{"id":1936,"date":"2020-07-09T21:40:00","date_gmt":"2020-07-10T01:40:00","guid":{"rendered":"https:\/\/nebula.org\/blog\/?p=1936"},"modified":"2021-04-16T18:17:50","modified_gmt":"2021-04-16T22:17:50","slug":"clinvar-tutorial","status":"publish","type":"post","link":"https:\/\/nebula.org\/blog\/clinvar-tutorial\/","title":{"rendered":"How to use ClinVar &#8211; A Tutorial for Beginners"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-what-is-clinvar\"><strong>What is ClinVar?<\/strong><\/h2>\n\n\n\n<p>For many people, getting their genome sequenced is the start of an exciting journey. Often, though, people are left unsure of where to begin their exploration of their DNA data. To learn how genetics affects health, a tool called ClinVar can be extremely useful. But, how exactly does this tool work? This tutorial will teach you!<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-regular\"><table class=\"has-subtle-pale-pink-background-color has-background\"><tbody><tr><td><strong><a href=\"https:\/\/nebula.org\/whole-genome-sequencing\/\">Are you interested in discovering ALL genetic variants in your DNA to get most of the tools like ClinVar? Nebula Genomics offers Whole Genome Sequencing for only $299! Click here to learn more!<\/a><\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-99-9-percent\">The 99.9 percent<\/h2>\n\n\n\n<p>The human genome is made up of roughly 3 billion letters spread across 23 pairs of chromosomes. Together, these letters (also known as nucleotides) act as an instruction manual to determine our traits. From an individual\u2019s hair color to their risk of <a href=\"https:\/\/nebula.org\/blog\/is-congestive-heart-failure-genetic\/\">heart disease<\/a>, the genome contains the recipe that makes each person unique.\u00a0<\/p>\n\n\n\n<p>Randomly pick 2 people, and they likely have many more differences than similarities. One may be tall, need glasses, has a family history of breast cancer and hates the taste of cilantro. The other has red hair, is lactose intolerant, and has always been a straight-A student.&nbsp;<\/p>\n\n\n\n<p>While these two people may seem nothing alike, they still share 99.9% of the same letters in their genomes. All of the variation between two random individuals, from their appearance to their disease risks, stems from differences in only 0.1% (or 3 million) of the letters in the genome!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-0-1-percent\">The 0.1 percent<\/h2>\n\n\n\n<p>The letters of the genome that can be different between individuals are known as single nucleotide polymorphisms, or SNPs (pronounced \u201csnips\u201d). For example, a SNP is present if the majority of individuals have the letter \u201cC\u201d at a specific spot in the genome while a minority has a \u201cT\u201d instead. This SNP would be said to have 2 possible variants, or \u201calleles\u201d: C and T.<\/p>\n\n\n\n<p>Scientists estimate that there are potentially up to 100 million SNPs across the genome. Many of these SNPs occur within genes, the DNA sequences that act as instructions for making proteins, molecular machines that perform various tasks in and outside cells. Many more SNPs, though, occur outside of these regions, in the so-called <a href=\"https:\/\/www.scientificamerican.com\/article\/what-is-junk-dna-and-what\/\">\u201cjunk DNA\u201d<\/a>. Despite its name, this DNA comprises around 99% of our genome\u2019s information, and scientists continue to discover more and more about its importance for our health.<\/p>\n\n\n\n<p>Regardless, identifying SNPs is a key step in understanding personal genomic data. Some SNPs can have a powerful effect on an individual\u2019s susceptibility to a certain disease. For example, consider Alzheimer\u2019s disease. A particular SNP in the <a href=\"https:\/\/nebula.org\/blog\/apolipoprotein-e-apoe\/\">APOE<\/a> gene increases a person\u2019s risk of developing Alzheimer\u2019s disease by <a href=\"https:\/\/nebula.org\/blog\/apolipoprotein-e-apoe\/\">more than 20-fold<\/a>!