rs745663063

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_178832.4(MORN4):​c.58T>C​(p.Trp20Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000093 in 1,613,040 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000089 ( 0 hom. )

Consequence

MORN4
NM_178832.4 missense

Scores

11
6
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.43

Publications

0 publications found
Variant links:
Genes affected
MORN4 (HGNC:24001): (MORN repeat containing 4) Predicted to be involved in response to axon injury. Located in cytoplasm and filopodium tip. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.929

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
MORN4NM_178832.4 linkc.58T>C p.Trp20Arg missense_variant Exon 2 of 5 ENST00000307450.11 NP_849154.1 Q8NDC4-1A6XB87
MORN4NM_001098831.2 linkc.58T>C p.Trp20Arg missense_variant Exon 2 of 5 NP_001092301.1 Q8NDC4-1A6XB87
MORN4XM_011539251.4 linkc.58T>C p.Trp20Arg missense_variant Exon 2 of 5 XP_011537553.1 Q8NDC4-1A6XB87

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
MORN4ENST00000307450.11 linkc.58T>C p.Trp20Arg missense_variant Exon 2 of 5 1 NM_178832.4 ENSP00000307636.6 Q8NDC4-1
MORN4ENST00000370635.3 linkc.58T>C p.Trp20Arg missense_variant Exon 2 of 2 1 ENSP00000359669.3 Q8WVZ3
ENSG00000249967ENST00000370649.3 linkc.345+17606A>G intron_variant Intron 2 of 9 2 ENSP00000359683.3 E9PAM4
MORN4ENST00000478953.1 linkc.58T>C p.Trp20Arg missense_variant Exon 2 of 4 2 ENSP00000441070.1 G3V1L7

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151844
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000119
AC:
3
AN:
251468
AF XY:
0.00000736
show subpopulations
Gnomad AFR exome
AF:
0.0000615
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:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000890
AC:
13
AN:
1461196
Hom.:
0
Cov.:
30
AF XY:
0.00000825
AC XY:
6
AN XY:
726970
show subpopulations
African (AFR)
AF:
0.0000598
AC:
2
AN:
33456
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39692
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86246
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.00000990
AC:
11
AN:
1111390
Other (OTH)
AF:
0.00
AC:
0
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.483
Heterozygous variant carriers
0
1
2
4
5
6
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:
0.0000132
AC:
2
AN:
151844
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74124
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41288
American (AMR)
AF:
0.00
AC:
0
AN:
15232
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3462
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4804
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10564
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67998
Other (OTH)
AF:
0.00
AC:
0
AN:
2084
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

Age Distribution

Genome 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
Alfa
AF:
0.0000868
Hom.:
0
Bravo
AF:
0.0000113
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Nov 30, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.58T>C (p.W20R) alteration is located in exon 2 (coding exon 1) of the MORN4 gene. This alteration results from a T to C substitution at nucleotide position 58, causing the tryptophan (W) at amino acid position 20 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.27
D
BayesDel_noAF
Pathogenic
0.33
CADD
Uncertain
26
DANN
Uncertain
0.98
DEOGEN2
Benign
0.42
T;.;.
Eigen
Pathogenic
1.1
Eigen_PC
Pathogenic
0.99
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Uncertain
0.88
D;T;T
M_CAP
Uncertain
0.19
D
MetaRNN
Pathogenic
0.93
D;D;D
MetaSVM
Uncertain
0.56
D
MutationAssessor
Pathogenic
3.3
M;.;.
PhyloP100
8.4
PrimateAI
Pathogenic
0.86
D
PROVEAN
Pathogenic
-11
D;D;D
REVEL
Pathogenic
0.65
Sift
Uncertain
0.0010
D;D;D
Sift4G
Uncertain
0.040
D;T;D
Polyphen
1.0
D;.;.
Vest4
0.87
MutPred
0.75
Gain of disorder (P = 0.0099);Gain of disorder (P = 0.0099);Gain of disorder (P = 0.0099);
MVP
0.87
MPC
1.0
ClinPred
1.0
D
GERP RS
6.2
Varity_R
0.88
gMVP
0.87
Mutation Taster
=8/92
disease causing

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: rs745663063; hg19: chr10-99379353; API