rs201393279

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 1P and 5B. PP5BP4BS2

The NM_019055.6(ROBO4):​c.190C>T​(p.Arg64Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000146 in 1,565,874 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00022 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00014 ( 0 hom. )

Consequence

ROBO4
NM_019055.6 missense

Scores

2
7
10

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:2U:1

Conservation

PhyloP100: 2.68

Publications

4 publications found
Variant links:
Genes affected
ROBO4 (HGNC:17985): (roundabout guidance receptor 4) Predicted to enable cell-cell adhesion mediator activity. Involved in angiogenesis and establishment of endothelial barrier. Located in extracellular exosome. Implicated in aortic valve disease 3. [provided by Alliance of Genome Resources, Apr 2022]
ROBO4 Gene-Disease associations (from GenCC):
  • aortic valve disease 3
    Inheritance: AD Classification: STRONG, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae), PanelApp Australia

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PP5
Variant 11-124897142-G-A is Pathogenic according to our data. Variant chr11-124897142-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 560394.
BP4
Computational evidence support a benign effect (MetaRNN=0.3108431). . Strength limited to SUPPORTING due to the PP5.
BS2
High AC in GnomAd4 at 34 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ROBO4NM_019055.6 linkc.190C>T p.Arg64Cys missense_variant Exon 2 of 18 ENST00000306534.8 NP_061928.4 Q8WZ75-1
ROBO4NM_001441183.1 linkc.190C>T p.Arg64Cys missense_variant Exon 2 of 18 NP_001428112.1
ROBO4NM_001301088.2 linkc.-159-87C>T intron_variant Intron 1 of 17 NP_001288017.1 Q8WZ75B4DYV8
LOC107984406XR_001748429.3 linkn.334+5010G>A intron_variant Intron 1 of 1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ROBO4ENST00000306534.8 linkc.190C>T p.Arg64Cys missense_variant Exon 2 of 18 1 NM_019055.6 ENSP00000304945.3 Q8WZ75-1

Frequencies

GnomAD3 genomes
AF:
0.000223
AC:
34
AN:
152212
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000199
AC:
42
AN:
210650
AF XY:
0.000170
show subpopulations
Gnomad AFR exome
AF:
0.000192
Gnomad AMR exome
AF:
0.000878
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000114
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000138
AC:
195
AN:
1413544
Hom.:
0
Cov.:
35
AF XY:
0.000125
AC XY:
87
AN XY:
696454
show subpopulations
African (AFR)
AF:
0.000245
AC:
8
AN:
32594
American (AMR)
AF:
0.000854
AC:
35
AN:
40986
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22694
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39160
South Asian (SAS)
AF:
0.0000259
AC:
2
AN:
77334
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51442
Middle Eastern (MID)
AF:
0.000180
AC:
1
AN:
5556
European-Non Finnish (NFE)
AF:
0.000132
AC:
143
AN:
1085484
Other (OTH)
AF:
0.000103
AC:
6
AN:
58294
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
11
21
32
42
53
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
10
20
30
40
50
<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:
0.000223
AC:
34
AN:
152330
Hom.:
0
Cov.:
33
AF XY:
0.000201
AC XY:
15
AN XY:
74482
show subpopulations
African (AFR)
AF:
0.000481
AC:
20
AN:
41594
American (AMR)
AF:
0.000196
AC:
3
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5158
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000147
AC:
10
AN:
68026
Other (OTH)
AF:
0.00
AC:
0
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.513
Heterozygous variant carriers
0
3
6
8
11
14
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:
0.000284
Hom.:
0
Bravo
AF:
0.000336
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000174
AC:
21

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:2Uncertain:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Aortic valve disease 3 Pathogenic:1Uncertain:1
Jan 09, 2021
Institute of Human Genetics, University of Leipzig Medical Center
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:curation

This ROBO4 variant was reported as Pathogenic​ in PMID: 30455415 with original nomenclature reported as c.190C>T, p.Arg64Cys. Variant was re-classified as Uncertain Significance based on the criteria PS3_Moderate, PM1_Moderate, PP3_Supporting. -

Jul 09, 2019
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Bicuspid aortic valve;C0856747:Ascending tubular aorta aneurysm Pathogenic:1
-
Baylor-Hopkins Center for Mendelian Genomics, Johns Hopkins University School of Medicine
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:research

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.21
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.52
D
Eigen
Uncertain
0.66
Eigen_PC
Uncertain
0.64
FATHMM_MKL
Benign
0.71
D
LIST_S2
Uncertain
0.91
D
M_CAP
Benign
0.082
D
MetaRNN
Benign
0.31
T
MetaSVM
Uncertain
-0.23
T
MutationAssessor
Benign
1.9
M
PhyloP100
2.7
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-2.8
D
REVEL
Uncertain
0.37
Sift
Benign
0.070
T
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.47
MVP
0.84
MPC
0.50
ClinPred
0.20
T
GERP RS
4.7
Varity_R
0.32
gMVP
0.49
Mutation Taster
=61/39
disease causing (ClinVar)

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: rs201393279; hg19: chr11-124767038; COSMIC: COSV60621518; COSMIC: COSV60621518; API