rs532233295

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 0P and 3B. BP4_ModerateBS1_Supporting

The NM_001042545.2(LTBP4):​c.2402C>G​(p.Ala801Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000139 in 1,579,986 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A801V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000014 ( 0 hom. )

Consequence

LTBP4
NM_001042545.2 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: -0.590

Publications

1 publications found
Variant links:
Genes affected
LTBP4 (HGNC:6717): (latent transforming growth factor beta binding protein 4) The protein encoded by this gene binds transforming growth factor beta (TGFB) as it is secreted and targeted to the extracellular matrix. TGFB is biologically latent after secretion and insertion into the extracellular matrix, and sheds TGFB and other proteins upon activation. Defects in this gene may be a cause of cutis laxa and severe pulmonary, gastrointestinal, and urinary abnormalities. Three transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, May 2010]
LTBP4 Gene-Disease associations (from GenCC):
  • cutis laxa with severe pulmonary, gastrointestinal and urinary anomalies
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), PanelApp Australia

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.07318136).
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.000014 (20/1427596) while in subpopulation MID AF = 0.00105 (6/5734). AF 95% confidence interval is 0.000455. There are 0 homozygotes in GnomAdExome4. There are 11 alleles in the male GnomAdExome4 subpopulation. Median coverage is 33. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001042545.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LTBP4
NM_001042545.2
MANE Select
c.2402C>Gp.Ala801Gly
missense
Exon 16 of 30NP_001036010.1
LTBP4
NM_001042544.1
c.2603C>Gp.Ala868Gly
missense
Exon 19 of 33NP_001036009.1
LTBP4
NM_003573.2
c.2492C>Gp.Ala831Gly
missense
Exon 19 of 33NP_003564.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
LTBP4
ENST00000396819.8
TSL:1 MANE Select
c.2402C>Gp.Ala801Gly
missense
Exon 16 of 30ENSP00000380031.5
LTBP4
ENST00000308370.11
TSL:1
c.2603C>Gp.Ala868Gly
missense
Exon 19 of 33ENSP00000311905.8
LTBP4
ENST00000204005.13
TSL:1
c.2492C>Gp.Ala831Gly
missense
Exon 19 of 33ENSP00000204005.10

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152272
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000160
AC:
3
AN:
187562
AF XY:
0.00000983
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000252
Gnomad OTH exome
AF:
0.000201
GnomAD4 exome
AF:
0.0000140
AC:
20
AN:
1427596
Hom.:
0
Cov.:
33
AF XY:
0.0000155
AC XY:
11
AN XY:
707448
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32368
American (AMR)
AF:
0.00
AC:
0
AN:
39408
Ashkenazi Jewish (ASJ)
AF:
0.0000391
AC:
1
AN:
25572
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37210
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82068
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50760
Middle Eastern (MID)
AF:
0.00105
AC:
6
AN:
5734
European-Non Finnish (NFE)
AF:
0.00000822
AC:
9
AN:
1095364
Other (OTH)
AF:
0.0000677
AC:
4
AN:
59112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
2
4
5
7
9
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000131
AC:
2
AN:
152390
Hom.:
0
Cov.:
33
AF XY:
0.0000134
AC XY:
1
AN XY:
74520
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41602
American (AMR)
AF:
0.00
AC:
0
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68034
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.550
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.000102
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000839
AC:
1
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not provided (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
16
DANN
Uncertain
0.99
DEOGEN2
Benign
0.20
T
Eigen
Benign
-0.50
Eigen_PC
Benign
-0.45
FATHMM_MKL
Benign
0.067
N
LIST_S2
Benign
0.32
T
M_CAP
Benign
0.036
D
MetaRNN
Benign
0.073
T
MetaSVM
Benign
-0.62
T
MutationAssessor
Benign
-1.1
N
PhyloP100
-0.59
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-2.1
N
REVEL
Uncertain
0.30
Sift
Benign
0.12
T
Sift4G
Benign
0.18
T
Polyphen
0.80
P
Vest4
0.20
MutPred
0.68
Gain of methylation at R867 (P = 0.0629)
MVP
0.53
MPC
0.44
ClinPred
0.14
T
GERP RS
1.6
PromoterAI
0.0034
Neutral
Varity_R
0.11
gMVP
0.77
Mutation Taster
=95/5
polymorphism

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: rs532233295; hg19: chr19-41119073; API