rs2934601

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBP6_Very_Strong

The NM_182925.5(FLT4):​c.3220-21A>C variant causes a intron change involving the alteration of a non-conserved nucleotide. There is a variant allele frequency bias in the population database for this variant (GnomAd4), which may indicate mosaicism or somatic mutations in the reference population data. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). There are indicators that this mutation may affect the branch point..

Frequency

Genomes: 𝑓 0.0022 ( 0 hom., cov: 0)
Exomes 𝑓: 0.0011 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

FLT4
NM_182925.5 intron

Scores

2

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.575

Publications

1 publications found
Variant links:
Genes affected
FLT4 (HGNC:3767): (fms related receptor tyrosine kinase 4) This gene encodes a tyrosine kinase receptor for vascular endothelial growth factors C and D. The protein is thought to be involved in lymphangiogenesis and maintenance of the lymphatic endothelium. Mutations in this gene cause hereditary lymphedema type IA. [provided by RefSeq, Jul 2008]
FLT4 Gene-Disease associations (from GenCC):
  • congenital heart defects, multiple types, 7
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, ClinGen, Labcorp Genetics (formerly Invitae)
  • lymphatic malformation 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, ClinGen, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • capillary infantile hemangioma
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • lymphatic malformation
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • tetralogy of fallot
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4
This position, referring to a specific DNA site, is a probable branch point but is likely benign (scored 1 / 10, using the threshold of <=3). The score ranges from 0 to 10, with values ≤3 considered benign and >5 classified as pathogenic. Computational evidence support a benign effect (BayesDel_noAF=-0.97).
BP6
Variant 5-180614200-T-G is Benign according to our data. Variant chr5-180614200-T-G is described in ClinVar as Likely_benign. ClinVar VariationId is 263048.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_182925.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FLT4
NM_182925.5
MANE Select
c.3220-21A>C
intron
N/ANP_891555.2P35916-2
FLT4
NM_001354989.2
c.3220-21A>C
intron
N/ANP_001341918.1E9PD35
FLT4
NM_002020.5
c.3220-21A>C
intron
N/ANP_002011.2P35916-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
FLT4
ENST00000261937.11
TSL:1 MANE Select
c.3220-21A>C
intron
N/AENSP00000261937.6P35916-2
FLT4
ENST00000502649.5
TSL:1
c.3220-21A>C
intron
N/AENSP00000426057.1E9PD35
FLT4
ENST00000393347.7
TSL:1
c.3220-21A>C
intron
N/AENSP00000377016.3P35916-1

Frequencies

GnomAD3 genomes
AF:
0.00217
AC:
74
AN:
34140
Hom.:
0
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.00416
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000412
Gnomad ASJ
AF:
0.00166
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00246
Gnomad FIN
AF:
0.00142
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000650
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00114
AC:
1060
AN:
929600
Hom.:
0
Cov.:
23
AF XY:
0.00108
AC XY:
498
AN XY:
459394
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00531
AC:
122
AN:
22990
American (AMR)
AF:
0.000438
AC:
13
AN:
29674
Ashkenazi Jewish (ASJ)
AF:
0.000711
AC:
10
AN:
14066
East Asian (EAS)
AF:
0.000356
AC:
7
AN:
19660
South Asian (SAS)
AF:
0.000869
AC:
38
AN:
43730
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
31596
Middle Eastern (MID)
AF:
0.00288
AC:
11
AN:
3820
European-Non Finnish (NFE)
AF:
0.00111
AC:
812
AN:
729796
Other (OTH)
AF:
0.00137
AC:
47
AN:
34268
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.280
Heterozygous variant carriers
0
137
274
412
549
686
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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:
0.00222
AC:
76
AN:
34206
Hom.:
0
Cov.:
0
AF XY:
0.00252
AC XY:
42
AN XY:
16692
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00429
AC:
62
AN:
14468
American (AMR)
AF:
0.000411
AC:
1
AN:
2432
Ashkenazi Jewish (ASJ)
AF:
0.00166
AC:
1
AN:
604
East Asian (EAS)
AF:
0.00
AC:
0
AN:
1478
South Asian (SAS)
AF:
0.00246
AC:
2
AN:
814
European-Finnish (FIN)
AF:
0.00142
AC:
2
AN:
1404
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
42
European-Non Finnish (NFE)
AF:
0.000650
AC:
8
AN:
12312
Other (OTH)
AF:
0.00
AC:
0
AN:
472
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000000000000444089), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.366
Heterozygous variant carriers
0
5
10
14
19
24
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:
0.000762
Hom.:
0

ClinVar

ClinVar submissions
Significance:Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
not provided (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.97
CADD
Benign
1.1
DANN
Benign
0.23
PhyloP100
-0.57
BranchPoint Hunter
1.0
Mutation Taster
=100/0
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: rs2934601; hg19: chr5-180041200; API