rs3745859

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 0P and 19B. BP4_ModerateBP6_Very_StrongBP7BA1

The NM_004924.6(ACTN4):​c.546C>T​(p.Asn182Asn) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.452 in 1,613,490 control chromosomes in the GnomAD database, including 169,091 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.39 ( 12552 hom., cov: 32)
Exomes 𝑓: 0.46 ( 156539 hom. )

Consequence

ACTN4
NM_004924.6 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: -2.54
Variant links:
Genes affected
ACTN4 (HGNC:166): (actinin alpha 4) Alpha actinins belong to the spectrin gene superfamily which represents a diverse group of cytoskeletal proteins, including the alpha and beta spectrins and dystrophins. Alpha actinin is an actin-binding protein with multiple roles in different cell types. In nonmuscle cells, the cytoskeletal isoform is found along microfilament bundles and adherens-type junctions, where it is involved in binding actin to the membrane. In contrast, skeletal, cardiac, and smooth muscle isoforms are localized to the Z-disc and analogous dense bodies, where they help anchor the myofibrillar actin filaments. This gene encodes a nonmuscle, alpha actinin isoform which is concentrated in the cytoplasm, and thought to be involved in metastatic processes. Mutations in this gene have been associated with focal and segmental glomerulosclerosis. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.27).
BP6
Variant 19-38706105-C-T is Benign according to our data. Variant chr19-38706105-C-T is described in ClinVar as [Benign]. Clinvar id is 259582.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr19-38706105-C-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-2.54 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.462 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ACTN4NM_004924.6 linkc.546C>T p.Asn182Asn synonymous_variant Exon 5 of 21 ENST00000252699.7 NP_004915.2 O43707-1A0A0S2Z3G9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ACTN4ENST00000252699.7 linkc.546C>T p.Asn182Asn synonymous_variant Exon 5 of 21 1 NM_004924.6 ENSP00000252699.2 O43707-1

Frequencies

GnomAD3 genomes
AF:
0.392
AC:
59575
AN:
151960
Hom.:
12559
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.253
Gnomad AMI
AF:
0.519
Gnomad AMR
AF:
0.347
Gnomad ASJ
AF:
0.408
Gnomad EAS
AF:
0.436
Gnomad SAS
AF:
0.377
Gnomad FIN
AF:
0.499
Gnomad MID
AF:
0.241
Gnomad NFE
AF:
0.466
Gnomad OTH
AF:
0.374
GnomAD3 exomes
AF:
0.411
AC:
103224
AN:
251394
Hom.:
22179
AF XY:
0.418
AC XY:
56746
AN XY:
135890
show subpopulations
Gnomad AFR exome
AF:
0.249
Gnomad AMR exome
AF:
0.282
Gnomad ASJ exome
AF:
0.398
Gnomad EAS exome
AF:
0.431
Gnomad SAS exome
AF:
0.392
Gnomad FIN exome
AF:
0.480
Gnomad NFE exome
AF:
0.463
Gnomad OTH exome
AF:
0.399
GnomAD4 exome
AF:
0.458
AC:
669353
AN:
1461412
Hom.:
156539
Cov.:
48
AF XY:
0.456
AC XY:
331326
AN XY:
727058
show subpopulations
Gnomad4 AFR exome
AF:
0.238
Gnomad4 AMR exome
AF:
0.286
Gnomad4 ASJ exome
AF:
0.395
Gnomad4 EAS exome
AF:
0.521
Gnomad4 SAS exome
AF:
0.397
Gnomad4 FIN exome
AF:
0.479
Gnomad4 NFE exome
AF:
0.477
Gnomad4 OTH exome
AF:
0.437
GnomAD4 genome
AF:
0.392
AC:
59568
AN:
152078
Hom.:
12552
Cov.:
32
AF XY:
0.391
AC XY:
29086
AN XY:
74338
show subpopulations
Gnomad4 AFR
AF:
0.253
Gnomad4 AMR
AF:
0.346
Gnomad4 ASJ
AF:
0.408
Gnomad4 EAS
AF:
0.436
Gnomad4 SAS
AF:
0.377
Gnomad4 FIN
AF:
0.499
Gnomad4 NFE
AF:
0.466
Gnomad4 OTH
AF:
0.370
Alfa
AF:
0.442
Hom.:
12747
Bravo
AF:
0.372
Asia WGS
AF:
0.341
AC:
1188
AN:
3476
EpiCase
AF:
0.437
EpiControl
AF:
0.442

ClinVar

Significance: Benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Focal segmental glomerulosclerosis 1 Benign:4
Apr 12, 2017
Athena Diagnostics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Oct 10, 2014
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Jul 15, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 46% of patients studied in a panel designed for Epileptic and Developmental Encephalopathy and Progressive Myoclonus Epilepsy. Number of patients: 43. Only high quality variants are reported. -

not provided Benign:3
Jul 05, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.27
CADD
Benign
0.71
DANN
Benign
0.67
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs3745859; hg19: chr19-39196745; COSMIC: COSV53151301; COSMIC: COSV53151301; API