10-94942330-G-A

Variant summary

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

The NM_000771.4(CYP2C9):​c.470G>A​(p.Arg157Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,532 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as drug response (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

CYP2C9
NM_000771.4 missense

Scores

19

Clinical Significance

drug response no assertion criteria provided O:1

Conservation

PhyloP100: 0.279
Variant links:
Genes affected
CYP2C9 (HGNC:2623): (cytochrome P450 family 2 subfamily C member 9) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and its expression is induced by rifampin. The enzyme is known to metabolize many xenobiotics, including phenytoin, tolbutamide, ibuprofen and S-warfarin. Studies identifying individuals who are poor metabolizers of phenytoin and tolbutamide suggest that this gene is polymorphic. The gene is located within a cluster of cytochrome P450 genes on chromosome 10q24. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

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=0.12144533).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYP2C9NM_000771.4 linkuse as main transcriptc.470G>A p.Arg157Lys missense_variant 3/9 ENST00000260682.8 NP_000762.2 P11712-1S5RV20

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP2C9ENST00000260682.8 linkuse as main transcriptc.470G>A p.Arg157Lys missense_variant 3/91 NM_000771.4 ENSP00000260682.6 P11712-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461532
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
727086
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:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: drug response
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Warfarin response Other:1
drug response, no assertion criteria providedresearchFaculty of Pharmacy, Damascus University-this variant is related to hyperresponsiveness to warfarin so it is linked to bleeding with normal dose of warfarin likely responsive

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.087
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
14
DANN
Benign
0.95
DEOGEN2
Benign
0.072
.;T
Eigen
Benign
-0.75
Eigen_PC
Benign
-0.69
FATHMM_MKL
Benign
0.037
N
LIST_S2
Benign
0.69
T;T
M_CAP
Benign
0.0043
T
MetaRNN
Benign
0.12
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.60
N;N
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-1.6
.;N
REVEL
Benign
0.094
Sift
Benign
0.25
.;T
Sift4G
Benign
0.38
.;T
Polyphen
0.015
.;B
Vest4
0.099
MutPred
0.62
Gain of ubiquitination at R157 (P = 0.0289);Gain of ubiquitination at R157 (P = 0.0289);
MVP
0.69
MPC
0.0092
ClinPred
0.11
T
GERP RS
0.42
Varity_R
0.35
gMVP
0.11

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr10-96702087; API