rs794726862

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_ModeratePP5_Moderate

The NM_006744.4(RBP4):​c.217G>A​(p.Ala73Thr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000000686 in 1,458,298 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 Pathogenic (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

RBP4
NM_006744.4 missense

Scores

9
7
3

Clinical Significance

Pathogenic criteria provided, single submitter P:2

Conservation

PhyloP100: 7.54
Variant links:
Genes affected
RBP4 (HGNC:9922): (retinol binding protein 4) This protein belongs to the lipocalin family and is the specific carrier for retinol (vitamin A alcohol) in the blood. It delivers retinol from the liver stores to the peripheral tissues. In plasma, the RBP-retinol complex interacts with transthyretin which prevents its loss by filtration through the kidney glomeruli. A deficiency of vitamin A blocks secretion of the binding protein posttranslationally and results in defective delivery and supply to the epidermal cells. [provided by RefSeq, Jul 2008]
FFAR4 (HGNC:19061): (free fatty acid receptor 4) This gene encodes a G protein-coupled receptor (GPR) which belongs to the rhodopsin family of GPRs. The encoded protein functions as a receptor for free fatty acids, including omega-3, and participates in suppressing anti-inflammatory responses and insulin sensitizing. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Feb 2012]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.891
PP5
Variant 10-93600698-C-T is Pathogenic according to our data. Variant chr10-93600698-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 192377.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
RBP4NM_006744.4 linkuse as main transcriptc.217G>A p.Ala73Thr missense_variant 3/6 ENST00000371464.8 NP_006735.2
RBP4NM_001323517.1 linkuse as main transcriptc.217G>A p.Ala73Thr missense_variant 3/6 NP_001310446.1
RBP4NM_001323518.2 linkuse as main transcriptc.211G>A p.Ala71Thr missense_variant 3/6 NP_001310447.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
RBP4ENST00000371464.8 linkuse as main transcriptc.217G>A p.Ala73Thr missense_variant 3/61 NM_006744.4 ENSP00000360519 P1
RBP4ENST00000371467.5 linkuse as main transcriptc.217G>A p.Ala73Thr missense_variant 3/65 ENSP00000360522 P1
RBP4ENST00000371469.2 linkuse as main transcriptc.211G>A p.Ala71Thr missense_variant 3/65 ENSP00000360524
FFAR4ENST00000604414.1 linkuse as main transcriptc.697-3376C>T intron_variant 3 ENSP00000474477

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.86e-7
AC:
1
AN:
1458298
Hom.:
0
Cov.:
34
AF XY:
0.00
AC XY:
0
AN XY:
725142
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Bilateral microphthalmos Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingGenetics Department, University Hospital of ToulouseDec 06, 2022PS1, PM1, PM2, PP2, PP3 -
Microphthalmia, isolated, with coloboma 10 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMApr 23, 2015- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.78
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.080
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.21
T;T;T;T
Eigen
Pathogenic
0.78
Eigen_PC
Pathogenic
0.74
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.92
.;D;D;.
M_CAP
Uncertain
0.18
D
MetaRNN
Pathogenic
0.89
D;D;D;D
MetaSVM
Uncertain
0.60
D
MutationAssessor
Uncertain
2.2
M;M;.;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-1.9
N;N;.;N
REVEL
Pathogenic
0.74
Sift
Uncertain
0.012
D;D;.;D
Sift4G
Pathogenic
0.0
D;D;D;D
Polyphen
1.0
D;D;.;.
Vest4
0.94
MutPred
0.75
Gain of sheet (P = 0.039);Gain of sheet (P = 0.039);.;.;
MVP
0.63
MPC
1.6
ClinPred
0.99
D
GERP RS
5.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.82
gMVP
0.90

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs794726862; hg19: chr10-95360455; API