rs397514481

Variant summary

Our verdict is Pathogenic. Variant got 15 ACMG points: 15P and 0B. PM2PP2PP3_StrongPP5_Very_Strong

The NM_001377142.1(PLCB4):​c.1898G>A​(p.Arg633His) 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. 13/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★).

Frequency

Genomes: not found (cov: 32)

Consequence

PLCB4
NM_001377142.1 missense

Scores

15
3
1

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:8

Conservation

PhyloP100: 10.0
Variant links:
Genes affected
PLCB4 (HGNC:9059): (phospholipase C beta 4) The protein encoded by this gene catalyzes the formation of inositol 1,4,5-trisphosphate and diacylglycerol from phosphatidylinositol 4,5-bisphosphate. This reaction uses calcium as a cofactor and plays an important role in the intracellular transduction of many extracellular signals in the retina. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Feb 2010]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 15 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the PLCB4 gene, where missense mutations are typically associated with disease (based on misZ statistic). The gene has 15 curated pathogenic missense variants (we use a threshold of 10). The gene has 18 curated benign missense variants. Gene score misZ: 3.5718 (above the threshold of 3.09). Trascript score misZ: 3.2758 (above the threshold of 3.09). GenCC associations: The gene is linked to auriculocondylar syndrome 1, auriculocondylar syndrome, auriculocondylar syndrome 2.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.98
PP5
Variant 20-9409080-G-A is Pathogenic according to our data. Variant chr20-9409080-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 31639.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PLCB4NM_001377142.1 linkc.1898G>A p.Arg633His missense_variant Exon 24 of 40 ENST00000378473.9 NP_001364071.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PLCB4ENST00000378473.9 linkc.1898G>A p.Arg633His missense_variant Exon 24 of 40 1 NM_001377142.1 ENSP00000367734.5 A0A7P0MRI8

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Auriculocondylar syndrome 2 Pathogenic:4
Mar 01, 2013
OMIM
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Jan 05, 2023
Tammimies Lab, Karolinska Institutet
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: research

- -

Aug 28, 2023
Institute of Human Genetics, University of Leipzig Medical Center
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Criteria applied: PM5_STR,PS2_MOD,PS4_MOD,PM1,PM2_SUP,PP3,PP4 -

Dec 30, 2017
Department Of Genetics, Sultan Qaboos University Hospital, Sultan Qaboos University
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: curation

- -

Inborn genetic diseases Pathogenic:1
Sep 07, 2017
Ambry Genetics
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Auriculocondylar syndrome Pathogenic:1
Dec 19, 2019
Illumina Laboratory Services, Illumina
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The PLCB4 c.1862G>A (p.Arg621His) variant is a missense variant. Across a selection of the available literature, the p.Arg621His variant has been identified in a heterozygous state in at least seven individuals of a multi-generational family segregating with auriculocondylar syndrome (ACS), and in one sporadic case of ACS, in which the variant occurred in a de novo state (Rieder et al. 2012; Gordon et al. 2013). The p.Arg621His variant was not found in 10758 control alleles and is not reported in the Genome Aggregation Database despite good sequence coverage, so the variant is presumed to be rare (Rieder et al. 2012). The p.Arg621His variant is highly conserved through evolution and is located in a catalytic domain of the PCLB4 protein in a region described as a hotspot for missense variation associated with ACS (Gordon et al. 2013). Additionally, at least two more missense variants with different amino acid alterations at the Arg61 residue have been reported in the literature in affected individuals (Gordon et al. 2013). Based on the collective evidence and application of the ACMG criteria, the p.Arg621His variant is classified as pathogenic for auriculocondylar syndrome. -

Auriculocondylar syndrome 1 Pathogenic:1
Sep 17, 2012
University of Washington Center for Mendelian Genomics, University of Washington
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: research

- -

not provided Pathogenic:1
Aug 30, 2022
GeneDx
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 23315542, 33131036, 32201334, 35170830, 22560091) -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.46
D
BayesDel_noAF
Pathogenic
0.42
CADD
Pathogenic
34
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.90
.;D;.;D;.
Eigen
Pathogenic
1.2
Eigen_PC
Pathogenic
1.2
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Pathogenic
1.0
D;D;.;.;D
M_CAP
Uncertain
0.20
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D
MetaSVM
Pathogenic
0.97
D
MutationAssessor
Pathogenic
4.4
.;H;.;H;H
PrimateAI
Pathogenic
0.88
D
PROVEAN
Pathogenic
-4.9
D;D;D;D;D
REVEL
Pathogenic
0.73
Sift
Uncertain
0.0010
D;D;D;D;D
Sift4G
Uncertain
0.0020
D;D;D;D;D
Polyphen
1.0
.;D;.;D;D
Vest4
0.98
MutPred
0.92
.;Loss of MoRF binding (P = 0.0073);.;Loss of MoRF binding (P = 0.0073);Loss of MoRF binding (P = 0.0073);
MVP
0.98
MPC
1.9
ClinPred
1.0
D
GERP RS
6.2
Varity_R
0.91
gMVP
0.98

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: rs397514481; hg19: chr20-9389727; COSMIC: COSV53800524; API