1-36475383-C-T
Variant summary
Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4BS1_Supporting
The NM_000760.4(CSF3R):c.355G>A(p.Ala119Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000976 in 1,613,782 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A119S) has been classified as Uncertain significance.
Frequency
Consequence
NM_000760.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 0 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000828 AC: 126AN: 152182Hom.: 0 Cov.: 31
GnomAD3 exomes AF: 0.000633 AC: 159AN: 251006Hom.: 0 AF XY: 0.000685 AC XY: 93AN XY: 135754
GnomAD4 exome AF: 0.000991 AC: 1449AN: 1461482Hom.: 0 Cov.: 31 AF XY: 0.000950 AC XY: 691AN XY: 727066
GnomAD4 genome AF: 0.000827 AC: 126AN: 152300Hom.: 0 Cov.: 31 AF XY: 0.000806 AC XY: 60AN XY: 74472
ClinVar
Submissions by phenotype
not provided Uncertain:3
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not specified Uncertain:1
DNA sequence analysis of the CSF3R gene demonstrated a sequence change, c.355G>A, in exon 4 that results in an amino acid change, p.Ala119Thr. This sequence change has been described in the gnomAD database with a frequency of 0.12% in the Finnish European subpopulation (dbSNP rs142999683). This sequence change has also been previously described in one individual with multiple myeloma and one individual with acute lymphoblastic leukemia (PMID: 33108454). In addition, this sequence change has been observed in several samples tested in our laboratory with other indications besides cancer. The p.Ala119Thr change affects a highly conserved amino acid residue located in the Ig-like domain of the CSF3R protein. Functional studies show p.Ala119Thr disrupts G-CSF-induced CSF3R activation (PMID: 33108454). In-silico pathogenicity prediction tools (SIFT, PolyPhen2, Align GVGD, REVEL) provide contradictory results for the p.Ala119Thr substitution. Due to the above information we are currently interpreting the p.Ala119Thr variant as a variant of unknown significance. -
Autosomal recessive severe congenital neutropenia due to CSF3R deficiency Uncertain:1
This sequence change replaces alanine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 119 of the CSF3R protein (p.Ala119Thr). This variant is present in population databases (rs142999683, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with hematological malignancies (PMID: 33108454). ClinVar contains an entry for this variant (Variation ID: 566149). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt CSF3R protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects CSF3R function (PMID: 33108454). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Hereditary neutrophilia;C4310764:Autosomal recessive severe congenital neutropenia due to CSF3R deficiency Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at