
Vest4
0.12, 0.10
MVP
0.53
MPC
0.18
ClinPred
0.0011
T
GERP RS
-1.7
Varity_R
0.016
gMVP
0.28
Mutation Taster
=99/1
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: rs150103256; hg19: chr22-37267701; API