rs200630302

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBP6_Very_Strong

The NM_001039876.3(SYNE4):​c.257C>T​(p.Pro86Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000179 in 1,611,082 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0010 ( 1 hom., cov: 31)
Exomes 𝑓: 0.000093 ( 1 hom. )

Consequence

SYNE4
NM_001039876.3 missense

Scores

3
16

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.265
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0048098266).
BP6
Variant 19-36008239-G-A is Benign according to our data. Variant chr19-36008239-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 504864.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SYNE4NM_001039876.3 linkuse as main transcriptc.257C>T p.Pro86Leu missense_variant 2/8 ENST00000324444.9 NP_001034965.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SYNE4ENST00000324444.9 linkuse as main transcriptc.257C>T p.Pro86Leu missense_variant 2/85 NM_001039876.3 ENSP00000316130.3 Q8N205-1

Frequencies

GnomAD3 genomes
AF:
0.000999
AC:
152
AN:
152116
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00362
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000207
AC:
51
AN:
246112
Hom.:
0
AF XY:
0.000172
AC XY:
23
AN XY:
133516
show subpopulations
Gnomad AFR exome
AF:
0.00279
Gnomad AMR exome
AF:
0.000206
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000168
GnomAD4 exome
AF:
0.0000932
AC:
136
AN:
1458848
Hom.:
1
Cov.:
30
AF XY:
0.0000717
AC XY:
52
AN XY:
725612
show subpopulations
Gnomad4 AFR exome
AF:
0.00354
Gnomad4 AMR exome
AF:
0.000249
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.0000996
GnomAD4 genome
AF:
0.000998
AC:
152
AN:
152234
Hom.:
1
Cov.:
31
AF XY:
0.000887
AC XY:
66
AN XY:
74430
show subpopulations
Gnomad4 AFR
AF:
0.00361
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000217
Hom.:
0
Bravo
AF:
0.00104
ESP6500AA
AF:
0.00255
AC:
10
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000265
AC:
32
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

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

Submissions by phenotype

not provided Benign:2
Likely benign, criteria provided, single submitterclinical testingGeneDxJun 15, 2021- -
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMay 16, 2017p.Pro86Leu in exon 2 of SYNE4: This variant is not expected to have clinical sig nificance because it has been identified in 0.3% (73/23958) of African chromosom es by the Genome Aggregation Database (gnomAD, http://gnomad.broadinstitute.org; dbSNP rs200630302). -
SYNE4-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesJul 12, 2022This 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
-0.52
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
8.5
DANN
Uncertain
0.98
DEOGEN2
Benign
0.011
T;T;.;T
Eigen
Benign
-0.40
Eigen_PC
Benign
-0.52
FATHMM_MKL
Benign
0.051
N
LIST_S2
Benign
0.83
.;T;T;T
M_CAP
Benign
0.0095
T
MetaRNN
Benign
0.0048
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.3
L;L;L;.
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-1.6
N;.;D;D
REVEL
Benign
0.040
Sift
Uncertain
0.025
D;.;T;D
Sift4G
Uncertain
0.038
D;.;D;.
Polyphen
0.028
B;B;B;B
Vest4
0.15
MVP
0.36
MPC
0.10
ClinPred
0.014
T
GERP RS
2.1
Varity_R
0.031
gMVP
0.23

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.11
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: rs200630302; hg19: chr19-36499141; API