rs35537517

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_020639.3(RIPK4):​c.2101C>T​(p.Pro701Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00841 in 1,612,138 control chromosomes in the GnomAD database, including 81 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0059 ( 7 hom., cov: 34)
Exomes 𝑓: 0.0087 ( 74 hom. )

Consequence

RIPK4
NM_020639.3 missense

Scores

1
2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 3.89

Publications

6 publications found
Variant links:
Genes affected
RIPK4 (HGNC:496): (receptor interacting serine/threonine kinase 4) The protein encoded by this gene is a serine/threonine protein kinase that interacts with protein kinase C-delta. The encoded protein can also activate NFkappaB and is required for keratinocyte differentiation. This kinase undergoes autophosphorylation. [provided by RefSeq, Jul 2008]
RIPK4 Gene-Disease associations (from GenCC):
  • Bartsocas-Papas syndrome 1
    Inheritance: AR Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, G2P
  • ectodermal dysplasia syndrome
    Inheritance: AR Classification: STRONG Submitted by: Ambry Genetics

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 (MetaRNN=0.005151719).
BP6
Variant 21-41741092-G-A is Benign according to our data. Variant chr21-41741092-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 235557.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00587 (894/152290) while in subpopulation NFE AF = 0.00929 (632/68026). AF 95% confidence interval is 0.00869. There are 7 homozygotes in GnomAd4. There are 435 alleles in the male GnomAd4 subpopulation. Median coverage is 34. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 7 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
RIPK4NM_020639.3 linkc.2101C>T p.Pro701Ser missense_variant Exon 8 of 8 ENST00000332512.8 NP_065690.2 Q9H4D1Q96T11

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
RIPK4ENST00000332512.8 linkc.2101C>T p.Pro701Ser missense_variant Exon 8 of 8 1 NM_020639.3 ENSP00000332454.3 P57078-2
RIPK4ENST00000352483.3 linkc.2245C>T p.Pro749Ser missense_variant Exon 9 of 9 5 ENSP00000330161.2 P57078-1
ENSG00000236883ENST00000423276.1 linkn.300-55G>A intron_variant Intron 1 of 1 3

Frequencies

GnomAD3 genomes
AF:
0.00586
AC:
892
AN:
152172
Hom.:
7
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.00181
Gnomad AMI
AF:
0.0197
Gnomad AMR
AF:
0.00798
Gnomad ASJ
AF:
0.00317
Gnomad EAS
AF:
0.000385
Gnomad SAS
AF:
0.00290
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00927
Gnomad OTH
AF:
0.00813
GnomAD2 exomes
AF:
0.00605
AC:
1495
AN:
247236
AF XY:
0.00603
show subpopulations
Gnomad AFR exome
AF:
0.00150
Gnomad AMR exome
AF:
0.00573
Gnomad ASJ exome
AF:
0.00479
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000428
Gnomad NFE exome
AF:
0.00964
Gnomad OTH exome
AF:
0.00806
GnomAD4 exome
AF:
0.00867
AC:
12658
AN:
1459848
Hom.:
74
Cov.:
84
AF XY:
0.00836
AC XY:
6069
AN XY:
726288
show subpopulations
African (AFR)
AF:
0.00140
AC:
47
AN:
33466
American (AMR)
AF:
0.00633
AC:
283
AN:
44708
Ashkenazi Jewish (ASJ)
AF:
0.00463
AC:
121
AN:
26110
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39692
South Asian (SAS)
AF:
0.00380
AC:
328
AN:
86206
European-Finnish (FIN)
AF:
0.000445
AC:
23
AN:
51730
Middle Eastern (MID)
AF:
0.00607
AC:
35
AN:
5768
European-Non Finnish (NFE)
AF:
0.0102
AC:
11355
AN:
1111810
Other (OTH)
AF:
0.00770
AC:
465
AN:
60358
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
893
1786
2680
3573
4466
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
438
876
1314
1752
2190
<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:
0.00587
AC:
894
AN:
152290
Hom.:
7
Cov.:
34
AF XY:
0.00584
AC XY:
435
AN XY:
74466
show subpopulations
African (AFR)
AF:
0.00181
AC:
75
AN:
41544
American (AMR)
AF:
0.00797
AC:
122
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00317
AC:
11
AN:
3472
East Asian (EAS)
AF:
0.000386
AC:
2
AN:
5178
South Asian (SAS)
AF:
0.00290
AC:
14
AN:
4824
European-Finnish (FIN)
AF:
0.000188
AC:
2
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00929
AC:
632
AN:
68026
Other (OTH)
AF:
0.00852
AC:
18
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
52
104
155
207
259
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00674
Hom.:
3
Bravo
AF:
0.00671
TwinsUK
AF:
0.0129
AC:
48
ALSPAC
AF:
0.0122
AC:
47
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.0101
AC:
87
ExAC
AF:
0.00558
AC:
677
Asia WGS
AF:
0.00202
AC:
7
AN:
3478
EpiCase
AF:
0.00949
EpiControl
AF:
0.0102

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:5
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Dec 23, 2015
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 06, 2020
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

May 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

RIPK4: BP4, BS1, BS2 -

Bartsocas-Papas syndrome 1 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

RIPK4-related disorder Benign:1
Jan 31, 2020
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
0.17
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.056
T;.
Eigen
Benign
0.12
Eigen_PC
Benign
0.15
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.85
D;D
MetaRNN
Benign
0.0052
T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
-0.30
N;.
PhyloP100
3.9
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
0.42
N;N
REVEL
Benign
0.22
Sift
Benign
0.63
T;T
Sift4G
Benign
0.69
T;T
Polyphen
1.0
.;D
Vest4
0.17
MVP
0.67
MPC
1.3
ClinPred
0.037
T
GERP RS
4.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.080
gMVP
0.27
Mutation Taster
=99/1
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: rs35537517; hg19: chr21-43161252; API