11-118344424-A-G

Variant summary

Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_000073.3(CD3G):​c.1A>G​(p.Met1?) variant causes a start lost change. The variant allele was found at a frequency of 0.00000212 in 1,416,682 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

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

Consequence

CD3G
NM_000073.3 start_lost

Scores

6
7
3

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 4.26

Publications

8 publications found
Variant links:
Genes affected
CD3G (HGNC:1675): (CD3 gamma subunit of T-cell receptor complex) The protein encoded by this gene is the CD3-gamma polypeptide, which together with CD3-epsilon, -delta and -zeta, and the T-cell receptor alpha/beta and gamma/delta heterodimers, forms the T-cell receptor-CD3 complex. This complex plays an important role in coupling antigen recognition to several intracellular signal-transduction pathways. The genes encoding the epsilon, gamma and delta polypeptides are located in the same cluster on chromosome 11. Defects in this gene are associated with T cell immunodeficiency. [provided by RefSeq, Jul 2008]
CD3G Gene-Disease associations (from GenCC):
  • combined immunodeficiency due to CD3gamma deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, Labcorp Genetics (formerly Invitae), ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 18 ACMG points.

PVS1
Start lost variant, next in-frame start position is after 8 pathogenic variants. Next in-frame start position is after 61 codons. Genomic position: 118349844. Lost 0.330 part of the original CDS.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 11-118344424-A-G is Pathogenic according to our data. Variant chr11-118344424-A-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 12753.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CD3GNM_000073.3 linkc.1A>G p.Met1? start_lost Exon 1 of 7 ENST00000532917.3 NP_000064.1 P09693B0YIY5
CD3GNM_001440319.1 linkc.1A>G p.Met1? start_lost Exon 1 of 7 NP_001427248.1
CD3GXM_005271724.5 linkc.1A>G p.Met1? start_lost Exon 1 of 4 XP_005271781.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CD3GENST00000532917.3 linkc.1A>G p.Met1? start_lost Exon 1 of 7 1 NM_000073.3 ENSP00000431445.2 P09693

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
181720
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000212
AC:
3
AN:
1416682
Hom.:
0
Cov.:
31
AF XY:
0.00000429
AC XY:
3
AN XY:
700104
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32734
American (AMR)
AF:
0.00
AC:
0
AN:
37448
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25276
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37712
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80312
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50362
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5712
European-Non Finnish (NFE)
AF:
0.00000184
AC:
2
AN:
1088378
Other (OTH)
AF:
0.0000170
AC:
1
AN:
58748
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Combined immunodeficiency due to CD3gamma deficiency Pathogenic:3
Jun 12, 2024
Fulgent Genetics, Fulgent Genetics
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 20, 1992
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Sep 04, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change affects the initiator methionine of the CD3G mRNA. The next in-frame methionine is located at codon 61. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. Disruption of the initiator codon has been observed in individual(s) with severe combined immunodeficiency (PMID: 1635567, 29653965). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. It has also been observed to segregate with disease in related individuals. ClinVar contains an entry for this variant (Variation ID: 12753). In summary, the currently available evidence indicates that the variant is pathogenic, but additional data are needed to prove that conclusively. Therefore, this variant has been classified as Likely Pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.28
D
BayesDel_noAF
Pathogenic
0.16
CADD
Benign
22
DANN
Benign
0.96
DEOGEN2
Uncertain
0.71
D
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.41
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.90
D
M_CAP
Pathogenic
0.68
D
MetaRNN
Pathogenic
0.90
D
MetaSVM
Benign
-0.85
T
PhyloP100
4.3
PROVEAN
Uncertain
-2.6
D
REVEL
Uncertain
0.36
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.83
P
Vest4
0.96
MutPred
0.58
Loss of methylation at K5 (P = 0.1138);
MVP
0.64
ClinPred
0.98
D
GERP RS
4.3
PromoterAI
-0.0052
Neutral
Varity_R
0.81
gMVP
0.68
Mutation Taster
=19/181
disease causing (ClinVar)

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

Other links and lift over

dbSNP: rs104894199; hg19: chr11-118215139; API