1-196690107-C-T

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BA1

The NM_000186.4(CFH):​c.1204C>T​(p.His402Tyr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.637 in 1,610,204 control chromosomes in the GnomAD database, including 330,962 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.64 ( 31992 hom., cov: 31)
Exomes 𝑓: 0.64 ( 298970 hom. )

Consequence

CFH
NM_000186.4 missense

Scores

17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:12

Conservation

PhyloP100: -8.33
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 -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=4.2569295E-6).
BP6
Variant 1-196690107-C-T is Benign according to our data. Variant chr1-196690107-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 294490.We mark this variant Likely_benign, oryginal submissions are: {Benign=12, Uncertain_significance=1}. Variant chr1-196690107-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.926 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CFHNM_000186.4 linkc.1204C>T p.His402Tyr missense_variant Exon 9 of 22 ENST00000367429.9 NP_000177.2 P08603A0A024R962
CFHNM_001014975.3 linkc.1204C>T p.His402Tyr missense_variant Exon 9 of 10 NP_001014975.1 A0A0D9SG88

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CFHENST00000367429.9 linkc.1204C>T p.His402Tyr missense_variant Exon 9 of 22 1 NM_000186.4 ENSP00000356399.4 P08603
ENSG00000289697ENST00000696032.1 linkc.1204C>T p.His402Tyr missense_variant Exon 9 of 27 ENSP00000512341.1 A0A8Q3SIA1

Frequencies

GnomAD3 genomes
AF:
0.645
AC:
97836
AN:
151784
Hom.:
31967
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.629
Gnomad AMI
AF:
0.519
Gnomad AMR
AF:
0.737
Gnomad ASJ
AF:
0.661
Gnomad EAS
AF:
0.948
Gnomad SAS
AF:
0.719
Gnomad FIN
AF:
0.563
Gnomad MID
AF:
0.663
Gnomad NFE
AF:
0.618
Gnomad OTH
AF:
0.665
GnomAD3 exomes
AF:
0.680
AC:
169954
AN:
250026
Hom.:
59360
AF XY:
0.673
AC XY:
90974
AN XY:
135116
show subpopulations
Gnomad AFR exome
AF:
0.627
Gnomad AMR exome
AF:
0.834
Gnomad ASJ exome
AF:
0.666
Gnomad EAS exome
AF:
0.954
Gnomad SAS exome
AF:
0.698
Gnomad FIN exome
AF:
0.563
Gnomad NFE exome
AF:
0.616
Gnomad OTH exome
AF:
0.660
GnomAD4 exome
AF:
0.636
AC:
927619
AN:
1458302
Hom.:
298970
Cov.:
50
AF XY:
0.637
AC XY:
462112
AN XY:
725588
show subpopulations
Gnomad4 AFR exome
AF:
0.630
Gnomad4 AMR exome
AF:
0.824
Gnomad4 ASJ exome
AF:
0.654
Gnomad4 EAS exome
AF:
0.940
Gnomad4 SAS exome
AF:
0.694
Gnomad4 FIN exome
AF:
0.559
Gnomad4 NFE exome
AF:
0.616
Gnomad4 OTH exome
AF:
0.644
GnomAD4 genome
AF:
0.645
AC:
97903
AN:
151902
Hom.:
31992
Cov.:
31
AF XY:
0.647
AC XY:
48054
AN XY:
74232
show subpopulations
Gnomad4 AFR
AF:
0.629
Gnomad4 AMR
AF:
0.738
Gnomad4 ASJ
AF:
0.661
Gnomad4 EAS
AF:
0.949
Gnomad4 SAS
AF:
0.720
Gnomad4 FIN
AF:
0.563
Gnomad4 NFE
AF:
0.618
Gnomad4 OTH
AF:
0.664
Alfa
AF:
0.626
Hom.:
13228
Bravo
AF:
0.660
TwinsUK
AF:
0.612
AC:
2270
ALSPAC
AF:
0.622
AC:
2398
ESP6500AA
AF:
0.637
AC:
2808
ESP6500EA
AF:
0.618
AC:
5312
ExAC
AF:
0.671
AC:
81367
Asia WGS
AF:
0.781
AC:
2716
AN:
3478
EpiCase
AF:
0.632
EpiControl
AF:
0.628

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:12
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:3
Mar 09, 2020
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 26895476, 23497844, 28173125, 29686068, 26376595, 15761120, 20038862, 22875704, 19823576, 20869121, 20378180, 20132989, 22277662, 22552255, 16936732, 24036949, 20581873, 23112567, 22933840, 22509112, 20664795, 18604638, 19399715, 22456601, 24550392, 20660596, 21784901, 21930971, 17339482, 20688737, 20574013, 20538999, 20042647, 18263814, 22388616, 21649859, 17464302, 19000922, 17869048, 19187590, 22197220, 20708732, 22965593, 21825189, 18163432, 25087612) -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Apr 01, 2019
CeGaT Center for Human Genetics Tuebingen
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Hemolytic uremic syndrome, atypical, susceptibility to, 1 Benign:2
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Jul 22, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Basal laminar drusen Benign:2
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Jul 22, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Age related macular degeneration 4 Benign:2
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -

Jul 22, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Factor H deficiency Benign:1
Jul 22, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

CFH-Related Dense Deposit Disease / Membranoproliferative Glomerulonephritis Type II Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Atypical hemolytic-uremic syndrome Benign:1
Oct 05, 2022
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.76
T
BayesDel_noAF
Benign
-0.72
CADD
Benign
0.0010
DANN
Benign
0.22
DEOGEN2
Benign
0.0033
.;T;.
Eigen
Benign
-2.8
Eigen_PC
Benign
-2.9
FATHMM_MKL
Benign
0.00085
N
LIST_S2
Benign
0.13
T;T;T
MetaRNN
Benign
0.0000043
T;T;T
MetaSVM
Benign
-1.0
T
PrimateAI
Benign
0.25
T
PROVEAN
Benign
0.010
N;.;N
REVEL
Benign
0.086
Sift
Benign
1.0
T;.;T
Sift4G
Benign
1.0
T;T;T
Polyphen
0.0
.;.;B
Vest4
0.087
MPC
0.16
ClinPred
0.023
T
GERP RS
-9.1
gMVP
0.58

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: rs1061170; hg19: chr1-196659237; COSMIC: COSV62776341; API