1-207089587-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001017365.3(C4BPB):ā€‹c.56A>Gā€‹(p.Asp19Gly) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000013 in 1,461,664 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 17/25 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.000013 ( 0 hom. )

Consequence

C4BPB
NM_001017365.3 missense, splice_region

Scores

19
Splicing: ADA: 0.0005728
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.524
Variant links:
Genes affected
C4BPB (HGNC:1328): (complement component 4 binding protein beta) This gene encodes a member of a superfamily of proteins composed predominantly of tandemly arrayed short consensus repeats of approximately 60 amino acids. A single, unique beta-chain encoded by this gene assembles with seven identical alpha-chains into the predominant isoform of C4b-binding protein, a multimeric protein that controls activation of the complement cascade through the classical pathway. C4b-binding protein has a regulatory role in the coagulation system also, mediated through the beta-chain binding of protein S, a vitamin K-dependent protein that serves as a cofactor of activated protein C. The genes encoding both alpha and beta chains are located adjacent to each other on human chromosome 1 in the regulator of complement activation gene cluster. Alternative splicing gives rise to multiple transcript variants. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.07399219).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
C4BPBNM_001017365.3 linkuse as main transcriptc.56A>G p.Asp19Gly missense_variant, splice_region_variant 2/7 ENST00000367078.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
C4BPBENST00000367078.8 linkuse as main transcriptc.56A>G p.Asp19Gly missense_variant, splice_region_variant 2/71 NM_001017365.3 P4P20851-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.0000130
AC:
19
AN:
1461664
Hom.:
0
Cov.:
30
AF XY:
0.0000110
AC XY:
8
AN XY:
727168
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:
0.0000171
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000113

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 GeneticsJul 25, 2023The c.56A>G (p.D19G) alteration is located in exon 1 (coding exon 1) of the C4BPB gene. This alteration results from a A to G substitution at nucleotide position 56, causing the aspartic acid (D) at amino acid position 19 to be replaced by a glycine (G). 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
0.11
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
19
DANN
Benign
0.78
DEOGEN2
Benign
0.093
T;T;T;.;T
Eigen
Benign
-0.92
Eigen_PC
Benign
-0.90
FATHMM_MKL
Benign
0.10
N
LIST_S2
Benign
0.34
.;T;.;T;T
M_CAP
Benign
0.0029
T
MetaRNN
Benign
0.074
T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.5
L;.;L;L;L
MutationTaster
Benign
1.0
N;N;N;N;N
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-1.2
N;N;N;N;N
REVEL
Benign
0.0060
Sift
Benign
0.055
T;D;T;T;T
Sift4G
Benign
0.074
T;T;T;T;T
Polyphen
0.0010
B;.;B;B;B
Vest4
0.34
MutPred
0.28
Gain of glycosylation at S18 (P = 0.0351);Gain of glycosylation at S18 (P = 0.0351);Gain of glycosylation at S18 (P = 0.0351);Gain of glycosylation at S18 (P = 0.0351);Gain of glycosylation at S18 (P = 0.0351);
MVP
0.014
MPC
0.20
ClinPred
0.17
T
GERP RS
1.6
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.095
gMVP
0.50

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00057
dbscSNV1_RF
Benign
0.030
SpliceAI score (max)
0.20
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.20
Position offset: -1

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: rs1372665725; hg19: chr1-207262932; API