rs448012

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_182925.5(FLT4):​c.2670C>G​(p.His890Gln) variant causes a missense change. The variant allele was found at a frequency of 0.628 in 1,609,192 control chromosomes in the GnomAD database, including 319,683 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.61 ( 28934 hom., cov: 32)
Exomes 𝑓: 0.63 ( 290749 hom. )

Consequence

FLT4
NM_182925.5 missense

Scores

2
5
11

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 3.68

Publications

56 publications found
Variant links:
Genes affected
FLT4 (HGNC:3767): (fms related receptor tyrosine kinase 4) This gene encodes a tyrosine kinase receptor for vascular endothelial growth factors C and D. The protein is thought to be involved in lymphangiogenesis and maintenance of the lymphatic endothelium. Mutations in this gene cause hereditary lymphedema type IA. [provided by RefSeq, Jul 2008]
FLT4 Gene-Disease associations (from GenCC):
  • lymphatic malformation 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Ambry Genetics, Labcorp Genetics (formerly Invitae), G2P
  • capillary infantile hemangioma
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • congenital heart defects, multiple types, 7
    Inheritance: AD Classification: STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)
  • lymphatic malformation
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • tetralogy of fallot
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.3976962E-6).
BP6
Variant 5-180619344-G-C is Benign according to our data. Variant chr5-180619344-G-C is described in ClinVar as Benign. ClinVar VariationId is 263039.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.686 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
FLT4NM_182925.5 linkc.2670C>G p.His890Gln missense_variant Exon 19 of 30 ENST00000261937.11 NP_891555.2 P35916-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
FLT4ENST00000261937.11 linkc.2670C>G p.His890Gln missense_variant Exon 19 of 30 1 NM_182925.5 ENSP00000261937.6 P35916-2

Frequencies

GnomAD3 genomes
AF:
0.612
AC:
92873
AN:
151658
Hom.:
28920
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.543
Gnomad AMI
AF:
0.697
Gnomad AMR
AF:
0.697
Gnomad ASJ
AF:
0.568
Gnomad EAS
AF:
0.494
Gnomad SAS
AF:
0.578
Gnomad FIN
AF:
0.704
Gnomad MID
AF:
0.600
Gnomad NFE
AF:
0.634
Gnomad OTH
AF:
0.624
GnomAD2 exomes
AF:
0.630
AC:
153516
AN:
243662
AF XY:
0.623
show subpopulations
Gnomad AFR exome
AF:
0.543
Gnomad AMR exome
AF:
0.755
Gnomad ASJ exome
AF:
0.571
Gnomad EAS exome
AF:
0.488
Gnomad FIN exome
AF:
0.704
Gnomad NFE exome
AF:
0.636
Gnomad OTH exome
AF:
0.628
GnomAD4 exome
AF:
0.630
AC:
917892
AN:
1457416
Hom.:
290749
Cov.:
42
AF XY:
0.627
AC XY:
455002
AN XY:
725184
show subpopulations
African (AFR)
AF:
0.537
AC:
17972
AN:
33440
American (AMR)
AF:
0.749
AC:
33420
AN:
44642
Ashkenazi Jewish (ASJ)
AF:
0.580
AC:
15132
AN:
26086
East Asian (EAS)
AF:
0.494
AC:
19574
AN:
39660
South Asian (SAS)
AF:
0.569
AC:
49028
AN:
86208
European-Finnish (FIN)
AF:
0.705
AC:
35674
AN:
50632
Middle Eastern (MID)
AF:
0.581
AC:
3335
AN:
5744
European-Non Finnish (NFE)
AF:
0.636
AC:
706591
AN:
1110720
Other (OTH)
AF:
0.617
AC:
37166
AN:
60284
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
15857
31714
47570
63427
79284
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
18688
37376
56064
74752
93440
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.612
AC:
92924
AN:
151776
Hom.:
28934
Cov.:
32
AF XY:
0.616
AC XY:
45667
AN XY:
74170
show subpopulations
African (AFR)
AF:
0.542
AC:
22459
AN:
41404
American (AMR)
AF:
0.697
AC:
10647
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.568
AC:
1966
AN:
3464
East Asian (EAS)
AF:
0.493
AC:
2504
AN:
5080
South Asian (SAS)
AF:
0.578
AC:
2794
AN:
4832
European-Finnish (FIN)
AF:
0.704
AC:
7425
AN:
10540
Middle Eastern (MID)
AF:
0.601
AC:
173
AN:
288
European-Non Finnish (NFE)
AF:
0.634
AC:
43022
AN:
67878
Other (OTH)
AF:
0.619
AC:
1304
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1806
3611
5417
7222
9028
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
758
1516
2274
3032
3790
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.625
Hom.:
9730
Bravo
AF:
0.608
TwinsUK
AF:
0.646
AC:
2394
ALSPAC
AF:
0.643
AC:
2479
ESP6500AA
AF:
0.545
AC:
2398
ESP6500EA
AF:
0.623
AC:
5356
ExAC
AF:
0.621
AC:
74755
Asia WGS
AF:
0.544
AC:
1889
AN:
3478
EpiCase
AF:
0.627
EpiControl
AF:
0.624

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:4
Mar 29, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: 62% of total chromosomes in ExAC -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
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

- -

Congenital heart defects, multiple types, 7 Benign:1
Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:1
Nov 11, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hereditary lymphedema type I Benign:1
Aug 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.31
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
22
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.61
D;.;T
Eigen
Benign
-0.43
Eigen_PC
Benign
-0.31
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Benign
0.75
T;T;T
MetaRNN
Benign
0.0000014
T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
0.040
N;N;.
PhyloP100
3.7
PrimateAI
Pathogenic
0.85
D
PROVEAN
Pathogenic
-5.1
D;D;D
REVEL
Uncertain
0.31
Sift
Benign
0.045
D;D;D
Sift4G
Uncertain
0.033
D;D;D
Polyphen
0.18
B;.;B
Vest4
0.39
MutPred
0.19
Gain of catalytic residue at H890 (P = 0.0859);Gain of catalytic residue at H890 (P = 0.0859);Gain of catalytic residue at H890 (P = 0.0859);
MPC
1.2
ClinPred
0.050
T
GERP RS
1.2
PromoterAI
0.039
Neutral
Varity_R
0.50
gMVP
0.77
Mutation Taster
=91/9
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs448012; hg19: chr5-180046344; COSMIC: COSV56098125; COSMIC: COSV56098125; API