rs6126344

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.1520T>G​(p.Leu507Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.345 in 1,613,936 control chromosomes in the GnomAD database, including 99,606 homozygotes. 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 Benign (★★). Synonymous variant affecting the same amino acid position (i.e. L507L) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.30 ( 7711 hom., cov: 31)
Exomes 𝑓: 0.35 ( 91895 hom. )

Consequence

SALL4
NM_020436.5 missense

Scores

2
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 2.27

Publications

37 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=5.705168E-5).
BP6
Variant 20-51790963-A-C is Benign according to our data. Variant chr20-51790963-A-C is described in ClinVar as Benign. ClinVar VariationId is 261259.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.563 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SALL4NM_020436.5 linkc.1520T>G p.Leu507Arg missense_variant Exon 2 of 4 ENST00000217086.9 NP_065169.1 Q9UJQ4-1
SALL4XM_047440318.1 linkc.1214T>G p.Leu405Arg missense_variant Exon 2 of 4 XP_047296274.1
SALL4NM_001318031.2 linkc.1150+370T>G intron_variant Intron 2 of 3 NP_001304960.1 Q9UJQ4-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SALL4ENST00000217086.9 linkc.1520T>G p.Leu507Arg missense_variant Exon 2 of 4 1 NM_020436.5 ENSP00000217086.4 Q9UJQ4-1
SALL4ENST00000395997.3 linkc.1150+370T>G intron_variant Intron 2 of 3 1 ENSP00000379319.3 Q9UJQ4-2
SALL4ENST00000371539.7 linkc.131-1822T>G intron_variant Intron 1 of 2 1 ENSP00000360594.3 Q6Y8G5

Frequencies

GnomAD3 genomes
AF:
0.301
AC:
45679
AN:
151968
Hom.:
7726
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.147
Gnomad AMI
AF:
0.347
Gnomad AMR
AF:
0.339
Gnomad ASJ
AF:
0.425
Gnomad EAS
AF:
0.581
Gnomad SAS
AF:
0.433
Gnomad FIN
AF:
0.317
Gnomad MID
AF:
0.351
Gnomad NFE
AF:
0.343
Gnomad OTH
AF:
0.362
GnomAD2 exomes
AF:
0.351
AC:
88212
AN:
251198
AF XY:
0.359
show subpopulations
Gnomad AFR exome
AF:
0.139
Gnomad AMR exome
AF:
0.287
Gnomad ASJ exome
AF:
0.412
Gnomad EAS exome
AF:
0.598
Gnomad FIN exome
AF:
0.317
Gnomad NFE exome
AF:
0.344
Gnomad OTH exome
AF:
0.359
GnomAD4 exome
AF:
0.350
AC:
511789
AN:
1461848
Hom.:
91895
Cov.:
73
AF XY:
0.353
AC XY:
256596
AN XY:
727220
show subpopulations
African (AFR)
AF:
0.137
AC:
4600
AN:
33480
American (AMR)
AF:
0.291
AC:
12997
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.413
AC:
10803
AN:
26134
East Asian (EAS)
AF:
0.546
AC:
21662
AN:
39700
South Asian (SAS)
AF:
0.406
AC:
35019
AN:
86258
European-Finnish (FIN)
AF:
0.321
AC:
17131
AN:
53392
Middle Eastern (MID)
AF:
0.340
AC:
1961
AN:
5768
European-Non Finnish (NFE)
AF:
0.347
AC:
386079
AN:
1111998
Other (OTH)
AF:
0.357
AC:
21537
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
23878
47756
71635
95513
119391
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
12548
25096
37644
50192
62740
<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:
0.300
AC:
45670
AN:
152088
Hom.:
7711
Cov.:
31
AF XY:
0.303
AC XY:
22536
AN XY:
74344
show subpopulations
African (AFR)
AF:
0.147
AC:
6092
AN:
41518
American (AMR)
AF:
0.339
AC:
5174
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.425
AC:
1475
AN:
3472
East Asian (EAS)
AF:
0.581
AC:
2990
AN:
5148
South Asian (SAS)
AF:
0.431
AC:
2077
AN:
4822
European-Finnish (FIN)
AF:
0.317
AC:
3357
AN:
10584
Middle Eastern (MID)
AF:
0.357
AC:
105
AN:
294
European-Non Finnish (NFE)
AF:
0.343
AC:
23330
AN:
67966
Other (OTH)
AF:
0.359
AC:
756
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
1582
3164
4747
6329
7911
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
474
948
1422
1896
2370
<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:
0.334
Hom.:
25253
Bravo
AF:
0.298
TwinsUK
AF:
0.362
AC:
1344
ALSPAC
AF:
0.365
AC:
1407
ESP6500AA
AF:
0.150
AC:
660
ESP6500EA
AF:
0.344
AC:
2957
ExAC
AF:
0.350
AC:
42537
Asia WGS
AF:
0.497
AC:
1727
AN:
3478
EpiCase
AF:
0.356
EpiControl
AF:
0.361

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:5
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jan 04, 2017
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Duane-radial ray syndrome Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Oculootoradial syndrome Benign:1
Nov 07, 2021
Genome-Nilou Lab
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
0.090
BayesDel_addAF
Benign
-0.72
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
16
DANN
Benign
0.94
DEOGEN2
Benign
0.13
T
Eigen
Benign
-0.59
Eigen_PC
Benign
-0.48
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Benign
0.48
T
MetaRNN
Benign
0.000057
T
MetaSVM
Benign
-0.97
T
MutationAssessor
Uncertain
2.1
M
PhyloP100
2.3
PrimateAI
Benign
0.31
T
PROVEAN
Benign
0.57
N
REVEL
Benign
0.059
Sift
Benign
0.59
T
Sift4G
Benign
0.47
T
Polyphen
0.024
B
Vest4
0.24
MPC
1.0
ClinPred
0.0043
T
GERP RS
1.9
Varity_R
0.068
gMVP
0.56
Mutation Taster
=95/5
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: rs6126344; hg19: chr20-50407502; COSMIC: COSV53850292; COSMIC: COSV53850292; API