rs4844573

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000715.4(C4BPA):​c.899T>C​(p.Ile300Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.374 in 1,602,050 control chromosomes in the GnomAD database, including 119,930 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in UniProt.

Frequency

Genomes: 𝑓 0.48 ( 19783 hom., cov: 31)
Exomes 𝑓: 0.36 ( 100147 hom. )

Consequence

C4BPA
NM_000715.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -2.58
Variant links:
Genes affected
C4BPA (HGNC:1325): (complement component 4 binding protein alpha) This gene encodes a member of a superfamily of proteins composed predominantly of tandemly arrayed short consensus repeats of approximately 60 amino acids. Along with a single, unique beta-chain, seven identical alpha-chains encoded by this gene assemble into the predominant isoform of C4b-binding protein, a multimeric protein that controls activation of the complement cascade through the classical pathway. The genes encoding both alpha and beta chains are located adjacent to each other on human chromosome 1 in the regulator of complement activation gene cluster. Two pseudogenes of this gene are also found in the cluster. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.0640223E-6).
BP6
Variant 1-207131555-T-C is Benign according to our data. Variant chr1-207131555-T-C is described in ClinVar as [Benign]. Clinvar id is 402445.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-207131555-T-C is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.754 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
C4BPANM_000715.4 linkc.899T>C p.Ile300Thr missense_variant Exon 8 of 12 ENST00000367070.8 NP_000706.1 P04003

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
C4BPAENST00000367070.8 linkc.899T>C p.Ile300Thr missense_variant Exon 8 of 12 1 NM_000715.4 ENSP00000356037.3 P04003

Frequencies

GnomAD3 genomes
AF:
0.476
AC:
72257
AN:
151802
Hom.:
19736
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.761
Gnomad AMI
AF:
0.399
Gnomad AMR
AF:
0.432
Gnomad ASJ
AF:
0.306
Gnomad EAS
AF:
0.274
Gnomad SAS
AF:
0.347
Gnomad FIN
AF:
0.463
Gnomad MID
AF:
0.345
Gnomad NFE
AF:
0.350
Gnomad OTH
AF:
0.443
GnomAD3 exomes
AF:
0.392
AC:
97429
AN:
248352
Hom.:
20794
AF XY:
0.381
AC XY:
51110
AN XY:
134148
show subpopulations
Gnomad AFR exome
AF:
0.769
Gnomad AMR exome
AF:
0.428
Gnomad ASJ exome
AF:
0.306
Gnomad EAS exome
AF:
0.291
Gnomad SAS exome
AF:
0.348
Gnomad FIN exome
AF:
0.466
Gnomad NFE exome
AF:
0.350
Gnomad OTH exome
AF:
0.377
GnomAD4 exome
AF:
0.363
AC:
526452
AN:
1450130
Hom.:
100147
Cov.:
30
AF XY:
0.361
AC XY:
260456
AN XY:
722064
show subpopulations
Gnomad4 AFR exome
AF:
0.777
Gnomad4 AMR exome
AF:
0.427
Gnomad4 ASJ exome
AF:
0.306
Gnomad4 EAS exome
AF:
0.307
Gnomad4 SAS exome
AF:
0.346
Gnomad4 FIN exome
AF:
0.454
Gnomad4 NFE exome
AF:
0.348
Gnomad4 OTH exome
AF:
0.372
GnomAD4 genome
AF:
0.476
AC:
72375
AN:
151920
Hom.:
19783
Cov.:
31
AF XY:
0.474
AC XY:
35177
AN XY:
74256
show subpopulations
Gnomad4 AFR
AF:
0.761
Gnomad4 AMR
AF:
0.431
Gnomad4 ASJ
AF:
0.306
Gnomad4 EAS
AF:
0.275
Gnomad4 SAS
AF:
0.347
Gnomad4 FIN
AF:
0.463
Gnomad4 NFE
AF:
0.350
Gnomad4 OTH
AF:
0.444
Alfa
AF:
0.378
Hom.:
20313
Bravo
AF:
0.489
TwinsUK
AF:
0.350
AC:
1296
ALSPAC
AF:
0.340
AC:
1311
ESP6500AA
AF:
0.753
AC:
3316
ESP6500EA
AF:
0.347
AC:
2980
ExAC
AF:
0.396
AC:
48051
Asia WGS
AF:
0.336
AC:
1170
AN:
3474

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Nov 10, 2018
GeneDx
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

- -

not specified Benign:1
Mar 28, 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: Frequency -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.058
BayesDel_addAF
Benign
-0.77
T
BayesDel_noAF
Benign
-0.73
CADD
Benign
0.055
DANN
Benign
0.32
DEOGEN2
Benign
0.016
T
Eigen
Benign
-1.9
Eigen_PC
Benign
-1.9
FATHMM_MKL
Benign
0.0022
N
LIST_S2
Benign
0.051
T
MetaRNN
Benign
0.0000011
T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
-0.73
N
PrimateAI
Benign
0.28
T
PROVEAN
Benign
0.62
N
REVEL
Benign
0.12
Sift
Benign
0.92
T
Sift4G
Benign
0.87
T
Polyphen
0.0
B
Vest4
0.0080
MPC
0.32
ClinPred
0.0031
T
GERP RS
-8.9
Varity_R
0.030
gMVP
0.20

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: rs4844573; hg19: chr1-207304900; COSMIC: COSV65535741; COSMIC: COSV65535741; API