1-196673839-CTT-CTTT

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP6_Very_StrongBS1BS2

The NM_000186.4(CFH):​c.245-9dupT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0016 in 1,478,290 control chromosomes in the GnomAD database, including 6 homozygotes. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0032 ( 3 hom., cov: 23)
Exomes 𝑓: 0.0014 ( 3 hom. )

Consequence

CFH
NM_000186.4 splice_region, intron

Scores

Not classified

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.0950
Variant links:
Genes affected
CFH (HGNC:4883): (complement factor H) This gene is a member of the Regulator of Complement Activation (RCA) gene cluster and encodes a protein with twenty short consensus repeat (SCR) domains. This protein is secreted into the bloodstream and has an essential role in the regulation of complement activation, restricting this innate defense mechanism to microbial infections. Mutations in this gene have been associated with hemolytic-uremic syndrome (HUS) and chronic hypocomplementemic nephropathy. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Oct 2011]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP6
Variant 1-196673839-C-CT is Benign according to our data. Variant chr1-196673839-C-CT is described in ClinVar as [Likely_benign]. Clinvar id is 1553720.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00322 (487/151258) while in subpopulation AFR AF= 0.0109 (448/41252). AF 95% confidence interval is 0.01. There are 3 homozygotes in gnomad4. There are 230 alleles in male gnomad4 subpopulation. Median coverage is 23. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 3 SD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CFHNM_000186.4 linkuse as main transcriptc.245-9dupT splice_region_variant, intron_variant ENST00000367429.9 NP_000177.2 P08603A0A024R962
CFHNM_001014975.3 linkuse as main transcriptc.245-9dupT splice_region_variant, intron_variant NP_001014975.1 A0A0D9SG88

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CFHENST00000367429.9 linkuse as main transcriptc.245-9dupT splice_region_variant, intron_variant 1 NM_000186.4 ENSP00000356399.4 P08603
ENSG00000289697ENST00000696032.1 linkuse as main transcriptc.245-9dupT splice_region_variant, intron_variant ENSP00000512341.1 A0A8Q3SIA1

Frequencies

GnomAD3 genomes
AF:
0.00323
AC:
488
AN:
151144
Hom.:
3
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.0109
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00119
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00117
Gnomad SAS
AF:
0.000627
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000885
Gnomad OTH
AF:
0.00289
GnomAD4 exome
AF:
0.00141
AC:
1872
AN:
1327032
Hom.:
3
Cov.:
25
AF XY:
0.00129
AC XY:
862
AN XY:
666232
show subpopulations
Gnomad4 AFR exome
AF:
0.0128
Gnomad4 AMR exome
AF:
0.00150
Gnomad4 ASJ exome
AF:
0.000480
Gnomad4 EAS exome
AF:
0.00256
Gnomad4 SAS exome
AF:
0.000967
Gnomad4 FIN exome
AF:
0.000480
Gnomad4 NFE exome
AF:
0.00110
Gnomad4 OTH exome
AF:
0.00191
GnomAD4 genome
AF:
0.00322
AC:
487
AN:
151258
Hom.:
3
Cov.:
23
AF XY:
0.00312
AC XY:
230
AN XY:
73824
show subpopulations
Gnomad4 AFR
AF:
0.0109
Gnomad4 AMR
AF:
0.00118
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00117
Gnomad4 SAS
AF:
0.000627
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000885
Gnomad4 OTH
AF:
0.00286

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Factor H deficiency;C0730295:Basal laminar drusen;C1853147:Age related macular degeneration 4;C2749604:Hemolytic uremic syndrome, atypical, susceptibility to, 1 Benign:1
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsDec 22, 2021- -
Factor H deficiency Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
Hemolytic uremic syndrome, atypical, susceptibility to, 1 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 25, 2024- -
Basal laminar drusen Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -
Age related macular degeneration 4 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabApr 11, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs35507625; hg19: chr1-196642969; API