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GeneBe

1-70421600-A-T

Variant summary

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

The NM_001902.6(CTH):c.381A>T(p.Glu127Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,461,620 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Synonymous variant affecting the same amino acid position (i.e. E127E) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

CTH
NM_001902.6 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.365
Variant links:
Genes affected
CTH (HGNC:2501): (cystathionine gamma-lyase) This gene encodes a cytoplasmic enzyme in the trans-sulfuration pathway that converts cystathione derived from methionine into cysteine. Glutathione synthesis in the liver is dependent upon the availability of cysteine. Mutations in this gene cause cystathioninuria. Alternative splicing of this gene results in three transcript variants encoding different isoforms. [provided by RefSeq, Jun 2010]

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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=0.13093922).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CTHNM_001902.6 linkuse as main transcriptc.381A>T p.Glu127Asp missense_variant 4/12 ENST00000370938.8
CTHNM_001190463.2 linkuse as main transcriptc.285A>T p.Glu95Asp missense_variant 3/11
CTHNM_153742.5 linkuse as main transcriptc.381A>T p.Glu127Asp missense_variant 4/11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CTHENST00000370938.8 linkuse as main transcriptc.381A>T p.Glu127Asp missense_variant 4/121 NM_001902.6 P1P32929-1
CTHENST00000346806.2 linkuse as main transcriptc.381A>T p.Glu127Asp missense_variant 4/111 P32929-2
CTHENST00000411986.6 linkuse as main transcriptc.285A>T p.Glu95Asp missense_variant 3/112 P32929-3
CTHENST00000464926.1 linkuse as main transcriptn.429A>T non_coding_transcript_exon_variant 3/65

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251400
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135872
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1461620
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727112
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000671
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 03, 2024The c.381A>T (p.E127D) alteration is located in exon 4 (coding exon 4) of the CTH gene. This alteration results from a A to T substitution at nucleotide position 381, causing the glutamic acid (E) at amino acid position 127 to be replaced by an aspartic acid (D). 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
-0.21
T
BayesDel_noAF
Benign
-0.45
Cadd
Benign
18
Dann
Uncertain
0.99
Eigen
Benign
-0.57
Eigen_PC
Benign
-0.39
FATHMM_MKL
Benign
0.55
D
LIST_S2
Benign
0.73
T;T;T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.13
T;T;T
MetaSVM
Benign
-1.0
T
MutationTaster
Benign
0.92
N;N;N
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-1.7
N;N;N
REVEL
Benign
0.15
Sift
Benign
0.24
T;T;T
Sift4G
Benign
0.33
T;T;T
Polyphen
0.0, 0.0040
.;B;B
Vest4
0.16
MutPred
0.27
.;Gain of helix (P = 0.132);Gain of helix (P = 0.132);
MVP
0.73
MPC
0.13
ClinPred
0.088
T
GERP RS
2.1
Varity_R
0.37
gMVP
0.62

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs886046511; hg19: chr1-70887283; API