Our verdict is Benign. The variant received -9 ACMG points: 2P and 11B. PM2BP4_ModerateBP6_Very_StrongBP7
The NM_004100.5(EYA4):c.1197C>A(p.Pro399Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000197 in 152,096 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. P399P) has been classified as Likely benign.
EYA4 (HGNC:3522): (EYA transcriptional coactivator and phosphatase 4) This gene encodes a member of the eyes absent (EYA) family of proteins. The encoded protein may act as a transcriptional activator through its protein phosphatase activity, and it may be important for eye development, and for continued function of the mature organ of Corti. Mutations in this gene are associated with postlingual, progressive, autosomal dominant hearing loss at the deafness, autosomal dominant non-syndromic sensorineural 10 locus. The encoded protein is also a putative oncogene that mediates DNA repair, apoptosis, and innate immunity following DNA damage, cellular damage, and viral attack. Defects in this gene are also associated with dilated cardiomyopathy 1J. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2014]
Our verdict: Benign. The variant received -9 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.25).
BP6
Variant 6-133506111-C-A is Benign according to our data. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-133506111-C-A is described in CliVar as Likely_benign. Clinvar id is 1618028.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-0.071 with no splicing effect.
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -