rs199853331

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001039876.3(SYNE4):​c.764T>C​(p.Ile255Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000458 in 1,608,146 control chromosomes in the GnomAD database, including 2 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00044 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00046 ( 2 hom. )

Consequence

SYNE4
NM_001039876.3 missense

Scores

4
14

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:3

Conservation

PhyloP100: 2.12

Publications

0 publications found
Variant links:
Genes affected
SYNE4 (HGNC:26703): (spectrin repeat containing nuclear envelope family member 4) This gene is a member of the nesprin family of genes, that encode KASH (Klarsicht, Anc-1, Syne Homology) domain-containing proteins. In addition to the KASH domain, this protein also contains a coiled-coil and leucine zipper region, a spectrin repeat, and a kinesin-1 binding region. This protein localizes to the outer nuclear membrane, and is part of the linker of nucleoskeleton and cytoskeleton (LINC) complex in the nuclear envelope. LINC complexes are formed by SUN (Sad1, UNC-84)-KASH pairs, and are thought to mechanically couple nuclear components to the cytoskeleton. Mutations in this gene have been associated with progressive high-frequency hearing loss. The absence of this protein in mice also caused hearing loss, and changes in hair cell morphology in the ears. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Aug 2015]
SYNE4 Gene-Disease associations (from GenCC):
  • autosomal recessive nonsyndromic hearing loss 76
    Inheritance: AR Classification: STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • nonsyndromic genetic hearing loss
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen
  • hearing loss, autosomal recessive
    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 -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009841025).
BP6
Variant 19-36006526-A-G is Benign according to our data. Variant chr19-36006526-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 504863.
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001039876.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SYNE4
NM_001039876.3
MANE Select
c.764T>Cp.Ile255Thr
missense
Exon 5 of 8NP_001034965.1
SYNE4
NM_001297735.3
c.425T>Cp.Ile142Thr
missense
Exon 3 of 6NP_001284664.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SYNE4
ENST00000324444.9
TSL:5 MANE Select
c.764T>Cp.Ile255Thr
missense
Exon 5 of 8ENSP00000316130.3
SYNE4
ENST00000340477.9
TSL:1
c.425T>Cp.Ile142Thr
missense
Exon 3 of 6ENSP00000343152.5
SYNE4
ENST00000465425.2
TSL:2
n.876T>C
non_coding_transcript_exon
Exon 5 of 7

Frequencies

GnomAD3 genomes
AF:
0.000447
AC:
68
AN:
152042
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000435
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00692
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00249
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000191
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000677
AC:
158
AN:
233226
AF XY:
0.000731
show subpopulations
Gnomad AFR exome
AF:
0.000288
Gnomad AMR exome
AF:
0.0000905
Gnomad ASJ exome
AF:
0.00718
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000250
Gnomad OTH exome
AF:
0.000525
GnomAD4 exome
AF:
0.000460
AC:
670
AN:
1455986
Hom.:
2
Cov.:
35
AF XY:
0.000499
AC XY:
361
AN XY:
723848
show subpopulations
African (AFR)
AF:
0.000390
AC:
13
AN:
33334
American (AMR)
AF:
0.000137
AC:
6
AN:
43844
Ashkenazi Jewish (ASJ)
AF:
0.00783
AC:
203
AN:
25926
East Asian (EAS)
AF:
0.0000507
AC:
2
AN:
39476
South Asian (SAS)
AF:
0.00199
AC:
170
AN:
85276
European-Finnish (FIN)
AF:
0.0000189
AC:
1
AN:
52952
Middle Eastern (MID)
AF:
0.000348
AC:
2
AN:
5750
European-Non Finnish (NFE)
AF:
0.000206
AC:
228
AN:
1109318
Other (OTH)
AF:
0.000749
AC:
45
AN:
60110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.471
Heterozygous variant carriers
0
42
85
127
170
212
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
20
40
60
80
100
<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:
0.000440
AC:
67
AN:
152160
Hom.:
0
Cov.:
32
AF XY:
0.000511
AC XY:
38
AN XY:
74412
show subpopulations
African (AFR)
AF:
0.000433
AC:
18
AN:
41524
American (AMR)
AF:
0.0000654
AC:
1
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00692
AC:
24
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00228
AC:
11
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10608
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000191
AC:
13
AN:
67966
Other (OTH)
AF:
0.00
AC:
0
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
3
7
10
14
17
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000711
Hom.:
0
Bravo
AF:
0.000385
ESP6500AA
AF:
0.000270
AC:
1
ESP6500EA
AF:
0.00123
AC:
10
ExAC
AF:
0.000572
AC:
69
Asia WGS
AF:
0.000866
AC:
3
AN:
3478

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
2
not provided (3)
-
2
-
not specified (2)
-
-
1
SYNE4-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.34
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.086
T
Eigen
Benign
0.018
Eigen_PC
Benign
0.13
FATHMM_MKL
Benign
0.45
N
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.0081
T
MetaRNN
Benign
0.0098
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.6
L
PhyloP100
2.1
PrimateAI
Benign
0.32
T
PROVEAN
Uncertain
-3.1
D
REVEL
Benign
0.12
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.015
D
Polyphen
0.42
B
Vest4
0.30
MVP
0.51
MPC
0.45
ClinPred
0.034
T
GERP RS
5.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.26
gMVP
0.11
Mutation Taster
=79/21
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: rs199853331; hg19: chr19-36497428; API