rs36259

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_024552.3(CERS4):​c.1096G>A​(p.Ala366Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.757 in 1,583,458 control chromosomes in the GnomAD database, including 454,121 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.74 ( 42222 hom., cov: 35)
Exomes 𝑓: 0.76 ( 411899 hom. )

Consequence

CERS4
NM_024552.3 missense

Scores

18

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.970

Publications

43 publications found
Variant links:
Genes affected
CERS4 (HGNC:23747): (ceramide synthase 4) Enables sphingosine N-acyltransferase activity. Involved in ceramide biosynthetic process. Predicted to be located in endoplasmic reticulum membrane. Predicted to be active in endoplasmic reticulum. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

BP4
Computational evidence support a benign effect (MetaRNN=1.0931072E-6).
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.78 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CERS4NM_024552.3 linkc.1096G>A p.Ala366Thr missense_variant Exon 12 of 12 ENST00000251363.10 NP_078828.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CERS4ENST00000251363.10 linkc.1096G>A p.Ala366Thr missense_variant Exon 12 of 12 1 NM_024552.3 ENSP00000251363.5

Frequencies

GnomAD3 genomes
AF:
0.743
AC:
113077
AN:
152124
Hom.:
42191
Cov.:
35
show subpopulations
Gnomad AFR
AF:
0.683
Gnomad AMI
AF:
0.896
Gnomad AMR
AF:
0.770
Gnomad ASJ
AF:
0.812
Gnomad EAS
AF:
0.800
Gnomad SAS
AF:
0.757
Gnomad FIN
AF:
0.754
Gnomad MID
AF:
0.722
Gnomad NFE
AF:
0.761
Gnomad OTH
AF:
0.765
GnomAD2 exomes
AF:
0.750
AC:
166419
AN:
221872
AF XY:
0.753
show subpopulations
Gnomad AFR exome
AF:
0.682
Gnomad AMR exome
AF:
0.700
Gnomad ASJ exome
AF:
0.810
Gnomad EAS exome
AF:
0.801
Gnomad FIN exome
AF:
0.748
Gnomad NFE exome
AF:
0.762
Gnomad OTH exome
AF:
0.775
GnomAD4 exome
AF:
0.758
AC:
1085015
AN:
1431214
Hom.:
411899
Cov.:
75
AF XY:
0.758
AC XY:
538264
AN XY:
710280
show subpopulations
African (AFR)
AF:
0.670
AC:
21570
AN:
32188
American (AMR)
AF:
0.712
AC:
27363
AN:
38430
Ashkenazi Jewish (ASJ)
AF:
0.809
AC:
19523
AN:
24122
East Asian (EAS)
AF:
0.814
AC:
32141
AN:
39484
South Asian (SAS)
AF:
0.736
AC:
60067
AN:
81592
European-Finnish (FIN)
AF:
0.745
AC:
38921
AN:
52258
Middle Eastern (MID)
AF:
0.783
AC:
4396
AN:
5612
European-Non Finnish (NFE)
AF:
0.761
AC:
835948
AN:
1098540
Other (OTH)
AF:
0.764
AC:
45086
AN:
58988
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.527
Heterozygous variant carriers
0
16587
33174
49761
66348
82935
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20384
40768
61152
81536
101920
<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:
0.743
AC:
113161
AN:
152244
Hom.:
42222
Cov.:
35
AF XY:
0.746
AC XY:
55509
AN XY:
74430
show subpopulations
African (AFR)
AF:
0.683
AC:
28383
AN:
41540
American (AMR)
AF:
0.770
AC:
11776
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.812
AC:
2816
AN:
3470
East Asian (EAS)
AF:
0.800
AC:
4135
AN:
5168
South Asian (SAS)
AF:
0.757
AC:
3654
AN:
4828
European-Finnish (FIN)
AF:
0.754
AC:
8000
AN:
10616
Middle Eastern (MID)
AF:
0.707
AC:
208
AN:
294
European-Non Finnish (NFE)
AF:
0.761
AC:
51747
AN:
68002
Other (OTH)
AF:
0.770
AC:
1627
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
1549
3097
4646
6194
7743
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
848
1696
2544
3392
4240
<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:
0.759
Hom.:
138012
Bravo
AF:
0.741
TwinsUK
AF:
0.755
AC:
2800
ALSPAC
AF:
0.765
AC:
2947
ESP6500AA
AF:
0.690
AC:
3039
ESP6500EA
AF:
0.765
AC:
6572
ExAC
AF:
0.744
AC:
90078
Asia WGS
AF:
0.775
AC:
2695
AN:
3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.072
BayesDel_addAF
Benign
-0.73
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
7.5
DANN
Benign
0.71
DEOGEN2
Benign
0.089
T;T;T;T
Eigen
Benign
-0.94
Eigen_PC
Benign
-0.97
FATHMM_MKL
Benign
0.048
N
LIST_S2
Benign
0.51
T;.;T;T
MetaRNN
Benign
0.0000011
T;T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
2.0
.;M;M;.
PhyloP100
0.97
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-0.21
N;N;N;N
REVEL
Benign
0.063
Sift
Benign
0.58
T;T;T;D
Sift4G
Benign
0.59
T;T;T;T
Polyphen
0.012
.;B;B;.
Vest4
0.088
MPC
0.060
ClinPred
0.0041
T
GERP RS
0.91
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.048
gMVP
0.17
Mutation Taster
=98/2
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: rs36259; hg19: chr19-8326904; COSMIC: COSV52167244; COSMIC: COSV52167244; API