rs3848290

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_001364782.1(CES4A):​c.1357G>A​(p.Ala453Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0172 in 1,536,428 control chromosomes in the GnomAD database, including 2,673 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/15 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 0.078 ( 1453 hom., cov: 32)
Exomes 𝑓: 0.011 ( 1220 hom. )

Consequence

CES4A
NM_001364782.1 missense

Scores

1
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.113
Variant links:
Genes affected
CES4A (HGNC:26741): (carboxylesterase 4A) This gene encodes a member of the carboxylesterase large family. The family members are responsible for the hydrolysis or transesterification of various xenobiotics, such as cocaine and heroin, and endogenous substrates with ester, thioester, or amide bonds. They also participate in fatty acyl and cholesterol ester metabolism, and may play a role in the blood-brain barrier system. This gene, also called CES6, encodes a secreted enzyme, and may play a role in the detoxification of drugs and xenobiotics in neural and other tissues of the body and in the cerebrospinal fluid. Multiple transcript variants encoding different isoforms have been reported, but the full-length nature and/or biological validity of some variants have not been determined. [provided by RefSeq, Jun 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0046688616).
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.26 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CES4ANM_001364782.1 linkuse as main transcriptc.1357G>A p.Ala453Thr missense_variant 12/14 ENST00000648724.3 NP_001351711.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CES4AENST00000648724.3 linkuse as main transcriptc.1357G>A p.Ala453Thr missense_variant 12/14 NM_001364782.1 ENSP00000497868 P1Q5XG92-1

Frequencies

GnomAD3 genomes
AF:
0.0783
AC:
11907
AN:
152024
Hom.:
1452
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.265
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0298
Gnomad ASJ
AF:
0.0167
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00352
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.00453
Gnomad OTH
AF:
0.0570
GnomAD3 exomes
AF:
0.0195
AC:
2714
AN:
139408
Hom.:
254
AF XY:
0.0152
AC XY:
1139
AN XY:
75144
show subpopulations
Gnomad AFR exome
AF:
0.274
Gnomad AMR exome
AF:
0.0153
Gnomad ASJ exome
AF:
0.0178
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00160
Gnomad FIN exome
AF:
0.000140
Gnomad NFE exome
AF:
0.00433
Gnomad OTH exome
AF:
0.0109
GnomAD4 exome
AF:
0.0105
AC:
14560
AN:
1384286
Hom.:
1220
Cov.:
31
AF XY:
0.00950
AC XY:
6489
AN XY:
683068
show subpopulations
Gnomad4 AFR exome
AF:
0.267
Gnomad4 AMR exome
AF:
0.0181
Gnomad4 ASJ exome
AF:
0.0175
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00187
Gnomad4 FIN exome
AF:
0.000322
Gnomad4 NFE exome
AF:
0.00332
Gnomad4 OTH exome
AF:
0.0210
GnomAD4 genome
AF:
0.0784
AC:
11925
AN:
152142
Hom.:
1453
Cov.:
32
AF XY:
0.0760
AC XY:
5651
AN XY:
74388
show subpopulations
Gnomad4 AFR
AF:
0.265
Gnomad4 AMR
AF:
0.0297
Gnomad4 ASJ
AF:
0.0167
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00331
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.00454
Gnomad4 OTH
AF:
0.0564
Alfa
AF:
0.0149
Hom.:
326
Bravo
AF:
0.0884
TwinsUK
AF:
0.00620
AC:
23
ALSPAC
AF:
0.00337
AC:
13
ExAC
AF:
0.0140
AC:
466
Asia WGS
AF:
0.0140
AC:
52
AN:
3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
0.44
DANN
Benign
0.97
Eigen
Benign
-0.97
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.025
N
LIST_S2
Benign
0.39
.;T
MetaRNN
Benign
0.0047
T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
1.0
P;P;P;P;P;P;P
PROVEAN
Benign
-0.30
.;N
REVEL
Benign
0.040
Sift
Benign
0.041
.;D
Sift4G
Uncertain
0.0060
.;D
Vest4
0.018
ClinPred
0.0020
T
GERP RS
-1.9

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: rs3848290; hg19: chr16-67040335; API