rs772055177

Variant summary

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

The NM_002218.5(ITIH4):​c.1225C>T​(p.Arg409Trp) variant causes a missense change. The variant allele was found at a frequency of 0.0000169 in 1,597,622 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R409Q) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000017 ( 1 hom. )

Consequence

ITIH4
NM_002218.5 missense

Scores

4
8
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.73

Publications

0 publications found
Variant links:
Genes affected
ITIH4 (HGNC:6169): (inter-alpha-trypsin inhibitor heavy chain 4) The protein encoded by this gene is secreted into the blood, where it is cleaved by plasma kallikrein into two smaller forms. Expression of this gene has been detected only in liver, and it seems to be upregulated during surgical trauma. This gene is part of a cluster of similar genes on chromosome 3. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2009]
ITIH4-AS1 (HGNC:40310): (ITIH4 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002218.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ITIH4
NM_002218.5
MANE Select
c.1225C>Tp.Arg409Trp
missense
Exon 10 of 24NP_002209.2
ITIH4
NM_001166449.2
c.1225C>Tp.Arg409Trp
missense
Exon 10 of 22NP_001159921.1Q14624-3
ITIH4-AS1
NR_046615.1
n.17G>A
non_coding_transcript_exon
Exon 1 of 3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ITIH4
ENST00000266041.9
TSL:1 MANE Select
c.1225C>Tp.Arg409Trp
missense
Exon 10 of 24ENSP00000266041.4Q14624-1
ITIH4
ENST00000485816.5
TSL:1
c.1225C>Tp.Arg409Trp
missense
Exon 10 of 24ENSP00000417824.1B7ZKJ8
ITIH4
ENST00000441637.2
TSL:1
c.796C>Tp.Arg266Trp
missense
Exon 7 of 18ENSP00000395634.2H7C0L5

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152196
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000482
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000515
AC:
12
AN:
233206
AF XY:
0.0000718
show subpopulations
Gnomad AFR exome
AF:
0.000124
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000173
AC:
25
AN:
1445426
Hom.:
1
Cov.:
32
AF XY:
0.0000251
AC XY:
18
AN XY:
717876
show subpopulations
African (AFR)
AF:
0.0000605
AC:
2
AN:
33034
American (AMR)
AF:
0.00
AC:
0
AN:
42712
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24628
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39646
South Asian (SAS)
AF:
0.000193
AC:
16
AN:
82766
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52572
Middle Eastern (MID)
AF:
0.000176
AC:
1
AN:
5668
European-Non Finnish (NFE)
AF:
0.00000272
AC:
3
AN:
1104746
Other (OTH)
AF:
0.0000503
AC:
3
AN:
59654
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.0000131
AC:
2
AN:
152196
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74356
show subpopulations
African (AFR)
AF:
0.0000482
AC:
2
AN:
41454
American (AMR)
AF:
0.00
AC:
0
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5198
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68020
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.575
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:
0.00
Hom.:
0
Bravo
AF:
0.0000113
ExAC
AF:
0.0000494
AC:
6

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.16
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.88
D
Eigen
Uncertain
0.25
Eigen_PC
Benign
0.068
FATHMM_MKL
Benign
0.43
N
LIST_S2
Uncertain
0.94
D
M_CAP
Pathogenic
0.36
D
MetaRNN
Uncertain
0.55
D
MetaSVM
Uncertain
0.084
D
MutationAssessor
Pathogenic
3.2
M
PhyloP100
3.7
PrimateAI
Benign
0.22
T
PROVEAN
Pathogenic
-4.8
D
REVEL
Uncertain
0.38
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0030
D
Polyphen
0.99
D
Vest4
0.41
MutPred
0.47
Loss of solvent accessibility (P = 0.0083)
MVP
0.91
MPC
0.89
ClinPred
0.56
D
GERP RS
3.6
Varity_R
0.16
gMVP
0.64
Mutation Taster
=100/0
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs772055177; hg19: chr3-52857967; API