1-196779305-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_021023.6(CFHR3):​c.202G>A​(p.Asp68Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000085 in 1,529,428 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000022 ( 1 hom., cov: 25)
Exomes 𝑓: 0.0000072 ( 2 hom. )

Consequence

CFHR3
NM_021023.6 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.0220
Variant links:
Genes affected
CFHR3 (HGNC:16980): (complement factor H related 3) The protein encoded by this gene is a secreted protein, which belongs to the complement factor H-related protein family. It binds to heparin, and may be involved in complement regulation. Mutations in this gene are associated with decreased risk of age-related macular degeneration, and with an increased risk of atypical hemolytic-uremic syndrome. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.19291657).
BS2
High Homozygotes in GnomAdExome4 at 2 AD,AR,Digenic gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CFHR3NM_021023.6 linkuse as main transcriptc.202G>A p.Asp68Asn missense_variant 2/6 ENST00000367425.9
CFHR3NM_001166624.2 linkuse as main transcriptc.202G>A p.Asp68Asn missense_variant 2/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CFHR3ENST00000367425.9 linkuse as main transcriptc.202G>A p.Asp68Asn missense_variant 2/61 NM_021023.6 P1Q02985-1
CFHR3ENST00000471440.6 linkuse as main transcriptc.202G>A p.Asp68Asn missense_variant 2/51
CFHR3ENST00000391985.7 linkuse as main transcriptc.202G>A p.Asp68Asn missense_variant 2/52 Q02985-2
CFHR3ENST00000367427.7 linkuse as main transcriptc.202G>A p.Asp68Asn missense_variant, NMD_transcript_variant 2/75

Frequencies

GnomAD3 genomes
AF:
0.0000220
AC:
3
AN:
136310
Hom.:
1
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000465
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000419
AC:
1
AN:
238442
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
128568
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000920
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000718
AC:
10
AN:
1393118
Hom.:
2
Cov.:
30
AF XY:
0.00000578
AC XY:
4
AN XY:
691878
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000938
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000220
AC:
3
AN:
136310
Hom.:
1
Cov.:
25
AF XY:
0.00
AC XY:
0
AN XY:
66296
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000465
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.00000861
AC:
1

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMay 24, 2024The c.202G>A (p.D68N) alteration is located in exon 2 (coding exon 2) of the CFHR3 gene. This alteration results from a G to A substitution at nucleotide position 202, causing the aspartic acid (D) at amino acid position 68 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
4.2
DANN
Uncertain
1.0
DEOGEN2
Benign
0.15
T;T;.;T
Eigen
Benign
-0.37
Eigen_PC
Benign
-0.66
FATHMM_MKL
Benign
0.0067
N
LIST_S2
Benign
0.61
T;.;T;T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.19
T;T;T;T
MetaSVM
Benign
-0.79
T
MutationAssessor
Uncertain
2.5
M;.;M;.
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.36
T
PROVEAN
Uncertain
-3.1
D;D;N;.
REVEL
Benign
0.12
Sift
Uncertain
0.016
D;T;T;.
Sift4G
Benign
0.064
T;T;T;T
Polyphen
1.0
D;D;.;.
Vest4
0.12
MutPred
0.52
Loss of phosphorylation at Y69 (P = 0.1247);Loss of phosphorylation at Y69 (P = 0.1247);Loss of phosphorylation at Y69 (P = 0.1247);Loss of phosphorylation at Y69 (P = 0.1247);
MVP
0.56
MPC
0.48
ClinPred
0.44
T
GERP RS
-0.73
Varity_R
0.17
gMVP
0.66

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs756348984; hg19: chr1-196748435; COSMIC: COSV66401900; API