rs782508508

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4BS2

The NM_001666.5(ARHGAP4):​c.2018C>T​(p.Pro673Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000571 in 1,208,366 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 25 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000044 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000058 ( 0 hom. 24 hem. )

Consequence

ARHGAP4
NM_001666.5 missense

Scores

3
4
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.79

Publications

0 publications found
Variant links:
Genes affected
ARHGAP4 (HGNC:674): (Rho GTPase activating protein 4) This gene encodes a member of the rhoGAP family of proteins which play a role in the regulation of small GTP-binding proteins belonging to the RAS superfamily. The protein encoded by the orthologous gene in rat is localized to the Golgi complex and can redistribute to microtubules. The rat protein stimulates the activity of some Rho GTPases in vitro. Genomic deletions of this gene and a neighboring gene have been found in patients with nephrogenic diabetes insipidus. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2009]
ARHGAP4 Gene-Disease associations (from GenCC):
  • intellectual disability
    Inheritance: XL Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.27368802).
BS2
High Hemizygotes in GnomAdExome4 at 24 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ARHGAP4NM_001666.5 linkc.2018C>T p.Pro673Leu missense_variant Exon 17 of 22 ENST00000350060.10 NP_001657.3 P98171-1
ARHGAP4NM_001164741.2 linkc.2138C>T p.Pro713Leu missense_variant Exon 18 of 23 NP_001158213.1 P98171-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ARHGAP4ENST00000350060.10 linkc.2018C>T p.Pro673Leu missense_variant Exon 17 of 22 1 NM_001666.5 ENSP00000203786.8 P98171-1

Frequencies

GnomAD3 genomes
AF:
0.0000444
AC:
5
AN:
112500
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000941
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000623
AC:
11
AN:
176613
AF XY:
0.0000783
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000111
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000742
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000128
Gnomad OTH exome
AF:
0.000230
GnomAD4 exome
AF:
0.0000584
AC:
64
AN:
1095866
Hom.:
0
Cov.:
36
AF XY:
0.0000663
AC XY:
24
AN XY:
362098
show subpopulations
African (AFR)
AF:
0.0000379
AC:
1
AN:
26378
American (AMR)
AF:
0.000114
AC:
4
AN:
35099
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19265
East Asian (EAS)
AF:
0.0000332
AC:
1
AN:
30157
South Asian (SAS)
AF:
0.000204
AC:
11
AN:
53936
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
39586
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4128
European-Non Finnish (NFE)
AF:
0.0000499
AC:
42
AN:
841330
Other (OTH)
AF:
0.000109
AC:
5
AN:
45987
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
4
8
13
17
21
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:
0.0000444
AC:
5
AN:
112500
Hom.:
0
Cov.:
23
AF XY:
0.0000288
AC XY:
1
AN XY:
34668
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31000
American (AMR)
AF:
0.00
AC:
0
AN:
10730
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2657
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3545
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2736
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6247
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
238
European-Non Finnish (NFE)
AF:
0.0000941
AC:
5
AN:
53153
Other (OTH)
AF:
0.00
AC:
0
AN:
1513
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
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
Genome 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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000718
ExAC
AF:
0.0000330
AC:
4

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Dec 19, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.2138C>T (p.P713L) alteration is located in exon 18 (coding exon 18) of the ARHGAP4 gene. This alteration results from a C to T substitution at nucleotide position 2138, causing the proline (P) at amino acid position 713 to be replaced by a leucine (L). 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
Benign
0.16
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.41
.;.;T;T
FATHMM_MKL
Benign
0.75
D
LIST_S2
Uncertain
0.90
D;D;D;D
M_CAP
Pathogenic
0.44
D
MetaRNN
Benign
0.27
T;T;T;T
MetaSVM
Benign
-0.30
T
MutationAssessor
Pathogenic
3.1
.;.;M;.
PhyloP100
1.8
PrimateAI
Uncertain
0.72
T
PROVEAN
Pathogenic
-4.7
D;D;D;D
REVEL
Benign
0.091
Sift
Benign
0.19
T;T;T;T
Sift4G
Uncertain
0.043
D;D;D;D
Polyphen
0.21
.;.;B;.
Vest4
0.35
MutPred
0.41
.;.;Gain of stability (P = 0.0242);.;
MVP
0.37
MPC
0.16
ClinPred
0.37
T
GERP RS
4.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.24
gMVP
0.48
Mutation Taster
=100/0
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: rs782508508; hg19: chrX-153175763; API