rs78359732

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_017573.5(PCSK4):​c.1946G>T​(p.Cys649Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00946 in 1,552,464 control chromosomes in the GnomAD database, including 87 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.0054 ( 1 hom., cov: 33)
Exomes 𝑓: 0.0099 ( 86 hom. )

Consequence

PCSK4
NM_017573.5 missense

Scores

2
6
9

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.832

Publications

9 publications found
Variant links:
Genes affected
PCSK4 (HGNC:8746): (proprotein convertase subtilisin/kexin type 4) This gene encodes a member of the subtilisin-like proprotein convertase family, which includes proteases that process protein and peptide precursors trafficking through regulated or constitutive branches of the secretory pathway. The encoded protein undergoes an initial autocatalytic processing event in the ER to generate a heterodimer which exits the ER and sorts to subcellular compartments where a second autocatalytic even takes place and the catalytic activity is acquired. This gene encodes one of the seven basic amino acid-specific members which cleave their substrates at single or paired basic residues. The protease is expressed only in the testis, placenta, and ovary. It plays a critical role in fertilization, fetoplacental growth, and embryonic development and processes multiple prohormones including pro-pituitary adenylate cyclase-activating protein and pro-insulin-like growth factor II. [provided by RefSeq, Jan 2014]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.010106891).
BP6
Variant 19-1482081-C-A is Benign according to our data. Variant chr19-1482081-C-A is described in ClinVar as Benign. ClinVar VariationId is 2648935.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAdExome4 at 86 gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_017573.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PCSK4
NM_017573.5
MANE Select
c.1946G>Tp.Cys649Phe
missense
Exon 15 of 15NP_060043.2Q6UW60-1
PCSK4
NM_001395257.1
c.*120G>T
3_prime_UTR
Exon 14 of 14NP_001382186.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PCSK4
ENST00000300954.10
TSL:1 MANE Select
c.1946G>Tp.Cys649Phe
missense
Exon 15 of 15ENSP00000300954.5Q6UW60-1
PCSK4
ENST00000883590.1
c.1919G>Tp.Cys640Phe
missense
Exon 15 of 15ENSP00000553649.1
PCSK4
ENST00000441747.6
TSL:2
n.1988G>T
non_coding_transcript_exon
Exon 12 of 12

Frequencies

GnomAD3 genomes
AF:
0.00543
AC:
826
AN:
152184
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00171
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00282
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00991
Gnomad OTH
AF:
0.00478
GnomAD2 exomes
AF:
0.00474
AC:
704
AN:
148602
AF XY:
0.00463
show subpopulations
Gnomad AFR exome
AF:
0.00131
Gnomad AMR exome
AF:
0.00254
Gnomad ASJ exome
AF:
0.000121
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00259
Gnomad NFE exome
AF:
0.00985
Gnomad OTH exome
AF:
0.00577
GnomAD4 exome
AF:
0.00990
AC:
13866
AN:
1400162
Hom.:
86
Cov.:
33
AF XY:
0.00966
AC XY:
6688
AN XY:
692098
show subpopulations
African (AFR)
AF:
0.00116
AC:
37
AN:
31884
American (AMR)
AF:
0.00268
AC:
98
AN:
36596
Ashkenazi Jewish (ASJ)
AF:
0.000674
AC:
17
AN:
25236
East Asian (EAS)
AF:
0.00
AC:
0
AN:
36138
South Asian (SAS)
AF:
0.000250
AC:
20
AN:
79996
European-Finnish (FIN)
AF:
0.00270
AC:
115
AN:
42600
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4844
European-Non Finnish (NFE)
AF:
0.0120
AC:
13003
AN:
1084636
Other (OTH)
AF:
0.00989
AC:
576
AN:
58232
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.468
Heterozygous variant carriers
0
816
1632
2448
3264
4080
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
528
1056
1584
2112
2640
<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:
0.00542
AC:
826
AN:
152302
Hom.:
1
Cov.:
33
AF XY:
0.00475
AC XY:
354
AN XY:
74458
show subpopulations
African (AFR)
AF:
0.00171
AC:
71
AN:
41556
American (AMR)
AF:
0.00261
AC:
40
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4834
European-Finnish (FIN)
AF:
0.00282
AC:
30
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00991
AC:
674
AN:
67994
Other (OTH)
AF:
0.00473
AC:
10
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
46
92
137
183
229
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
20
40
60
80
100
<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:
0.00679
Hom.:
2
Bravo
AF:
0.00547
ESP6500AA
AF:
0.00101
AC:
4
ESP6500EA
AF:
0.00852
AC:
67
ExAC
AF:
0.00230
AC:
257
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

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

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.91
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.74
D
Eigen
Benign
-0.23
Eigen_PC
Benign
-0.47
FATHMM_MKL
Benign
0.21
N
LIST_S2
Benign
0.53
T
MetaRNN
Benign
0.010
T
MetaSVM
Benign
-0.42
T
MutationAssessor
Uncertain
2.6
M
PhyloP100
0.83
PrimateAI
Uncertain
0.51
T
PROVEAN
Pathogenic
-7.0
D
REVEL
Benign
0.26
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.0030
D
Polyphen
0.94
P
Vest4
0.55
MVP
0.60
MPC
0.79
ClinPred
0.098
T
GERP RS
2.8
Varity_R
0.72
gMVP
0.93
Mutation Taster
=97/3
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: rs78359732; hg19: chr19-1482080; API