&nbsp;<\/p>\n\n\n\n<p>With advances in genetic testing technologies lowering the cost of sequencing a human genome, more and more people are taking the leap to learn about themselves through their DNA. Some genetic testing companies give their users access to their raw DNA files, to enable them to explore their data on their own. Though this empowers users, it can simultaneously be quite daunting. Most people are not very familiar with human genetics and various data analysis tools. In particular, given millions of SNPs, many users understandably don\u2019t know how to learn what they mean.&nbsp;<\/p>\n\n\n\n<p>Are you interested in discovering ALL genetic variants in your DNA to get most of tools like ClinVar? Nebula Genomics offers Whole Genome Sequencing for only $299! Click here to learn more!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-how-to-use-clinvar\">How to use <strong>ClinVar<\/strong><\/h2>\n\n\n\n<p><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/clinvar\/\">One of the most helpful tools to learn more about what your SNPs might mean for health is ClinVar.<\/a> It is a freely accessible public archive that aims to catalog relationships between genetic variants and their impact on health status.&nbsp;<\/p>\n\n\n\n<p>ClinVar is run by the National Institutes of Health in the United States. It works as a central, public database for researchers and medical professionals to deposit information about clinically relevant SNPs. For example, if a new scientific study is published linking a genetic variant to a particular disease, this information can be submitted to ClinVar.&nbsp;<\/p>\n\n\n\n<p>Though ClinVar is powerful, it can oftentimes seem unwieldy and difficult to navigate. Learning how to effectively search through the site can unlock tons of additional information from your genome data.<\/p>\n\n\n\n<p>At its core, you can search through ClinVar using any of 3 different pieces of information. These are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>SNP ID<\/li><li>Gene<\/li><li>Disease\/Condition<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-searching-clinvar-by-snp\"><strong>Searching <\/strong>ClinVar <strong>by SNP<\/strong><\/h3>\n\n\n\n<p>Most SNPs are assigned a unique ID, generally starting with the letters \u201crs\u201d and then a string of numbers (for example, rs7412). Entering this ID can directly connect you with information about the SNP\u2019s location, any diseases it may be associated with, and much more.&nbsp;<\/p>\n\n\n\n<p>Raw DNA files regardless of the format generally contain a list of genetic variants and their IDs. At Nebula Genomics, we provide our users with their genetic variants in the VCF format, which is the most commonly used format. To examine your genetic variants, you can VCF file with a text editor like Sublime or just take a look at the studies in the Nebula Library. To date, we have already analyzed over 8000 genetic variants, and new studies and variants are added every week!<\/p>\n\n\n\n<p>To learn about the clinical relevance of a particular SNP let\u2019s use ClinVar. Let\u2019s start by navigating to <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/clinvar\/\">the site<\/a>, where the front page should look like this:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"889\" height=\"610\" src=\"https:\/\/nebula.org\/blog\/wp-content\/uploads\/2020\/06\/pasted-image-0-5.png\" alt=\"ClinVar homepage.\" class=\"wp-image-2041\" srcset=\"https:\/\/nebula.org\/blog\/wp-content\/uploads\/2020\/06\/pasted-image-0-5.png 889w, https:\/\/nebula.org\/blog\/wp-content\/uploads\/2020\/06\/pasted-image-0-5-300x206.png 300w, https:\/\/nebula.org\/blog\/wp-content\/uploads\/2020\/06\/pasted-image-0-5-768x527.png 768w\" sizes=\"(max-width: 889px) 100vw, 889px\" \/><figcaption>ClinVar homepage.