1-196740644-G-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000186.4(CFH):​c.2808G>T​(p.Glu936Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.176 in 1,612,926 control chromosomes in the GnomAD database, including 29,128 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.15 ( 2412 hom., cov: 32)
Exomes 𝑓: 0.18 ( 26716 hom. )

Consequence

CFH
NM_000186.4 missense

Scores

1
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: -1.31
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 -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.9297004E-4).
BP6
Variant 1-196740644-G-T is Benign according to our data. Variant chr1-196740644-G-T is described in ClinVar as [Benign]. Clinvar id is 294509.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-196740644-G-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.464 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CFHNM_000186.4 linkuse as main transcriptc.2808G>T p.Glu936Asp missense_variant 18/22 ENST00000367429.9 NP_000177.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CFHENST00000367429.9 linkuse as main transcriptc.2808G>T p.Glu936Asp missense_variant 18/221 NM_000186.4 ENSP00000356399 P2

Frequencies

GnomAD3 genomes
AF:
0.154
AC:
23280
AN:
151646
Hom.:
2412
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0598
Gnomad AMI
AF:
0.257
Gnomad AMR
AF:
0.226
Gnomad ASJ
AF:
0.117
Gnomad EAS
AF:
0.480
Gnomad SAS
AF:
0.150
Gnomad FIN
AF:
0.145
Gnomad MID
AF:
0.203
Gnomad NFE
AF:
0.171
Gnomad OTH
AF:
0.160
GnomAD3 exomes
AF:
0.205
AC:
51398
AN:
251208
Hom.:
7018
AF XY:
0.196
AC XY:
26649
AN XY:
135750
show subpopulations
Gnomad AFR exome
AF:
0.0572
Gnomad AMR exome
AF:
0.355
Gnomad ASJ exome
AF:
0.122
Gnomad EAS exome
AF:
0.504
Gnomad SAS exome
AF:
0.145
Gnomad FIN exome
AF:
0.140
Gnomad NFE exome
AF:
0.168
Gnomad OTH exome
AF:
0.195
GnomAD4 exome
AF:
0.178
AC:
260579
AN:
1461162
Hom.:
26716
Cov.:
34
AF XY:
0.176
AC XY:
128199
AN XY:
726902
show subpopulations
Gnomad4 AFR exome
AF:
0.0509
Gnomad4 AMR exome
AF:
0.336
Gnomad4 ASJ exome
AF:
0.121
Gnomad4 EAS exome
AF:
0.477
Gnomad4 SAS exome
AF:
0.142
Gnomad4 FIN exome
AF:
0.141
Gnomad4 NFE exome
AF:
0.171
Gnomad4 OTH exome
AF:
0.175
GnomAD4 genome
AF:
0.153
AC:
23273
AN:
151764
Hom.:
2412
Cov.:
32
AF XY:
0.154
AC XY:
11434
AN XY:
74128
show subpopulations
Gnomad4 AFR
AF:
0.0597
Gnomad4 AMR
AF:
0.226
Gnomad4 ASJ
AF:
0.117
Gnomad4 EAS
AF:
0.480
Gnomad4 SAS
AF:
0.150
Gnomad4 FIN
AF:
0.145
Gnomad4 NFE
AF:
0.171
Gnomad4 OTH
AF:
0.158
Alfa
AF:
0.167
Hom.:
4439
Bravo
AF:
0.161
TwinsUK
AF:
0.165
AC:
612
ALSPAC
AF:
0.170
AC:
656
ESP6500AA
AF:
0.0663
AC:
292
ESP6500EA
AF:
0.175
AC:
1503
ExAC
AF:
0.196
AC:
23731
Asia WGS
AF:
0.234
AC:
814
AN:
3478
EpiCase
AF:
0.172
EpiControl
AF:
0.175

ClinVar

Significance: Benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxSep 16, 2020This variant is associated with the following publications: (PMID: 31428128, 28173125, 14583443, 22790979, 20694013, 21868097, 18421087, 23660864, 25087612, 22718493) -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:2
Benign, no assertion criteria providedclinical testingGenome Diagnostics Laboratory, University Medical Center Utrecht-- -
Benign, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Hemolytic uremic syndrome, atypical, susceptibility to, 1 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This 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. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 22, 2021- -
Age related macular degeneration 4 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This 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. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 22, 2021- -
Basal laminar drusen Benign:2
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 22, 2021- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This 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. -
Factor H deficiency;C0730295:Basal laminar drusen;C1853147:Age related macular degeneration 4;C2749604:Hemolytic uremic syndrome, atypical, susceptibility to, 1 Benign:1
Benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsJan 01, 2022- -
Factor H deficiency Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 22, 2021- -
CFH-Related Dense Deposit Disease / Membranoproliferative Glomerulonephritis Type II Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This 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. -
Focal segmental glomerulosclerosis Benign:1
Benign, criteria provided, single submitterclinical testingGenome Diagnostics Laboratory, The Hospital for Sick ChildrenSep 27, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.69
T
BayesDel_noAF
Benign
-0.63
CADD
Benign
0.020
DANN
Uncertain
0.99
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.032
N
LIST_S2
Benign
0.53
T
MetaRNN
Benign
0.00019
T
MetaSVM
Benign
-0.95
T
MutationTaster
Benign
1.0
P
PrimateAI
Benign
0.24
T
PROVEAN
Benign
-0.89
N
REVEL
Benign
0.094
Sift
Benign
0.59
T
Sift4G
Benign
0.48
T
Vest4
0.067
MutPred
0.53
Loss of glycosylation at S938 (P = 0.1269);
MPC
0.20
ClinPred
0.0067
T
GERP RS
-2.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
gMVP
0.64

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs1065489; hg19: chr1-196709774; COSMIC: COSV66405884; API