rs541285079

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_ModerateBP6_ModerateBS2

The NM_004924.6(ACTN4):​c.59A>G​(p.Asn20Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000232 in 1,554,968 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000024 ( 0 hom. )

Consequence

ACTN4
NM_004924.6 missense

Scores

2
1
14

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.991

Publications

0 publications found
Variant links:
Genes affected
ACTN4 (HGNC:166): (actinin alpha 4) Alpha actinins belong to the spectrin gene superfamily which represents a diverse group of cytoskeletal proteins, including the alpha and beta spectrins and dystrophins. Alpha actinin is an actin-binding protein with multiple roles in different cell types. In nonmuscle cells, the cytoskeletal isoform is found along microfilament bundles and adherens-type junctions, where it is involved in binding actin to the membrane. In contrast, skeletal, cardiac, and smooth muscle isoforms are localized to the Z-disc and analogous dense bodies, where they help anchor the myofibrillar actin filaments. This gene encodes a nonmuscle, alpha actinin isoform which is concentrated in the cytoplasm, and thought to be involved in metastatic processes. Mutations in this gene have been associated with focal and segmental glomerulosclerosis. [provided by RefSeq, Jul 2008]
ACTN4 Gene-Disease associations (from GenCC):
  • focal segmental glomerulosclerosis 1
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • familial idiopathic steroid-resistant nephrotic syndrome
    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 -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.13429359).
BP6
Variant 19-38647804-A-G is Benign according to our data. Variant chr19-38647804-A-G is described in ClinVar as Likely_benign. ClinVar VariationId is 3484733.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High AC in GnomAdExome4 at 33 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004924.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACTN4
NM_004924.6
MANE Select
c.59A>Gp.Asn20Ser
missense
Exon 1 of 21NP_004915.2
ACTN4
NM_001440296.1
c.59A>Gp.Asn20Ser
missense
Exon 1 of 22NP_001427225.1
ACTN4
NM_001440300.1
c.59A>Gp.Asn20Ser
missense
Exon 1 of 22NP_001427229.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ACTN4
ENST00000252699.7
TSL:1 MANE Select
c.59A>Gp.Asn20Ser
missense
Exon 1 of 21ENSP00000252699.2O43707-1
ACTN4
ENST00000424234.7
TSL:1
c.59A>Gp.Asn20Ser
missense
Exon 1 of 21ENSP00000411187.4F5GXS2
ACTN4
ENST00000390009.7
TSL:1
c.59A>Gp.Asn20Ser
missense
Exon 1 of 14ENSP00000439497.1O43707-2

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152072
Hom.:
0
Cov.:
32
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:
0.000479
GnomAD2 exomes
AF:
0.0000184
AC:
3
AN:
162838
AF XY:
0.0000225
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:
0.0000442
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000235
AC:
33
AN:
1402896
Hom.:
0
Cov.:
31
AF XY:
0.0000231
AC XY:
16
AN XY:
694084
show subpopulations
African (AFR)
AF:
0.0000330
AC:
1
AN:
30310
American (AMR)
AF:
0.0000539
AC:
2
AN:
37140
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24834
East Asian (EAS)
AF:
0.00
AC:
0
AN:
34626
South Asian (SAS)
AF:
0.00
AC:
0
AN:
79614
European-Finnish (FIN)
AF:
0.0000205
AC:
1
AN:
48814
Middle Eastern (MID)
AF:
0.000182
AC:
1
AN:
5482
European-Non Finnish (NFE)
AF:
0.0000258
AC:
28
AN:
1084096
Other (OTH)
AF:
0.00
AC:
0
AN:
57980
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
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:
0.0000197
AC:
3
AN:
152072
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74288
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41422
American (AMR)
AF:
0.00
AC:
0
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10580
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
67992
Other (OTH)
AF:
0.000479
AC:
1
AN:
2086
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.0000283
Hom.:
0
Bravo
AF:
0.0000416
ExAC
AF:
0.0000171
AC:
2

ClinVar

ClinVar submissions as Germline
Significance:Likely benign
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.057
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
22
DANN
Benign
0.91
DEOGEN2
Benign
0.33
T
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.60
FATHMM_MKL
Uncertain
0.89
D
M_CAP
Pathogenic
0.76
D
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-0.95
T
MutationAssessor
Benign
0.0
N
PhyloP100
0.99
PrimateAI
Pathogenic
0.82
D
PROVEAN
Benign
-0.29
N
REVEL
Benign
0.066
Sift
Benign
0.69
T
Sift4G
Benign
0.60
T
Polyphen
0.0
B
Vest4
0.14
MutPred
0.19
Gain of glycosylation at N20 (P = 7e-04)
MVP
0.61
MPC
1.0
ClinPred
0.040
T
GERP RS
2.6
PromoterAI
-0.25
Neutral
RBP_binding_hub_radar
1.1
RBP_regulation_power_radar
2.2
Varity_R
0.080
gMVP
0.22
Mutation Taster
=90/10
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: rs541285079; hg19: chr19-39138444; API