rs34745240

Variant summary

Our verdict is Benign. The variant received -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBA1

The NM_207352.4(CYP4V2):​c.823G>A​(p.Glu275Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0294 in 1,613,724 control chromosomes in the GnomAD database, including 861 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.038 ( 145 hom., cov: 31)
Exomes 𝑓: 0.029 ( 716 hom. )

Consequence

CYP4V2
NM_207352.4 missense

Scores

1
16

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.03

Publications

20 publications found
Variant links:
Genes affected
CYP4V2 (HGNC:23198): (cytochrome P450 family 4 subfamily V member 2) This gene encodes a member of the cytochrome P450 hemethiolate protein superfamily which are involved in oxidizing various substrates in the metabolic pathway. It is implicated in the metabolism of fatty acid precursors into n-3 polyunsaturated fatty acids. Mutations in this gene result in Bietti crystalline corneoretinal dystrophy. [provided by RefSeq, Jul 2008]
CYP4V2 Gene-Disease associations (from GenCC):
  • Bietti crystalline corneoretinal dystrophy
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Illumina, G2P, ClinGen, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -19 ACMG points.

PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 24 curated pathogenic missense variants (we use a threshold of 10). The gene has 7 curated benign missense variants. Gene score misZ: -0.12103 (below the threshold of 3.09). Trascript score misZ: -0.14191 (below the threshold of 3.09). GenCC associations: The gene is linked to Bietti crystalline corneoretinal dystrophy.
BP4
Computational evidence support a benign effect (MetaRNN=0.0023715794).
BP6
Variant 4-186201178-G-A is Benign according to our data. Variant chr4-186201178-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 263298.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0619 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_207352.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYP4V2
NM_207352.4
MANE Select
c.823G>Ap.Glu275Lys
missense
Exon 7 of 11NP_997235.3Q6ZWL3-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYP4V2
ENST00000378802.5
TSL:1 MANE Select
c.823G>Ap.Glu275Lys
missense
Exon 7 of 11ENSP00000368079.4Q6ZWL3-1
CYP4V2
ENST00000507209.5
TSL:1
n.1664G>A
non_coding_transcript_exon
Exon 3 of 6
CYP4V2
ENST00000905173.1
c.823G>Ap.Glu275Lys
missense
Exon 7 of 12ENSP00000575232.1

Frequencies

GnomAD3 genomes
AF:
0.0376
AC:
5714
AN:
152156
Hom.:
146
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0641
Gnomad AMI
AF:
0.0285
Gnomad AMR
AF:
0.0323
Gnomad ASJ
AF:
0.0389
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00643
Gnomad FIN
AF:
0.0200
Gnomad MID
AF:
0.0759
Gnomad NFE
AF:
0.0300
Gnomad OTH
AF:
0.0459
GnomAD2 exomes
AF:
0.0262
AC:
6590
AN:
251296
AF XY:
0.0255
show subpopulations
Gnomad AFR exome
AF:
0.0661
Gnomad AMR exome
AF:
0.0211
Gnomad ASJ exome
AF:
0.0389
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.0190
Gnomad NFE exome
AF:
0.0310
Gnomad OTH exome
AF:
0.0316
GnomAD4 exome
AF:
0.0285
AC:
41665
AN:
1461450
Hom.:
716
Cov.:
34
AF XY:
0.0278
AC XY:
20194
AN XY:
727028
show subpopulations
African (AFR)
AF:
0.0662
AC:
2214
AN:
33458
American (AMR)
AF:
0.0225
AC:
1007
AN:
44686
Ashkenazi Jewish (ASJ)
AF:
0.0414
AC:
1081
AN:
26114
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39696
South Asian (SAS)
AF:
0.00854
AC:
736
AN:
86232
European-Finnish (FIN)
AF:
0.0186
AC:
991
AN:
53402
Middle Eastern (MID)
AF:
0.0572
AC:
330
AN:
5766
European-Non Finnish (NFE)
AF:
0.0300
AC:
33398
AN:
1111718
Other (OTH)
AF:
0.0316
AC:
1907
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.428
Heterozygous variant carriers
0
2047
4094
6141
8188
10235
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1280
2560
3840
5120
6400
<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:
0.0375
AC:
5711
AN:
152274
Hom.:
145
Cov.:
31
AF XY:
0.0360
AC XY:
2680
AN XY:
74456
show subpopulations
African (AFR)
AF:
0.0639
AC:
2655
AN:
41564
American (AMR)
AF:
0.0323
AC:
494
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.0389
AC:
135
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00643
AC:
31
AN:
4818
European-Finnish (FIN)
AF:
0.0200
AC:
213
AN:
10624
Middle Eastern (MID)
AF:
0.0782
AC:
23
AN:
294
European-Non Finnish (NFE)
AF:
0.0300
AC:
2039
AN:
68008
Other (OTH)
AF:
0.0450
AC:
95
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
282
564
846
1128
1410
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
66
132
198
264
330
<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:
0.0324
Hom.:
286
Bravo
AF:
0.0400
TwinsUK
AF:
0.0272
AC:
101
ALSPAC
AF:
0.0267
AC:
103
ESP6500AA
AF:
0.0574
AC:
253
ESP6500EA
AF:
0.0288
AC:
248
ExAC
AF:
0.0272
AC:
3302
Asia WGS
AF:
0.00924
AC:
36
AN:
3478
EpiCase
AF:
0.0333
EpiControl
AF:
0.0348

ClinVar

ClinVar submissions
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)
-
-
1
Bietti crystalline corneoretinal dystrophy (1)
-
-
1
Corneal dystrophy (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.091
T
Eigen
Benign
-0.48
Eigen_PC
Benign
-0.46
FATHMM_MKL
Benign
0.24
N
LIST_S2
Benign
0.62
T
MetaRNN
Benign
0.0024
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.7
L
PhyloP100
1.0
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.073
Sift
Benign
0.10
T
Sift4G
Benign
0.33
T
Polyphen
0.080
B
Vest4
0.031
MPC
0.081
ClinPred
0.0065
T
GERP RS
3.8
Varity_R
0.21
gMVP
0.39
Mutation Taster
=100/0
polymorphism (auto)

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: rs34745240; hg19: chr4-187122332; COSMIC: COSV107498305; API