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GeneBe

1-23875143-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001841.3(CNR2):c.475G>T(p.Val159Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000247 in 1,460,170 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.000025 ( 0 hom. )

Consequence

CNR2
NM_001841.3 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.337
Variant links:
Genes affected
CNR2 (HGNC:2160): (cannabinoid receptor 2) The cannabinoid delta-9-tetrahydrocannabinol is the principal psychoactive ingredient of marijuana. The proteins encoded by this gene and the cannabinoid receptor 1 (brain) (CNR1) gene have the characteristics of a guanine nucleotide-binding protein (G-protein)-coupled receptor for cannabinoids. They inhibit adenylate cyclase activity in a dose-dependent, stereoselective, and pertussis toxin-sensitive manner. These proteins have been found to be involved in the cannabinoid-induced CNS effects (including alterations in mood and cognition) experienced by users of marijuana. The cannabinoid receptors are members of family 1 of the G-protein-coupled receptors. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CNR2NM_001841.3 linkuse as main transcriptc.475G>T p.Val159Phe missense_variant 2/2 ENST00000374472.5
CNR2XM_011540629.4 linkuse as main transcriptc.475G>T p.Val159Phe missense_variant 2/2
CNR2XM_017000261.3 linkuse as main transcriptc.475G>T p.Val159Phe missense_variant 3/3
CNR2XM_047444833.1 linkuse as main transcriptc.475G>T p.Val159Phe missense_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CNR2ENST00000374472.5 linkuse as main transcriptc.475G>T p.Val159Phe missense_variant 2/21 NM_001841.3 P1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000401
AC:
1
AN:
249476
Hom.:
0
AF XY:
0.00000742
AC XY:
1
AN XY:
134748
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:
0.00000887
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000247
AC:
36
AN:
1460170
Hom.:
0
Cov.:
66
AF XY:
0.0000303
AC XY:
22
AN XY:
726280
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:
0.0000297
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
Cov.:
33
ExAC
AF:
0.0000165
AC:
2

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 GeneticsSep 22, 2023The c.475G>T (p.V159F) alteration is located in exon 2 (coding exon 1) of the CNR2 gene. This alteration results from a G to T substitution at nucleotide position 475, causing the valine (V) at amino acid position 159 to be replaced by a phenylalanine (F). 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
0.086
BayesDel_addAF
Benign
-0.084
T
BayesDel_noAF
Benign
-0.36
Cadd
Benign
19
Dann
Uncertain
1.0
DEOGEN2
Benign
0.24
T
Eigen
Benign
0.11
Eigen_PC
Benign
0.016
FATHMM_MKL
Benign
0.40
N
LIST_S2
Benign
0.71
T
M_CAP
Benign
0.062
D
MetaRNN
Uncertain
0.45
T
MetaSVM
Benign
-0.74
T
MutationAssessor
Uncertain
2.7
M
MutationTaster
Benign
0.99
D;D
PrimateAI
Benign
0.40
T
PROVEAN
Uncertain
-2.4
N
REVEL
Benign
0.27
Sift
Uncertain
0.018
D
Sift4G
Uncertain
0.033
D
Polyphen
0.72
P
Vest4
0.18
MutPred
0.71
Loss of MoRF binding (P = 0.1972);
MVP
0.79
ClinPred
0.38
T
GERP RS
2.6
Varity_R
0.29
gMVP
0.53

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: rs201087852; hg19: chr1-24201633; API