Our verdict is Likely pathogenic. The variant received 7 ACMG points: 7P and 0B. PM2PP3_StrongPP5
The NM_022367.4(SEMA4A):c.1049T>G(p.Phe350Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars). Synonymous variant affecting the same amino acid position (i.e. F350F) has been classified as Likely benign.
SEMA4A (HGNC:10729): (semaphorin 4A) This gene encodes a member of the semaphorin family of soluble and transmembrane proteins. Semaphorins are involved in numerous functions, including axon guidance, morphogenesis, carcinogenesis, and immunomodulation. The encoded protein is a single-pass type I membrane protein containing an immunoglobulin-like C2-type domain, a PSI domain and a sema domain. It inhibits axonal extension by providing local signals to specify territories inaccessible for growing axons. It is an activator of T-cell-mediated immunity and suppresses vascular endothelial growth factor (VEGF)-mediated endothelial cell migration and proliferation in vitro and angiogenesis in vivo. Mutations in this gene are associated with retinal degenerative diseases including retinitis pigmentosa type 35 (RP35) and cone-rod dystrophy type 10 (CORD10). Multiple alternatively spliced transcript variants encoding different isoforms have been identified.[provided by RefSeq, Sep 2010]
SEMA4A Gene-Disease associations (from GenCC):
cone-rod dystrophy
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
familial colorectal cancer type X
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
retinitis pigmentosa
Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
Our verdict: Likely_pathogenic. The variant received 7 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.99
PP5
Variant 1-156163009-T-G is Pathogenic according to our data. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr1-156163009-T-G is described in CliVar as Pathogenic. Clinvar id is 3361.Status of the report is no_assertion_criteria_provided, 0 stars.