rs2071282

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBA1

The NM_004557.4(NOTCH4):​c.611C>T​(p.Pro204Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00252 in 1,613,114 control chromosomes in the GnomAD database, including 153 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.0023 ( 15 hom., cov: 33)
Exomes 𝑓: 0.0025 ( 138 hom. )

Consequence

NOTCH4
NM_004557.4 missense

Scores

18

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.697

Publications

21 publications found
Variant links:
Genes affected
NOTCH4 (HGNC:7884): (notch receptor 4) This gene encodes a member of the NOTCH family of proteins. Members of this Type I transmembrane protein family share structural characteristics including an extracellular domain consisting of multiple epidermal growth factor-like (EGF) repeats, and an intracellular domain consisting of multiple different domain types. Notch signaling is an evolutionarily conserved intercellular signaling pathway that regulates interactions between physically adjacent cells through binding of Notch family receptors to their cognate ligands. The encoded preproprotein is proteolytically processed in the trans-Golgi network to generate two polypeptide chains that heterodimerize to form the mature cell-surface receptor. This receptor may play a role in vascular, renal and hepatic development. Mutations in this gene may be associated with schizophrenia. Alternative splicing results in multiple transcript variants, at least one of which encodes an isoform that is proteolytically processed. [provided by RefSeq, Jan 2016]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.006144017).
BP6
Variant 6-32221166-G-A is Benign according to our data. Variant chr6-32221166-G-A is described in ClinVar as Benign. ClinVar VariationId is 707916.Status of the report is criteria_provided_single_submitter, 1 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0552 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
NOTCH4NM_004557.4 linkc.611C>T p.Pro204Leu missense_variant Exon 4 of 30 ENST00000375023.3 NP_004548.3 Q99466-1A0A1U9X983
NOTCH4NR_134949.2 linkn.750C>T non_coding_transcript_exon_variant Exon 4 of 30
NOTCH4NR_134950.2 linkn.750C>T non_coding_transcript_exon_variant Exon 4 of 29

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
NOTCH4ENST00000375023.3 linkc.611C>T p.Pro204Leu missense_variant Exon 4 of 30 1 NM_004557.4 ENSP00000364163.3 Q99466-1
NOTCH4ENST00000473562.1 linkn.740C>T non_coding_transcript_exon_variant Exon 4 of 11 1

Frequencies

GnomAD3 genomes
AF:
0.00231
AC:
351
AN:
152236
Hom.:
15
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0604
Gnomad SAS
AF:
0.00496
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000956
GnomAD2 exomes
AF:
0.00475
AC:
1164
AN:
245238
AF XY:
0.00462
show subpopulations
Gnomad AFR exome
AF:
0.000199
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0553
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00132
GnomAD4 exome
AF:
0.00254
AC:
3717
AN:
1460760
Hom.:
138
Cov.:
45
AF XY:
0.00261
AC XY:
1898
AN XY:
726698
show subpopulations
African (AFR)
AF:
0.0000896
AC:
3
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26134
East Asian (EAS)
AF:
0.0804
AC:
3192
AN:
39698
South Asian (SAS)
AF:
0.00421
AC:
363
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52304
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000162
AC:
18
AN:
1112008
Other (OTH)
AF:
0.00230
AC:
139
AN:
60386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
290
580
870
1160
1450
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
46
92
138
184
230
<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:
0.00232
AC:
353
AN:
152354
Hom.:
15
Cov.:
33
AF XY:
0.00277
AC XY:
206
AN XY:
74502
show subpopulations
African (AFR)
AF:
0.000240
AC:
10
AN:
41592
American (AMR)
AF:
0.000131
AC:
2
AN:
15310
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.0607
AC:
314
AN:
5172
South Asian (SAS)
AF:
0.00517
AC:
25
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68038
Other (OTH)
AF:
0.000946
AC:
2
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
17
33
50
66
83
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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
Alfa
AF:
0.00150
Hom.:
13
Bravo
AF:
0.00209
ESP6500AA
AF:
0.000331
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00500
AC:
592
Asia WGS
AF:
0.0250
AC:
87
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Jul 17, 2018
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.072
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
18
DANN
Benign
0.91
DEOGEN2
Benign
0.28
T
Eigen
Benign
-0.26
Eigen_PC
Benign
-0.15
FATHMM_MKL
Benign
0.52
D
LIST_S2
Benign
0.14
T
MetaRNN
Benign
0.0061
T
MetaSVM
Benign
-0.29
T
MutationAssessor
Benign
1.4
L
PhyloP100
0.70
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-2.4
N
REVEL
Benign
0.18
Sift
Benign
0.099
T
Sift4G
Benign
0.50
T
Polyphen
0.081
B
Vest4
0.14
MVP
0.91
MPC
0.19
ClinPred
0.019
T
GERP RS
2.4
Varity_R
0.075
gMVP
0.55
Mutation Taster
=90/10
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: rs2071282; hg19: chr6-32188943; COSMIC: COSV66680876; API