rs34298786

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001013703.4(EIF2AK4):​c.2249+7G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.343 in 1,497,880 control chromosomes in the GnomAD database, including 89,125 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.34 ( 9117 hom., cov: 34)
Exomes 𝑓: 0.34 ( 80008 hom. )

Consequence

EIF2AK4
NM_001013703.4 splice_region, intron

Scores

2
Splicing: ADA: 0.0004469
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 2.41

Publications

8 publications found
Variant links:
Genes affected
EIF2AK4 (HGNC:19687): (eukaryotic translation initiation factor 2 alpha kinase 4) This gene encodes a member of a family of kinases that phosphorylate the alpha subunit of eukaryotic translation initiation factor-2 (EIF2), resulting in the downregulaton of protein synthesis. The encoded protein responds to amino acid deprivation by binding uncharged transfer RNAs. It may also be activated by glucose deprivation and viral infection. Mutations in this gene have been found in individuals suffering from autosomal recessive pulmonary venoocclusive-disease-2. [provided by RefSeq, Mar 2014]
EIF2AK4 Gene-Disease associations (from GenCC):
  • pulmonary veno-occlusive disease and/or pulmonary capillary haemangiomatosis
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • pulmonary venoocclusive disease 2
    Inheritance: AR, AD Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet
  • heritable pulmonary arterial hypertension
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • pulmonary venoocclusive disease
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.75).
BP6
Variant 15-39976851-G-A is Benign according to our data. Variant chr15-39976851-G-A is described in ClinVar as [Benign]. Clinvar id is 381180.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.353 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
EIF2AK4NM_001013703.4 linkc.2249+7G>A splice_region_variant, intron_variant Intron 12 of 38 ENST00000263791.10 NP_001013725.2 Q9P2K8-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
EIF2AK4ENST00000263791.10 linkc.2249+7G>A splice_region_variant, intron_variant Intron 12 of 38 2 NM_001013703.4 ENSP00000263791.5 Q9P2K8-1
EIF2AK4ENST00000560855.5 linkc.1664+7G>A splice_region_variant, intron_variant Intron 8 of 33 5 ENSP00000453575.1 H0YME5
EIF2AK4ENST00000624709.1 linkn.-128G>A upstream_gene_variant 6

Frequencies

GnomAD3 genomes
AF:
0.345
AC:
52408
AN:
152002
Hom.:
9115
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.359
Gnomad AMI
AF:
0.433
Gnomad AMR
AF:
0.329
Gnomad ASJ
AF:
0.364
Gnomad EAS
AF:
0.181
Gnomad SAS
AF:
0.300
Gnomad FIN
AF:
0.324
Gnomad MID
AF:
0.357
Gnomad NFE
AF:
0.356
Gnomad OTH
AF:
0.371
GnomAD2 exomes
AF:
0.326
AC:
48484
AN:
148540
AF XY:
0.331
show subpopulations
Gnomad AFR exome
AF:
0.356
Gnomad AMR exome
AF:
0.274
Gnomad ASJ exome
AF:
0.365
Gnomad EAS exome
AF:
0.163
Gnomad FIN exome
AF:
0.325
Gnomad NFE exome
AF:
0.357
Gnomad OTH exome
AF:
0.337
GnomAD4 exome
AF:
0.342
AC:
460702
AN:
1345760
Hom.:
80008
Cov.:
43
AF XY:
0.343
AC XY:
226229
AN XY:
660440
show subpopulations
African (AFR)
AF:
0.359
AC:
9783
AN:
27254
American (AMR)
AF:
0.276
AC:
7766
AN:
28122
Ashkenazi Jewish (ASJ)
AF:
0.374
AC:
7568
AN:
20252
East Asian (EAS)
AF:
0.204
AC:
6989
AN:
34178
South Asian (SAS)
AF:
0.327
AC:
23056
AN:
70560
European-Finnish (FIN)
AF:
0.317
AC:
14702
AN:
46448
Middle Eastern (MID)
AF:
0.384
AC:
2040
AN:
5314
European-Non Finnish (NFE)
AF:
0.349
AC:
369697
AN:
1058110
Other (OTH)
AF:
0.344
AC:
19101
AN:
55522
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
17207
34414
51620
68827
86034
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
12160
24320
36480
48640
60800
<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:
0.345
AC:
52423
AN:
152120
Hom.:
9117
Cov.:
34
AF XY:
0.342
AC XY:
25462
AN XY:
74368
show subpopulations
African (AFR)
AF:
0.358
AC:
14862
AN:
41494
American (AMR)
AF:
0.329
AC:
5037
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.364
AC:
1263
AN:
3470
East Asian (EAS)
AF:
0.180
AC:
931
AN:
5172
South Asian (SAS)
AF:
0.300
AC:
1446
AN:
4820
European-Finnish (FIN)
AF:
0.324
AC:
3426
AN:
10578
Middle Eastern (MID)
AF:
0.360
AC:
105
AN:
292
European-Non Finnish (NFE)
AF:
0.356
AC:
24187
AN:
67972
Other (OTH)
AF:
0.366
AC:
772
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
1691
3382
5074
6765
8456
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
506
1012
1518
2024
2530
<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:
0.254
Hom.:
959
Bravo
AF:
0.347
Asia WGS
AF:
0.247
AC:
859
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Nov 03, 2016
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant 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:2
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Familial pulmonary capillary hemangiomatosis Benign:2
Nov 13, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 30, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.75
CADD
Benign
6.0
DANN
Benign
0.93
PhyloP100
2.4
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00045
dbscSNV1_RF
Benign
0.040
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: rs34298786; hg19: chr15-40269052; COSMIC: COSV55464750; COSMIC: COSV55464750; API