rs504578

Variant names:

• chr11-79151247-G-A
• rs504578
• NM_001098816.3:c.-162-2441C>T

Your query was ambiguous. Multiple possible variants found:

• chr11-79151247-G-A
• chr11-79151247-G-C

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_001098816.3(TENM4):​c.-162-2441C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.923 in 152,262 control chromosomes in the GnomAD database, including 65,440 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency: Genomes: 𝑓 0.92 (65440 hom., cov: 33)
• Consequence: TENM4 NM_001098816.3 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 1.31
• Publications: 1 publications found

Genes affected

TENM4 (HGNC:29945): (teneurin transmembrane protein 4) The protein encoded by this gene plays a role in establishing proper neuronal connectivity during development. Defects in this gene have been associated with hereditary essential tremor-5. [provided by RefSeq, Oct 2016]

TENM4 Gene-Disease associations (from GenCC):

• tremor, hereditary essential, 5

  Inheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), Ambry Genetics

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.91).
• BA1: GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.973 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001098816.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	TENM4	NM_001098816.3	MANE Select	c.-162-2441C>T		intron	N/A	NP_001092286.2	Q6N022

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	TENM4	ENST00000278550.12	TSL:5 MANE Select	c.-162-2441C>T		intron	N/A	ENSP00000278550.7	Q6N022
	TENM4	ENST00000532654.5	TSL:1	n.191-2441C>T		intron	N/A
	TENM4	ENST00000527736.5	TSL:5	c.-66+64561C>T		intron	N/A	ENSP00000433535.1

Frequencies

GnomAD3 genomes AF: 0.923 AC: 140355 AN: 152144 Hom.: 65390 Cov.: 33

Gnomad AFR AF: 0.923

Gnomad AMI AF: 0.973

Gnomad AMR AF: 0.816

Gnomad ASJ AF: 0.983

Gnomad EAS AF: 0.564

Gnomad SAS AF: 0.816

Gnomad FIN AF: 0.901

Gnomad MID AF: 0.987

Gnomad NFE AF: 0.980

Gnomad OTH AF: 0.941

We have no GnomAD4 exomes data on this position. Probably position not covered by the project.

GnomAD4 genome AF: 0.923 AC: 140463 AN: 152262 Hom.: 65440 Cov.: 33 AF XY: 0.914 AC XY: 68010 AN XY: 74446

African (AFR) AF: 0.923 AC: 38355 AN: 41554

American (AMR) AF: 0.816 AC: 12466 AN: 15286

Ashkenazi Jewish (ASJ) AF: 0.983 AC: 3412 AN: 3472

East Asian (EAS) AF: 0.565 AC: 2908 AN: 5146

South Asian (SAS) AF: 0.817 AC: 3946 AN: 4830

European-Finnish (FIN) AF: 0.901 AC: 9560 AN: 10614

Middle Eastern (MID) AF: 0.990 AC: 291 AN: 294

European-Non Finnish (NFE) AF: 0.980 AC: 66657 AN: 68040

Other (OTH) AF: 0.937 AC: 1981 AN: 2114

Alfa AF: 0.944 Hom.: 9380

Bravo AF: 0.916

Asia WGS AF: 0.731 AC: 2544 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.91
CADD	Benign	5.5
DANN	Benign	0.59
PhyloP100		1.3
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs504578; hg19: chr11-78862292;