rs748187859

Variant summary

Our verdict is Likely benign. The variant received -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_017636.4(TRPM4):​c.1603G>A​(p.Glu535Lys) variant causes a missense change. The variant allele was found at a frequency of 0.0000144 in 1,592,116 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000033 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000013 ( 0 hom. )

Consequence

TRPM4
NM_017636.4 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 3.67

Publications

0 publications found
Variant links:
Genes affected
TRPM4 (HGNC:17993): (transient receptor potential cation channel subfamily M member 4) The protein encoded by this gene is a calcium-activated nonselective ion channel that mediates transport of monovalent cations across membranes, thereby depolarizing the membrane. The activity of the encoded protein increases with increasing intracellular calcium concentration, but this channel does not transport calcium. [provided by RefSeq, Mar 2016]
TRPM4 Gene-Disease associations (from GenCC):
  • erythrokeratodermia variabilis et progressiva 6
    Inheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • progressive familial heart block type IB
    Inheritance: AD Classification: STRONG, MODERATE Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
  • erythrokeratodermia variabilis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • progressive familial heart block
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Brugada syndrome
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Genomics England PanelApp, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.22677878).
BS2
High AC in GnomAd4 at 5 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_017636.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TRPM4
NM_017636.4
MANE Select
c.1603G>Ap.Glu535Lys
missense
Exon 11 of 25NP_060106.2
TRPM4
NM_001321281.2
c.1258G>Ap.Glu420Lys
missense
Exon 9 of 23NP_001308210.1
TRPM4
NM_001195227.2
c.1603G>Ap.Glu535Lys
missense
Exon 11 of 24NP_001182156.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
TRPM4
ENST00000252826.10
TSL:1 MANE Select
c.1603G>Ap.Glu535Lys
missense
Exon 11 of 25ENSP00000252826.4
TRPM4
ENST00000427978.6
TSL:1
c.1603G>Ap.Glu535Lys
missense
Exon 11 of 24ENSP00000407492.1
TRPM4
ENST00000595519.5
TSL:1
n.*1013G>A
non_coding_transcript_exon
Exon 9 of 23ENSP00000469893.1

Frequencies

GnomAD3 genomes
AF:
0.0000329
AC:
5
AN:
152200
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000723
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:
0.00
GnomAD2 exomes
AF:
0.00000923
AC:
2
AN:
216774
AF XY:
0.00000839
show subpopulations
Gnomad AFR exome
AF:
0.0000767
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:
0.0000104
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000125
AC:
18
AN:
1439916
Hom.:
0
Cov.:
33
AF XY:
0.0000140
AC XY:
10
AN XY:
714034
show subpopulations
African (AFR)
AF:
0.0000605
AC:
2
AN:
33050
American (AMR)
AF:
0.00
AC:
0
AN:
42914
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24738
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39400
South Asian (SAS)
AF:
0.0000120
AC:
1
AN:
83220
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50744
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4838
European-Non Finnish (NFE)
AF:
0.0000127
AC:
14
AN:
1101768
Other (OTH)
AF:
0.0000169
AC:
1
AN:
59244
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.0000329
AC:
5
AN:
152200
Hom.:
0
Cov.:
32
AF XY:
0.0000403
AC XY:
3
AN XY:
74374
show subpopulations
African (AFR)
AF:
0.0000723
AC:
3
AN:
41466
American (AMR)
AF:
0.00
AC:
0
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68014
Other (OTH)
AF:
0.00
AC:
0
AN:
2094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.505
Heterozygous variant carriers
0
1
1
2
2
3
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:
0.00
Hom.:
0
Bravo
AF:
0.0000189
ExAC
AF:
0.0000168
AC:
2

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
Cardiovascular phenotype (1)
-
1
-
Hypertrophic cardiomyopathy (1)
-
1
-
not provided (1)
-
1
-
Progressive familial heart block type IB (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
17
DANN
Benign
0.82
DEOGEN2
Benign
0.098
T
Eigen
Benign
-0.44
Eigen_PC
Benign
-0.42
FATHMM_MKL
Benign
0.73
D
LIST_S2
Benign
0.73
T
M_CAP
Uncertain
0.098
D
MetaRNN
Benign
0.23
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
1.1
L
PhyloP100
3.7
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-0.090
N
REVEL
Benign
0.24
Sift
Benign
0.87
T
Sift4G
Benign
1.0
T
Polyphen
0.60
P
Vest4
0.50
MutPred
0.46
Gain of ubiquitination at E535 (P = 0.0109)
MVP
0.73
MPC
0.32
ClinPred
0.13
T
GERP RS
4.0
Varity_R
0.15
gMVP
0.25
Mutation Taster
=89/11
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: rs748187859; hg19: chr19-49686174; API