rs6091375

Variant summary

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

The NM_020436.5(SALL4):​c.2392A>C​(p.Ile798Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0544 in 1,614,114 control chromosomes in the GnomAD database, including 2,966 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I798V) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.077 ( 636 hom., cov: 32)
Exomes 𝑓: 0.052 ( 2330 hom. )

Consequence

SALL4
NM_020436.5 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -0.895

Publications

14 publications found
Variant links:
Genes affected
SALL4 (HGNC:15924): (spalt like transcription factor 4) This gene encodes a zinc finger transcription factor thought to play a role in the development of abducens motor neurons. Defects in this gene are a cause of Duane-radial ray syndrome (DRRS). Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2015]
SALL4 Gene-Disease associations (from GenCC):
  • Duane-radial ray syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae), PanelApp Australia
  • Duane retraction syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • IVIC 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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0021042824).
BP6
Variant 20-51790091-T-G is Benign according to our data. Variant chr20-51790091-T-G is described in ClinVar as Benign. ClinVar VariationId is 261262.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.152 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SALL4NM_020436.5 linkc.2392A>C p.Ile798Leu missense_variant Exon 2 of 4 ENST00000217086.9 NP_065169.1
SALL4XM_047440318.1 linkc.2086A>C p.Ile696Leu missense_variant Exon 2 of 4 XP_047296274.1
SALL4NM_001318031.2 linkc.1151-950A>C intron_variant Intron 2 of 3 NP_001304960.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SALL4ENST00000217086.9 linkc.2392A>C p.Ile798Leu missense_variant Exon 2 of 4 1 NM_020436.5 ENSP00000217086.4
SALL4ENST00000395997.3 linkc.1151-950A>C intron_variant Intron 2 of 3 1 ENSP00000379319.3
SALL4ENST00000371539.7 linkc.131-950A>C intron_variant Intron 1 of 2 1 ENSP00000360594.3

Frequencies

GnomAD3 genomes
AF:
0.0768
AC:
11680
AN:
152120
Hom.:
632
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.155
Gnomad AMI
AF:
0.0504
Gnomad AMR
AF:
0.0470
Gnomad ASJ
AF:
0.0510
Gnomad EAS
AF:
0.00116
Gnomad SAS
AF:
0.0249
Gnomad FIN
AF:
0.0278
Gnomad MID
AF:
0.0665
Gnomad NFE
AF:
0.0552
Gnomad OTH
AF:
0.0659
GnomAD2 exomes
AF:
0.0476
AC:
11968
AN:
251482
AF XY:
0.0455
show subpopulations
Gnomad AFR exome
AF:
0.162
Gnomad AMR exome
AF:
0.0311
Gnomad ASJ exome
AF:
0.0518
Gnomad EAS exome
AF:
0.00179
Gnomad FIN exome
AF:
0.0262
Gnomad NFE exome
AF:
0.0537
Gnomad OTH exome
AF:
0.0508
GnomAD4 exome
AF:
0.0520
AC:
76044
AN:
1461876
Hom.:
2330
Cov.:
31
AF XY:
0.0509
AC XY:
37040
AN XY:
727240
show subpopulations
African (AFR)
AF:
0.164
AC:
5499
AN:
33480
American (AMR)
AF:
0.0338
AC:
1512
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0520
AC:
1358
AN:
26136
East Asian (EAS)
AF:
0.000932
AC:
37
AN:
39700
South Asian (SAS)
AF:
0.0255
AC:
2197
AN:
86258
European-Finnish (FIN)
AF:
0.0274
AC:
1466
AN:
53410
Middle Eastern (MID)
AF:
0.0591
AC:
341
AN:
5768
European-Non Finnish (NFE)
AF:
0.0541
AC:
60178
AN:
1112004
Other (OTH)
AF:
0.0572
AC:
3456
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
4686
9372
14057
18743
23429
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2278
4556
6834
9112
11390
<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:
0.0769
AC:
11706
AN:
152238
Hom.:
636
Cov.:
32
AF XY:
0.0740
AC XY:
5506
AN XY:
74422
show subpopulations
African (AFR)
AF:
0.155
AC:
6433
AN:
41524
American (AMR)
AF:
0.0470
AC:
718
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.0510
AC:
177
AN:
3468
East Asian (EAS)
AF:
0.00116
AC:
6
AN:
5176
South Asian (SAS)
AF:
0.0247
AC:
119
AN:
4824
European-Finnish (FIN)
AF:
0.0278
AC:
295
AN:
10616
Middle Eastern (MID)
AF:
0.0680
AC:
20
AN:
294
European-Non Finnish (NFE)
AF:
0.0552
AC:
3754
AN:
68018
Other (OTH)
AF:
0.0652
AC:
138
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
533
1066
1599
2132
2665
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
134
268
402
536
670
<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:
0.0619
Hom.:
779
Bravo
AF:
0.0820
TwinsUK
AF:
0.0526
AC:
195
ALSPAC
AF:
0.0550
AC:
212
ESP6500AA
AF:
0.158
AC:
696
ESP6500EA
AF:
0.0579
AC:
498
ExAC
AF:
0.0510
AC:
6188
Asia WGS
AF:
0.0210
AC:
72
AN:
3478
EpiCase
AF:
0.0586
EpiControl
AF:
0.0555

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Mar 03, 2015
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
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Duane-radial ray syndrome Benign:1
Feb 01, 2025
Labcorp Genetics (formerly Invitae), Labcorp
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
0.099
BayesDel_addAF
Benign
-0.77
T
BayesDel_noAF
Benign
-0.73
CADD
Benign
0.12
DANN
Benign
0.72
DEOGEN2
Benign
0.11
T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.14
T
MetaRNN
Benign
0.0021
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
1.6
L
PhyloP100
-0.90
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.14
N
REVEL
Benign
0.018
Sift
Benign
0.67
T
Sift4G
Benign
0.96
T
Polyphen
0.0010
B
Vest4
0.040
MPC
0.33
ClinPred
0.0033
T
GERP RS
-5.1
Varity_R
0.060
gMVP
0.13
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

Publications

Other links and lift over

dbSNP: rs6091375; hg19: chr20-50406630; COSMIC: COSV107248890; COSMIC: COSV107248890; API