rs387907028

Variant summary

Our verdict is Likely pathogenic. The variant received 9 ACMG points: 9P and 0B. PM1PM2PP3_StrongPP5

The NM_001029871.4(RSPO4):​c.199G>C​(p.Gly67Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 33)

Consequence

RSPO4
NM_001029871.4 missense

Scores

12
5
1

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 7.42

Publications

2 publications found
Variant links:
Genes affected
RSPO4 (HGNC:16175): (R-spondin 4) This gene encodes a member of the R-spondin family of proteins that share a common domain organization consisting of a signal peptide, cysteine-rich/furin-like domain, thrombospondin domain and a C-terminal basic region. The encoded protein may be involved in activation of Wnt/beta-catenin signaling pathways. Mutations in this gene are associated with anonychia congenital. Alternate splicing results in multiple transcript variants.[provided by RefSeq, Sep 2009]
RSPO4 Gene-Disease associations (from GenCC):
  • nonsyndromic congenital nail disorder 4
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Ambry Genetics, G2P, PanelApp Australia, Orphanet, Labcorp Genetics (formerly Invitae)

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ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 9 ACMG points.

PM1
In a hotspot region, there are 3 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 5 uncertain in NM_001029871.4
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.974
PP5
Variant 20-968019-C-G is Pathogenic according to our data. Variant chr20-968019-C-G is described in ClinVar as Pathogenic. ClinVar VariationId is 30847.Status of the report is no_assertion_criteria_provided, 0 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001029871.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RSPO4
NM_001029871.4
MANE Select
c.199G>Cp.Gly67Arg
missense
Exon 2 of 5NP_001025042.2Q2I0M5-1
RSPO4
NM_001040007.3
c.199G>Cp.Gly67Arg
missense
Exon 2 of 4NP_001035096.1Q2I0M5-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
RSPO4
ENST00000217260.9
TSL:1 MANE Select
c.199G>Cp.Gly67Arg
missense
Exon 2 of 5ENSP00000217260.4Q2I0M5-1
RSPO4
ENST00000400634.2
TSL:1
c.199G>Cp.Gly67Arg
missense
Exon 2 of 4ENSP00000383475.2Q2I0M5-2
RSPO4
ENST00000873320.1
c.169G>Cp.Gly57Arg
missense
Exon 2 of 5ENSP00000543379.1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
33

ClinVar

ClinVar submissions
Significance:Pathogenic
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Nonsyndromic congenital nail disorder 4 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Pathogenic
0.43
D
BayesDel_noAF
Pathogenic
0.38
CADD
Pathogenic
31
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.69
D
Eigen
Pathogenic
0.74
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.95
D
M_CAP
Uncertain
0.14
D
MetaRNN
Pathogenic
0.97
D
MetaSVM
Uncertain
0.53
D
MutationAssessor
Uncertain
2.5
M
PhyloP100
7.4
PrimateAI
Pathogenic
0.79
T
PROVEAN
Pathogenic
-7.9
D
REVEL
Pathogenic
0.85
Sift
Pathogenic
0.0
D
Sift4G
Benign
0.072
T
Polyphen
1.0
D
Vest4
0.83
MutPred
0.91
Gain of MoRF binding (P = 0.0241)
MVP
0.90
MPC
0.38
ClinPred
1.0
D
GERP RS
5.3
Varity_R
0.74
gMVP
0.74
Mutation Taster
=0/100
disease causing (ClinVar)

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: rs387907028; hg19: chr20-948662; API