rs35267264

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_015275.3(WASHC4):​c.878G>A​(p.Arg293Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00172 in 1,612,812 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0014 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0017 ( 10 hom. )

Consequence

WASHC4
NM_015275.3 missense

Scores

4
3
11

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:3

Conservation

PhyloP100: 8.15

Publications

9 publications found
Variant links:
Genes affected
WASHC4 (HGNC:29174): (WASH complex subunit 4) This gene encodes a component of the WASH complex, which functions in the intracellular transport of endosomes. Mutations in this gene have been detected in individuals with autosomal recessive cognitive disability. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jun 2014]
WASHC4 Gene-Disease associations (from GenCC):
  • autosomal recessive non-syndromic intellectual disability
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • intellectual disability, autosomal recessive 43
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics
  • schizophrenia
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.055656135).
BP6
Variant 12-105126095-G-A is Benign according to our data. Variant chr12-105126095-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 225042.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00144 (219/152110) while in subpopulation NFE AF = 0.00264 (179/67914). AF 95% confidence interval is 0.00232. There are 0 homozygotes in GnomAd4. There are 96 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAdExome4 at 10 AR,Unknown gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
WASHC4NM_015275.3 linkc.878G>A p.Arg293Gln missense_variant Exon 11 of 33 ENST00000332180.10 NP_056090.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
WASHC4ENST00000332180.10 linkc.878G>A p.Arg293Gln missense_variant Exon 11 of 33 1 NM_015275.3 ENSP00000328062.6

Frequencies

GnomAD3 genomes
AF:
0.00144
AC:
219
AN:
151992
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000290
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00170
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00264
Gnomad OTH
AF:
0.000960
GnomAD2 exomes
AF:
0.00162
AC:
403
AN:
248514
AF XY:
0.00165
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00215
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000139
Gnomad NFE exome
AF:
0.00265
Gnomad OTH exome
AF:
0.00331
GnomAD4 exome
AF:
0.00175
AC:
2549
AN:
1460702
Hom.:
10
Cov.:
31
AF XY:
0.00176
AC XY:
1282
AN XY:
726664
show subpopulations
African (AFR)
AF:
0.000299
AC:
10
AN:
33438
American (AMR)
AF:
0.00242
AC:
108
AN:
44660
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26088
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39512
South Asian (SAS)
AF:
0.000255
AC:
22
AN:
86198
European-Finnish (FIN)
AF:
0.000150
AC:
8
AN:
53354
Middle Eastern (MID)
AF:
0.00382
AC:
22
AN:
5756
European-Non Finnish (NFE)
AF:
0.00206
AC:
2294
AN:
1111358
Other (OTH)
AF:
0.00141
AC:
85
AN:
60338
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
123
246
368
491
614
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
74
148
222
296
370
<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:
0.00144
AC:
219
AN:
152110
Hom.:
0
Cov.:
33
AF XY:
0.00129
AC XY:
96
AN XY:
74346
show subpopulations
African (AFR)
AF:
0.000289
AC:
12
AN:
41546
American (AMR)
AF:
0.00170
AC:
26
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4816
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10584
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00264
AC:
179
AN:
67914
Other (OTH)
AF:
0.000950
AC:
2
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
11
23
34
46
57
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00141
Hom.:
3
Bravo
AF:
0.00150
TwinsUK
AF:
0.00324
AC:
12
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00209
AC:
17
ExAC
AF:
0.00174
AC:
210
Asia WGS
AF:
0.000289
AC:
1
AN:
3476
EpiCase
AF:
0.00338
EpiControl
AF:
0.00386

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
May 01, 2023
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

WASHC4: BS2 -

Apr 21, 2016
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
Nov 29, 2012
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

N/AN/ABased on data from the NHLBI Exome Sequencing Project (ESP), the A-allele has an overall frequency of approximately 0.12% (11/9498 total alleles studied). The A-allele was observed in 0.17% of European American (11/6556 alleles), was not observed among 2942 African American alleles studied, and has not been observed in the homozygous state among 4749 individuals studied. Based on data from the 1000 Genomes Project, the A-allele has an overall frequency of approximately 2/2188 (0.09%) and the highest frequency was in the British (0.56% 1/178 alleles). This amino acid position is completely conserved in available vertebrate species.This alteration is predicted to be possibly damaging with a score of 0.770 (sensitivity: 0.76; specificity: 0.86)This alteration is predicted to be tolerated with a score of 0.340 (conservation: 1.75) -

WASHC4-related disorder Benign:1
May 17, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Uncertain
0.030
CADD
Pathogenic
26
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.031
T;T
Eigen
Pathogenic
0.72
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D;D
M_CAP
Benign
0.020
T
MetaRNN
Benign
0.056
T;T
MetaSVM
Benign
-0.88
T
PhyloP100
8.1
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-1.6
N;.
REVEL
Benign
0.25
Sift
Benign
0.066
T;.
Sift4G
Benign
0.062
T;T
Polyphen
0.99
D;.
Vest4
0.86
MVP
0.65
MPC
0.72
ClinPred
0.049
T
GERP RS
5.6
Varity_R
0.26
gMVP
0.61
Mutation Taster
=80/20
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: rs35267264; hg19: chr12-105519873; API