rs796563569

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BS1_SupportingBS2

The NM_001202.6(BMP4):​c.*148_*149insT variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.016 ( 19 hom., cov: 0)
Exomes 𝑓: 0.12 ( 387 hom. )

Consequence

BMP4
NM_001202.6 3_prime_UTR

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:4B:1

Conservation

PhyloP100: -4.04

Publications

2 publications found
Variant links:
Genes affected
BMP4 (HGNC:1071): (bone morphogenetic protein 4) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate each subunit of the disulfide-linked homodimer. This protein regulates heart development and adipogenesis. Mutations in this gene are associated with orofacial cleft and microphthalmia in human patients. The encoded protein may also be involved in the pathology of multiple cardiovascular diseases and human cancers. [provided by RefSeq, Jul 2016]
BMP4 Gene-Disease associations (from GenCC):
  • BMP4-related ocular growth disorder
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • microphthalmia with brain and digit anomalies
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, G2P, Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae)
  • Stickler syndrome
    Inheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
  • renal agenesis, unilateral
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • orofacial cleft 11
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.0155 (2088/134332) while in subpopulation AFR AF = 0.032 (1076/33666). AF 95% confidence interval is 0.0304. There are 19 homozygotes in GnomAd4. There are 1036 alleles in the male GnomAd4 subpopulation. Median coverage is 0. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAd4 at 19 AD,AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001202.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BMP4
NM_001202.6
MANE Select
c.*148_*149insT
3_prime_UTR
Exon 4 of 4NP_001193.2P12644
BMP4
NM_001347912.1
c.*148_*149insT
3_prime_UTR
Exon 4 of 4NP_001334841.1
BMP4
NM_001347914.2
c.*148_*149insT
3_prime_UTR
Exon 3 of 3NP_001334843.1P12644

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BMP4
ENST00000245451.9
TSL:1 MANE Select
c.*148_*149insT
3_prime_UTR
Exon 4 of 4ENSP00000245451.4P12644
BMP4
ENST00000558984.1
TSL:1
c.*148_*149insT
3_prime_UTR
Exon 3 of 3ENSP00000454134.1P12644
BMP4
ENST00000559087.5
TSL:1
c.*148_*149insT
3_prime_UTR
Exon 4 of 4ENSP00000453485.1P12644

Frequencies

GnomAD3 genomes
AF:
0.0155
AC:
2088
AN:
134334
Hom.:
19
Cov.:
0
show subpopulations
Gnomad AFR
AF:
0.0320
Gnomad AMI
AF:
0.0152
Gnomad AMR
AF:
0.0116
Gnomad ASJ
AF:
0.00367
Gnomad EAS
AF:
0.00243
Gnomad SAS
AF:
0.00281
Gnomad FIN
AF:
0.0204
Gnomad MID
AF:
0.0110
Gnomad NFE
AF:
0.00955
Gnomad OTH
AF:
0.0106
GnomAD4 exome
AF:
0.115
AC:
58117
AN:
503284
Hom.:
387
Cov.:
0
AF XY:
0.114
AC XY:
29098
AN XY:
254452
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0529
AC:
652
AN:
12332
American (AMR)
AF:
0.0697
AC:
1033
AN:
14812
Ashkenazi Jewish (ASJ)
AF:
0.0985
AC:
1201
AN:
12188
East Asian (EAS)
AF:
0.0316
AC:
906
AN:
28642
South Asian (SAS)
AF:
0.0748
AC:
2179
AN:
29148
European-Finnish (FIN)
AF:
0.160
AC:
3891
AN:
24384
Middle Eastern (MID)
AF:
0.0756
AC:
144
AN:
1906
European-Non Finnish (NFE)
AF:
0.128
AC:
45280
AN:
353954
Other (OTH)
AF:
0.109
AC:
2831
AN:
25918
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.351
Heterozygous variant carriers
0
3441
6882
10324
13765
17206
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
946
1892
2838
3784
4730
<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:
0.0155
AC:
2088
AN:
134332
Hom.:
19
Cov.:
0
AF XY:
0.0160
AC XY:
1036
AN XY:
64668
show subpopulations
African (AFR)
AF:
0.0320
AC:
1076
AN:
33666
American (AMR)
AF:
0.0116
AC:
153
AN:
13160
Ashkenazi Jewish (ASJ)
AF:
0.00367
AC:
12
AN:
3268
East Asian (EAS)
AF:
0.00244
AC:
11
AN:
4516
South Asian (SAS)
AF:
0.00255
AC:
9
AN:
3532
European-Finnish (FIN)
AF:
0.0204
AC:
173
AN:
8484
Middle Eastern (MID)
AF:
0.0123
AC:
3
AN:
244
European-Non Finnish (NFE)
AF:
0.00955
AC:
618
AN:
64710
Other (OTH)
AF:
0.0105
AC:
20
AN:
1898
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
85
171
256
342
427
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
24
48
72
96
120
<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:
0.00404
Hom.:
747

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
BMP4-Related Syndromic Microphthalmia (1)
-
1
-
Cleft Lip +/- Cleft Palate, Autosomal Dominant (1)
-
-
1
not provided (1)
-
1
-
Orofacial cleft (1)
-
1
-
Syndromic Microphthalmia, Dominant (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
PhyloP100
-4.0
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: rs796563569; hg19: chr14-54416601; COSMIC: COSV55416783; COSMIC: COSV55416783; API