11-65882514-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001335.4(CTSW):​c.526G>A​(p.Val176Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00051 in 1,614,216 control chromosomes in the GnomAD database, including 1 homozygotes. 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00035 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00053 ( 1 hom. )

Consequence

CTSW
NM_001335.4 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.194
Variant links:
Genes affected
CTSW (HGNC:2546): (cathepsin W) The protein encoded by this gene, a member of the peptidase C1 family, is a cysteine proteinase that may have a specific function in the mechanism or regulation of T-cell cytolytic activity. The encoded protein is found associated with the membrane inside the endoplasmic reticulum of natural killer and cytotoxic T-cells. Expression of this gene is up-regulated by interleukin-2. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0659107).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CTSWNM_001335.4 linkuse as main transcriptc.526G>A p.Val176Ile missense_variant 5/10 ENST00000307886.8 NP_001326.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CTSWENST00000307886.8 linkuse as main transcriptc.526G>A p.Val176Ile missense_variant 5/101 NM_001335.4 ENSP00000311300 P1

Frequencies

GnomAD3 genomes
AF:
0.000348
AC:
53
AN:
152228
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000603
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.000235
AC:
59
AN:
251404
Hom.:
0
AF XY:
0.000302
AC XY:
41
AN XY:
135900
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.0000578
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:
0.000484
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000527
AC:
770
AN:
1461870
Hom.:
1
Cov.:
37
AF XY:
0.000513
AC XY:
373
AN XY:
727242
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.0000894
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000660
Gnomad4 OTH exome
AF:
0.000464
GnomAD4 genome
AF:
0.000348
AC:
53
AN:
152346
Hom.:
0
Cov.:
32
AF XY:
0.000430
AC XY:
32
AN XY:
74496
show subpopulations
Gnomad4 AFR
AF:
0.0000722
Gnomad4 AMR
AF:
0.000327
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000603
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.000451
Hom.:
0
Bravo
AF:
0.000246
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000247
AC:
30
EpiCase
AF:
0.000382
EpiControl
AF:
0.000652

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 06, 2022The c.526G>A (p.V176I) alteration is located in exon 5 (coding exon 5) of the CTSW gene. This alteration results from a G to A substitution at nucleotide position 526, causing the valine (V) at amino acid position 176 to be replaced by an isoleucine (I). 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
0.10
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
9.0
DANN
Benign
0.68
DEOGEN2
Benign
0.31
T;T;T
Eigen
Benign
-0.87
Eigen_PC
Benign
-0.91
FATHMM_MKL
Benign
0.097
N
LIST_S2
Benign
0.76
T;T;T
M_CAP
Benign
0.030
D
MetaRNN
Benign
0.066
T;T;T
MetaSVM
Benign
-0.61
T
MutationAssessor
Benign
-0.23
N;.;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.33
T
PROVEAN
Benign
0.35
N;N;N
REVEL
Benign
0.25
Sift
Benign
0.049
D;D;T
Sift4G
Benign
0.15
T;T;T
Polyphen
0.051
B;P;.
Vest4
0.14
MVP
0.60
MPC
0.062
ClinPred
0.058
T
GERP RS
-0.15
Varity_R
0.18
gMVP
0.40

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: rs151110979; hg19: chr11-65649985; COSMIC: COSV57173709; COSMIC: COSV57173709; API