<\/figcaption><\/figure>\n\n\n\n<p>On this site, you can learn more about ClinVar and how to make new submissions. If you already have an SNP in mind, you can simply enter it into the search bar and press \u201cSearch\u201d. Here, we are interested to learn more about SNP rs63750048.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh4.googleusercontent.com\/rVEnX3c8stH_lc1CNqV310I_0zzixvh7IKcsArk3PKRW2YgNM6vujTsUXyG3NkSkhIX8K_sZ7Tbn6ob-jMRT-w75B-Rv3d0hQdRf6frdiMF-qhJuJqkxfHJK7ftEYtgzIczdGJtU\" alt=\"ClinVar search.\"\/><\/figure>\n\n\n\n<p>If any information about a SNP has been uploaded to ClinVar, the site will return a search result for that SNP. We can see at a quick glance that it is located in a gene called PSEN2 and has been linked to Alzheimer\u2019s disease type 4. Clicking on the link (highlighted in the screenshot), we can learn even more about the SNP.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/pN75qRjFcWF5Qi3rQemejWNRwNFJc6lwLy2Bj41ZCFnFB8cW9MsZdpkfAbPSuWHX4L94sV6CR8VuYo-ivc_HfuS00UFkGq2M3V9QFLaJX2IizL_jcrMwK8DgRaUKeTHSraL2iTYz\" alt=\"\"\/><figcaption>Search results.<\/figcaption><\/figure>\n\n\n\n<p>On this page, more information about the SNP is provided, including all conditions it may be linked to, and any scientific publications that mention the SNP. For each condition in the \u201cSubmitted interpretations and evidence\u201d section, you can click the \u201cEvidence details\u201d link to learn how the SNP is connected to the disease and how it was discovered.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh5.googleusercontent.com\/DrRDZM_b5NmZdK1mFtM2QpDQKXtZBRyELTe5ZbgHLtDL88o8dtp84etXtYFofbUW7eCShefsR6AM8HS_xRm-ctUFSLzTPGKuFjkyJ54r-JjQMSeQijw7b_BSbb9fMVkJ_Oi_faLN\" alt=\"An entry in ClinVar.\"\/><figcaption>An entry in ClinVar.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh6.googleusercontent.com\/LvPjg1UTxkVLHLPGvNU52zPTcGhjcsBWHh03q6ICUshVmGWbbgu745BVw0u15cQiw2r82c-9KLyiL9O9ufgfeIJ7PMo7fY_BaIJVg3LZZ98DcF-df2BuUjCg609DuGBi1qxH7IxX\" alt=\"Evidence in ClinVar.\"\/><figcaption>Evidence in ClinVar.<\/figcaption><\/figure>\n\n\n\n<p>Here, we can see the SNP was identified in an Italian family affected by Alzheimer\u2019s disease. The normal letter at this location of the genome is C, but genetic tests performed on this family show many members have a T at the same location, which may affect how the PSEN2 gene functions. The report goes on to note specific symptoms that members of the family experienced.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh5.googleusercontent.com\/gV4-x1TLWVuTRO8HsWU-osywaMaX5o74weDeDBQJl_UIuX1J0iDq6LijwaKA9-ODS7O87ximpu2pIu65sMZ5rU9xMl01d8pNvafrrBwJ4wu3q8Fw_rpgMZedtcew3R2U7st_q2U3\" alt=\"Detailed evidence in ClinVar.\"\/><figcaption>Detailed evidence in ClinVar.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-searching-clinvar-by-gene\"><strong>Searching ClinVar by gene<\/strong><\/h3>\n\n\n\n<p>Perhaps we do not have a particular SNP in mind, and would instead like to find all the SNPs present in a gene we\u2019re interested in. Once we find an interesting SNP, we can return to our own genomic data and check our status for this SNP.&nbsp;<\/p>\n\n\n\n<p>Start by navigating back to the ClinVar homepage, and search for the gene you are interested in learning more about. In this case, we search for \u201cBRCA\u201d, a gene where variations have been linked to an increased risk of developing breast cancer.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh6.googleusercontent.com\/CAKjGzX8dKzfChstnyrWwhkReo19-_JlDcF1Ob4i5G4VzuBGjHgnjV0kXaxp0qKM7FATZ3Xc0AHpv3b-D6X72PSc07KqTP23KhUpu382Iy5XatXm96apbWXxNjhMfB37cX2VaLTU\" alt=\"ClinVar search by gene name.\"\/><figcaption>ClinVar search by gene name.