rs2181440

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001421.4(ELF4):​c.1509G>A​(p.Thr503=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.253 in 1,207,984 control chromosomes in the GnomAD database, including 27,550 homozygotes. There are 100,244 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.21 ( 2250 hom., 7342 hem., cov: 24)
Exomes 𝑓: 0.26 ( 25300 hom. 92902 hem. )

Consequence

ELF4
NM_001421.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -3.45
Variant links:
Genes affected
ELF4 (HGNC:3319): (E74 like ETS transcription factor 4) The protein encoded by this gene is a transcriptional activator that binds and activates the promoters of the CSF2, IL3, IL8, and PRF1 genes. The encoded protein is involved in natural killer cell development and function, innate immunity, and induction of cell cycle arrest in naive CD8+ cells. Two transcript variants encoding the same protein have been found for this gene.[provided by RefSeq, Jan 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.72).
BP6
Variant X-130067204-C-T is Benign according to our data. Variant chrX-130067204-C-T is described in ClinVar as [Benign]. Clinvar id is 402824.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-130067204-C-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=-3.45 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.355 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ELF4NM_001421.4 linkuse as main transcriptc.1509G>A p.Thr503= synonymous_variant 9/9 ENST00000308167.10 NP_001412.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ELF4ENST00000308167.10 linkuse as main transcriptc.1509G>A p.Thr503= synonymous_variant 9/91 NM_001421.4 ENSP00000311280 P1
ELF4ENST00000335997.11 linkuse as main transcriptc.1509G>A p.Thr503= synonymous_variant 9/91 ENSP00000338608 P1

Frequencies

GnomAD3 genomes
AF:
0.215
AC:
24061
AN:
111875
Hom.:
2251
Cov.:
24
AF XY:
0.215
AC XY:
7339
AN XY:
34069
show subpopulations
Gnomad AFR
AF:
0.0709
Gnomad AMI
AF:
0.322
Gnomad AMR
AF:
0.365
Gnomad ASJ
AF:
0.278
Gnomad EAS
AF:
0.114
Gnomad SAS
AF:
0.238
Gnomad FIN
AF:
0.254
Gnomad MID
AF:
0.301
Gnomad NFE
AF:
0.265
Gnomad OTH
AF:
0.245
GnomAD3 exomes
AF:
0.254
AC:
45328
AN:
178787
Hom.:
4260
AF XY:
0.249
AC XY:
16212
AN XY:
65007
show subpopulations
Gnomad AFR exome
AF:
0.0665
Gnomad AMR exome
AF:
0.363
Gnomad ASJ exome
AF:
0.278
Gnomad EAS exome
AF:
0.114
Gnomad SAS exome
AF:
0.251
Gnomad FIN exome
AF:
0.259
Gnomad NFE exome
AF:
0.266
Gnomad OTH exome
AF:
0.274
GnomAD4 exome
AF:
0.257
AC:
281919
AN:
1096059
Hom.:
25300
Cov.:
34
AF XY:
0.257
AC XY:
92902
AN XY:
361801
show subpopulations
Gnomad4 AFR exome
AF:
0.0671
Gnomad4 AMR exome
AF:
0.362
Gnomad4 ASJ exome
AF:
0.275
Gnomad4 EAS exome
AF:
0.133
Gnomad4 SAS exome
AF:
0.253
Gnomad4 FIN exome
AF:
0.262
Gnomad4 NFE exome
AF:
0.263
Gnomad4 OTH exome
AF:
0.259
GnomAD4 genome
AF:
0.215
AC:
24056
AN:
111925
Hom.:
2250
Cov.:
24
AF XY:
0.215
AC XY:
7342
AN XY:
34129
show subpopulations
Gnomad4 AFR
AF:
0.0708
Gnomad4 AMR
AF:
0.364
Gnomad4 ASJ
AF:
0.278
Gnomad4 EAS
AF:
0.114
Gnomad4 SAS
AF:
0.239
Gnomad4 FIN
AF:
0.254
Gnomad4 NFE
AF:
0.265
Gnomad4 OTH
AF:
0.242
Alfa
AF:
0.257
Hom.:
2428
Bravo
AF:
0.216

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJan 24, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 41% of patients studied by a panel of primary immunodeficiencies. Number of patients: 39. Only high quality variants are reported. -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 28, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.11
DANN
Benign
0.59

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2181440; hg19: chrX-129201179; COSMIC: COSV57453562; API