rs200272048

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_001291593.2(NPHP4):​c.-976C>T variant causes a 5 prime UTR premature start codon gain change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000522 in 1,608,170 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000051 ( 0 hom. )

Consequence

NPHP4
NM_001291593.2 5_prime_UTR_premature_start_codon_gain

Scores

18

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:5

Conservation

PhyloP100: 1.01

Publications

1 publications found
Variant links:
Genes affected
NPHP4 (HGNC:19104): (nephrocystin 4) This gene encodes a protein involved in renal tubular development and function. This protein interacts with nephrocystin, and belongs to a multifunctional complex that is localized to actin- and microtubule-based structures. Mutations in this gene are associated with nephronophthisis type 4, a renal disease, and with Senior-Loken syndrome type 4, a combination of nephronophthisis and retinitis pigmentosa. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2014]
NPHP4 Gene-Disease associations (from GenCC):
  • nephronophthisis 4
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Ambry Genetics, G2P, Labcorp Genetics (formerly Invitae)
  • Senior-Loken syndrome 4
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • nephronophthisis 1
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Senior-Loken syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.03910175).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001291593.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NPHP4
NM_015102.5
MANE Select
c.254C>Tp.Pro85Leu
missense
Exon 3 of 30NP_055917.1O75161-1
NPHP4
NM_001291593.2
c.-976C>T
5_prime_UTR_premature_start_codon_gain
Exon 3 of 27NP_001278522.1
NPHP4
NM_001291593.2
c.-976C>T
5_prime_UTR
Exon 3 of 27NP_001278522.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
NPHP4
ENST00000378156.9
TSL:1 MANE Select
c.254C>Tp.Pro85Leu
missense
Exon 3 of 30ENSP00000367398.4O75161-1
NPHP4
ENST00000378169.7
TSL:1
n.254C>T
non_coding_transcript_exon
Exon 3 of 27ENSP00000367411.3D6RA06
NPHP4
ENST00000489180.6
TSL:2
n.254C>T
non_coding_transcript_exon
Exon 3 of 33ENSP00000423747.1O75161-2

Frequencies

GnomAD3 genomes
AF:
0.0000658
AC:
10
AN:
152014
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000944
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000752
AC:
18
AN:
239362
AF XY:
0.0000691
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000299
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000649
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000508
AC:
74
AN:
1456038
Hom.:
0
Cov.:
31
AF XY:
0.0000566
AC XY:
41
AN XY:
723792
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33384
American (AMR)
AF:
0.000410
AC:
18
AN:
43916
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26032
East Asian (EAS)
AF:
0.0000253
AC:
1
AN:
39526
South Asian (SAS)
AF:
0.000106
AC:
9
AN:
85244
European-Finnish (FIN)
AF:
0.0000191
AC:
1
AN:
52328
Middle Eastern (MID)
AF:
0.000174
AC:
1
AN:
5760
European-Non Finnish (NFE)
AF:
0.0000351
AC:
39
AN:
1109664
Other (OTH)
AF:
0.0000831
AC:
5
AN:
60184
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
5
10
15
20
25
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000657
AC:
10
AN:
152132
Hom.:
0
Cov.:
29
AF XY:
0.0000538
AC XY:
4
AN XY:
74368
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41472
American (AMR)
AF:
0.000393
AC:
6
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4826
European-Finnish (FIN)
AF:
0.0000944
AC:
1
AN:
10596
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
67996
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.490
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.0000494
Hom.:
0
Bravo
AF:
0.0000642
ExAC
AF:
0.0000829
AC:
10

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Inborn genetic diseases (1)
-
1
-
Nephronophthisis (1)
-
1
-
not provided (1)
-
1
-
NPHP4-related disorder (1)
-
1
-
Senior-Loken syndrome 4;C1847013:Nephronophthisis 4 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
12
DANN
Benign
0.86
DEOGEN2
Benign
0.17
T
Eigen
Benign
-0.82
Eigen_PC
Benign
-0.87
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.76
T
M_CAP
Benign
0.056
D
MetaRNN
Benign
0.039
T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
-0.91
N
PhyloP100
1.0
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-1.9
N
REVEL
Benign
0.19
Sift
Benign
0.13
T
Sift4G
Benign
0.18
T
Polyphen
0.64
P
Vest4
0.19
MVP
0.83
MPC
0.083
ClinPred
0.037
T
GERP RS
0.81
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.028
gMVP
0.22
Mutation Taster
=95/5
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: rs200272048; hg19: chr1-6038355; API