<\/figcaption><\/figure>\n\n\n\n<p>Searching this gene name returns hundreds of ClinVar variants. Some of them are in the BRCA genes and others are in genes closely related to BRCA. To avoid being overwhelmed by search results, we can filter them using options down the left side of the page. These include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Clinical significance: Does this SNP cause a particular disease (pathogenic and likely pathogenic) or not (benign and likely benign)? Or is it uncertain what its effects are? Or are there conflicting results from different studies?<\/li><li>Molecular consequence: What effect does the SNP have on the gene\u2019s sequence?<\/li><li>Variation type: Is a letter added to the sequence or deleted from it? Or is a letter substituted to another (for example, C to T)?<\/li><li>Review status: How much clinical evidence exists for this SNP?<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh4.googleusercontent.com\/oSFLs5QXaltkbxgATCBWTnxeiuEoB29wNYdrFhTkJyn1L9h7fXqzX-TZek5vgLrvQfrjuumTzWPXe2AJxo-Z62hcIyX3rlVRBYDi3oaj2qAdrGELa-EGgWRmrtDnpoC0WUO5TPK4\" alt=\"ClinVar filters.\"\/><figcaption>ClinVar filters.<\/figcaption><\/figure>\n\n\n\n<p>After looking through the numerous SNPs at different filters, let\u2019s learn more about the variant highlighted with the red box below.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/78hAFJGI6fQ_jMaak1dvClHLcmmWIQLCGWSh5xmFvAUfUlat8uvTPxoYaNGeDJiIfRBaPECXjiVp7LJQuzGnpleCrszq2T2GWIBar2-GWFef9yMM2YUO97QTOlCqu-oBdMhblwKp\" alt=\"\"\/><\/figure>\n\n\n\n<p>By following the link, we can immediately learn more information about the SNP. We can see that the SNP is a change from the letter G to the letter C located on chromosome 13, and it is potentially linked to an increased risk of breast cancer. Additionally, we can learn the ID of the SNP (rs81002796).<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh4.googleusercontent.com\/DsNHftykdXCHYdzCnBIZ8UBGpMpAYSKmAaEiX-thYPKsXDW5ax-L3JuNQaehkRC7z32hYvYhUsgsURoH7o4Nd8X5t0vCrIKGyzxO2YVGpUoNRB41TWewiMDEcexld9-b9W6PuyMr\" alt=\"Clinical significance in ClinVar. \"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh5.googleusercontent.com\/mR-qPI7A-77S1TzjcLVQer8HCoQYvL0reCoUM8aPjta3ajn_UkgEFahfbObb85Wnq22pdZtKQZ02ivk-bcbJHfVfpdgOVcUYxB_U-KQNBOXilkvXvdSP0TTPcrUouOiZjn36P-go\" alt=\"\"\/><figcaption>Clinical significance in ClinVar.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-searching-clinvar-by-disease\"><strong>Searching ClinVar by disease<\/strong><\/h3>\n\n\n\n<p>Finally, if we don\u2019t have a particular SNP or a particular gene in mind, we can search through all the SNPs linked to a particular disease. Though not required, adding the [disease\/phenotype] tag after a search term can help limit results to only the most pertinent for the specific condition. For example, if we are interested in SNPs connected to diabetes, we can search ClinVar with the term \u201cdiabetes[disease\/phenotype]\u201d.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh4.googleusercontent.com\/qw7-PR_j5W9pl7GgTbzuQ0emDun0Vti_qEKMfawcFzjR0An_QSxQBpUa7MyuqtgcBnbd4dOWxCBmFMAERePdJNxS2vdSABdLPNwn7_WV69ZtHEYT4HAU6fAQPy0v8ywvL68mfk3o\" alt=\"ClinVar search by disease name.\"\/><figcaption>ClinVar search by disease name.<\/figcaption><\/figure>\n\n\n\n<p>Since thousands of results are returned, let\u2019s filter out the results to only display those that are established \u201crisk factors\u201d for diabetes. Then, let\u2019s learn more about the first result.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh5.googleusercontent.com\/SyJZ1K_37zmzgeB_XA7iLRIhAR3QJW-7RNWJc4v3TmwYK_qEhBwK9-B9t4XTU0Uv4lRToqn4teau-3tsGX5PUOFLfobaO5WPJXrJXWkPtoMmkMCGN-lApzBCpsULCK-iBx-YgKX1\" alt=\"Risk factor filter.\"\/><figcaption>Risk factor filter.<\/figcaption><\/figure>\n\n\n\n<p>By following the link, we can learn that this SNP is the change of a letter C to G located on chromosome 1 in a gene known as PTPN22. The SNP was identified in a publication in 2006.