“…The CNNM4 c.706C > T (p.Arg236Trp) variant creates a nonconservative substitution in the protein in a highly conserved residue (GERP score 4.99) located in the DUF21 domain of the protein. The missense variant p.Arg236Trp was predicted to be damaging by 14 different in‐silico prediction tools (SIFT, PolyPhen2, PROVEAN, DANN, DEOGEN2, EIGEN, FATHMM‐MKL, M‐CAP, MVP, MutationAssess, MutationTaster, REVEL, MetaSVM, MetaLR) whereas it was predicted benign by only one in‐silico tool (PrimateAI) (Kopanos et al, ). Also, the missense variant p.Arg236Trp had a high CADD score (Rentzsch, Witten, Cooper, Shendure, & Kircher, ) of 32, while the gnomAD missense Z score (2.37) indicates that CNNM4 gene is moderately constrained against missense changes.…”