rs2229940

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_000809.4(GABRA4):​c.76C>A​(p.Leu26Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.347 in 1,613,400 control chromosomes in the GnomAD database, including 99,592 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.31 ( 7884 hom., cov: 32)
Exomes 𝑓: 0.35 ( 91708 hom. )

Consequence

GABRA4
NM_000809.4 missense

Scores

4
13

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.87
Variant links:
Genes affected
GABRA4 (HGNC:4078): (gamma-aminobutyric acid type A receptor subunit alpha4) Gamma-aminobutyric acid (GABA) is the major inhibitory neurotransmitter in the mammalian brain where it acts at GABA-A receptors, which are ligand-gated chloride channels. Chloride conductance of these channels can be modulated by agents such as benzodiazepines that bind to the GABA-A receptor. At least 16 distinct subunits of GABA-A receptors have been identified. This gene encodes subunit alpha-4, which is involved in the etiology of autism and eventually increases autism risk through interaction with another subunit, gamma-aminobutyric acid receptor beta-1 (GABRB1). Alternatively spliced transcript variants encoding different isoforms have been found in this gene.[provided by RefSeq, Feb 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0041318536).
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.361 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GABRA4NM_000809.4 linkuse as main transcriptc.76C>A p.Leu26Met missense_variant 1/9 ENST00000264318.4 NP_000800.2
GABRA4NM_001204266.2 linkuse as main transcriptc.29+58C>A intron_variant NP_001191195.1
GABRA4NM_001204267.2 linkuse as main transcriptc.29+58C>A intron_variant NP_001191196.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GABRA4ENST00000264318.4 linkuse as main transcriptc.76C>A p.Leu26Met missense_variant 1/91 NM_000809.4 ENSP00000264318 P1

Frequencies

GnomAD3 genomes
AF:
0.314
AC:
47767
AN:
152016
Hom.:
7882
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.251
Gnomad AMI
AF:
0.306
Gnomad AMR
AF:
0.329
Gnomad ASJ
AF:
0.392
Gnomad EAS
AF:
0.364
Gnomad SAS
AF:
0.213
Gnomad FIN
AF:
0.205
Gnomad MID
AF:
0.383
Gnomad NFE
AF:
0.365
Gnomad OTH
AF:
0.334
GnomAD3 exomes
AF:
0.315
AC:
79059
AN:
250652
Hom.:
13194
AF XY:
0.315
AC XY:
42745
AN XY:
135544
show subpopulations
Gnomad AFR exome
AF:
0.253
Gnomad AMR exome
AF:
0.280
Gnomad ASJ exome
AF:
0.396
Gnomad EAS exome
AF:
0.384
Gnomad SAS exome
AF:
0.220
Gnomad FIN exome
AF:
0.215
Gnomad NFE exome
AF:
0.361
Gnomad OTH exome
AF:
0.336
GnomAD4 exome
AF:
0.350
AC:
511581
AN:
1461266
Hom.:
91708
Cov.:
36
AF XY:
0.346
AC XY:
251529
AN XY:
726982
show subpopulations
Gnomad4 AFR exome
AF:
0.254
Gnomad4 AMR exome
AF:
0.282
Gnomad4 ASJ exome
AF:
0.392
Gnomad4 EAS exome
AF:
0.358
Gnomad4 SAS exome
AF:
0.222
Gnomad4 FIN exome
AF:
0.230
Gnomad4 NFE exome
AF:
0.370
Gnomad4 OTH exome
AF:
0.346
GnomAD4 genome
AF:
0.314
AC:
47794
AN:
152134
Hom.:
7884
Cov.:
32
AF XY:
0.304
AC XY:
22595
AN XY:
74376
show subpopulations
Gnomad4 AFR
AF:
0.251
Gnomad4 AMR
AF:
0.329
Gnomad4 ASJ
AF:
0.392
Gnomad4 EAS
AF:
0.362
Gnomad4 SAS
AF:
0.214
Gnomad4 FIN
AF:
0.205
Gnomad4 NFE
AF:
0.365
Gnomad4 OTH
AF:
0.336
Alfa
AF:
0.357
Hom.:
15292
Bravo
AF:
0.323
TwinsUK
AF:
0.381
AC:
1413
ALSPAC
AF:
0.382
AC:
1472
ESP6500AA
AF:
0.257
AC:
1132
ESP6500EA
AF:
0.367
AC:
3154
ExAC
AF:
0.314
AC:
38135
Asia WGS
AF:
0.268
AC:
933
AN:
3478
EpiCase
AF:
0.368
EpiControl
AF:
0.380

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.076
T
Eigen
Benign
-0.26
Eigen_PC
Benign
-0.13
FATHMM_MKL
Uncertain
0.84
D
LIST_S2
Benign
0.34
T
MetaRNN
Benign
0.0041
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.90
L
MutationTaster
Benign
0.81
P
PROVEAN
Benign
-0.40
N
REVEL
Benign
0.12
Sift
Uncertain
0.023
D
Sift4G
Uncertain
0.040
D
Polyphen
0.091
B
Vest4
0.28
MPC
1.6
ClinPred
0.021
T
GERP RS
3.0
Varity_R
0.16
gMVP
0.43

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs2229940; hg19: chr4-46995366; COSMIC: COSV51924319; COSMIC: COSV51924319; API