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh6.googleusercontent.com\/43az1kzg9BG0ZQPPFwGMy-v1Up8h2pkhZs6pueCtHB9HoaUdu1jSa8yWWn0OvUgO8zaozubG7B3XXZQxlND7qdLdb4DmootYRTH9NyJ1L-d4rynwlCbquJ1_zRzhcp2MbsJ8773G\" alt=\"\"\/><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/EFYrdgoq0wDW9xrCUI5SujdsjxTsckg4RWbiYQ8P2sH5YcYP3cDrBuRpCgqlNG_Zep3Z8MCF5mPHSor9CJKvZH2lIqDVGT4iGjhWBp5KWCbdxTvgKD9W3TqYt5agTbklCMJRGRFV\" alt=\"Link to literature.\"\/><figcaption>Link to literature.<\/figcaption><\/figure>\n\n\n\n<p>If we are interested in learning more about how the SNP was found, we can follow the publication\u2019s link to learn more about the study.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/9Aqrlzd1Hnv3O3Nv1NidOAIPd_i9cbEUkf7E6ynbUAOtDkQXBZBMavWfQbSGrf8QlfN74D8cytSqrcg_aW0Ms_3uAZHKrhB8RScR1TzyCiFKOPk87DhFu9_HHZzZaWi9r67MIotn\" alt=\"Linked study.\"\/><figcaption>Linked study.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-clinvar-is-powerful-use-it-wisely\"><strong>ClinVar is powerful. Use it wisely.<\/strong><\/h2>\n\n\n\n<p>Though ClinVar is an expansive database compiling results from thousands of laboratory and medical studies, it is important to note that the tool is not a genetic counselor. It is not designed to provide medical advice and diagnoses. If you suspect that the information you have found throughout your searches on the site might be relevant to your health, it is important to see a medical doctor or another licensed health care professional for genetic counseling.<\/p>\n\n\n\n<p>Did you like our ClinVar tutorial? You might find these tutorial useful as well:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>How to download your <a href=\"https:\/\/nebula.org\/blog\/23andme-login-sign-in\/\">23andMe<\/a> and <a href=\"https:\/\/nebula.org\/blog\/ancestry-login\/\">AncestryDNA<\/a> data?<\/li><li>How to use <a href=\"https:\/\/nebula.org\/blog\/gedmatch-tutorial\/\">GEDmatch<\/a>?<\/li><li>How to use the <a href=\"https:\/\/nebula.org\/blog\/nebula-library-unlocking-genetic-research\/\">Nebula Library<\/a>?<\/li><li>How to <a href=\"https:\/\/nebula.org\/blog\/how-to-start-exploring-your-raw-genomic-data\/\">explore your genomic data<\/a>?<\/li><li>How does <a href=\"https:\/\/nebula.org\/blog\/paternity-test\/\">paternity testing <\/a>work?<\/li><li><a href=\"https:\/\/nebula.org\/blog\/dna-test-while-pregnant\/\">DNA testing during pregnancy?<\/a><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>What is ClinVar? For many people, getting their genome sequenced is the start of an exciting journey. Often, though, people are left unsure of where to begin their exploration of their DNA data. To learn how genetics affects health, a &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"ast-button\" href=\"https:\/\/nebula.org\/blog\/clinvar-tutorial\/\"> <span class=\"screen-reader-text\">How to use ClinVar &#8211; A Tutorial for Beginners<\/span> Read More \u00bb<\/a><\/p>\n","protected":false},"author":12,"featured_media":1937,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","_FSMCFIC_featured_image_caption":"","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[3865],"tags":[],"class_list":["post-1936","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tutorials"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.13 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to use ClinVar - A Tutorial for Beginners [JULY 2020]<\/title>\n<meta name=\"description\" content=\"ClinVar is a database of genetic markers that have been linked with various diseases. Learn how to use ClinVar in our tutorial!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nebula.org\/blog\/clinvar-tutorial\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to use ClinVar - A Tutorial for Beginners [JULY 2020]\" \/>\n<meta property=\"og:description\" content=\"ClinVar is a database of genetic markers that have been linked with various diseases. 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