rs736824

Variant summary

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

The NM_175914.5(HNF4A):​c.50-38T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.453 in 1,592,492 control chromosomes in the GnomAD database, including 170,016 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.46 ( 16380 hom., cov: 33)
Exomes 𝑓: 0.45 ( 153636 hom. )

Consequence

HNF4A
NM_175914.5 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: -0.608

Publications

25 publications found
Variant links:
Genes affected
HNF4A (HGNC:5024): (hepatocyte nuclear factor 4 alpha) The protein encoded by this gene is a nuclear transcription factor which binds DNA as a homodimer. The encoded protein controls the expression of several genes, including hepatocyte nuclear factor 1 alpha, a transcription factor which regulates the expression of several hepatic genes. This gene may play a role in development of the liver, kidney, and intestines. Mutations in this gene have been associated with monogenic autosomal dominant non-insulin-dependent diabetes mellitus type I. Alternative splicing of this gene results in multiple transcript variants encoding several different isoforms. [provided by RefSeq, Apr 2012]
HNF4A Gene-Disease associations (from GenCC):
  • maturity-onset diabetes of the young type 1
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae), Genomics England PanelApp, G2P
  • monogenic diabetes
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • diabetes mellitus, noninsulin-dependent
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • Fanconi renotubular syndrome 4 with maturity-onset diabetes of the young
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp, G2P
  • hyperinsulinism due to HNF4A deficiency
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • maturity-onset diabetes of the young
    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 (BayesDel_noAF=-0.85).
BP6
Variant 20-44406020-T-C is Benign according to our data. Variant chr20-44406020-T-C is described in ClinVar as Benign. ClinVar VariationId is 673538.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.757 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_175914.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HNF4A
NM_175914.5
MANE Select
c.50-38T>C
intron
N/ANP_787110.2
HNF4A
NM_000457.6
c.116-38T>C
intron
N/ANP_000448.3
HNF4A
NM_001258355.2
c.95-38T>C
intron
N/ANP_001245284.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HNF4A
ENST00000316673.9
TSL:1 MANE Select
c.50-38T>C
intron
N/AENSP00000315180.4P41235-5
HNF4A
ENST00000316099.10
TSL:1
c.116-38T>C
intron
N/AENSP00000312987.3P41235-1
HNF4A
ENST00000415691.2
TSL:1
c.116-38T>C
intron
N/AENSP00000412111.1P41235-2

Frequencies

GnomAD3 genomes
AF:
0.457
AC:
69419
AN:
151974
Hom.:
16354
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.448
Gnomad AMI
AF:
0.509
Gnomad AMR
AF:
0.472
Gnomad ASJ
AF:
0.424
Gnomad EAS
AF:
0.777
Gnomad SAS
AF:
0.675
Gnomad FIN
AF:
0.444
Gnomad MID
AF:
0.453
Gnomad NFE
AF:
0.422
Gnomad OTH
AF:
0.446
GnomAD2 exomes
AF:
0.501
AC:
124241
AN:
248142
AF XY:
0.505
show subpopulations
Gnomad AFR exome
AF:
0.450
Gnomad AMR exome
AF:
0.538
Gnomad ASJ exome
AF:
0.424
Gnomad EAS exome
AF:
0.793
Gnomad FIN exome
AF:
0.440
Gnomad NFE exome
AF:
0.423
Gnomad OTH exome
AF:
0.456
GnomAD4 exome
AF:
0.453
AC:
652667
AN:
1440400
Hom.:
153636
Cov.:
30
AF XY:
0.459
AC XY:
329699
AN XY:
717758
show subpopulations
African (AFR)
AF:
0.442
AC:
14669
AN:
33154
American (AMR)
AF:
0.526
AC:
23521
AN:
44698
Ashkenazi Jewish (ASJ)
AF:
0.417
AC:
10859
AN:
26014
East Asian (EAS)
AF:
0.766
AC:
30351
AN:
39634
South Asian (SAS)
AF:
0.662
AC:
56841
AN:
85850
European-Finnish (FIN)
AF:
0.450
AC:
23104
AN:
51348
Middle Eastern (MID)
AF:
0.420
AC:
1731
AN:
4122
European-Non Finnish (NFE)
AF:
0.423
AC:
463908
AN:
1095958
Other (OTH)
AF:
0.464
AC:
27683
AN:
59622
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
16422
32844
49266
65688
82110
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
14358
28716
43074
57432
71790
<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:
0.457
AC:
69488
AN:
152092
Hom.:
16380
Cov.:
33
AF XY:
0.462
AC XY:
34389
AN XY:
74372
show subpopulations
African (AFR)
AF:
0.448
AC:
18580
AN:
41492
American (AMR)
AF:
0.473
AC:
7224
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.424
AC:
1470
AN:
3470
East Asian (EAS)
AF:
0.777
AC:
4014
AN:
5164
South Asian (SAS)
AF:
0.675
AC:
3259
AN:
4830
European-Finnish (FIN)
AF:
0.444
AC:
4697
AN:
10578
Middle Eastern (MID)
AF:
0.456
AC:
134
AN:
294
European-Non Finnish (NFE)
AF:
0.422
AC:
28697
AN:
67970
Other (OTH)
AF:
0.451
AC:
949
AN:
2104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1926
3853
5779
7706
9632
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
646
1292
1938
2584
3230
<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:
0.430
Hom.:
25324
Bravo
AF:
0.456
Asia WGS
AF:
0.686
AC:
2384
AN:
3478

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)
-
-
1
Maturity-onset diabetes of the young (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
3.1
DANN
Benign
0.27
PhyloP100
-0.61
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
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: rs736824; hg19: chr20-43034660; COSMIC: COSV57389174; COSMIC: COSV57389174; API