11-88294225-A-C

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001814.6(CTSC):​c.1173T>G​(p.Thr391=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0492 in 1,613,914 control chromosomes in the GnomAD database, including 2,639 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.058 ( 293 hom., cov: 32)
Exomes 𝑓: 0.048 ( 2346 hom. )

Consequence

CTSC
NM_001814.6 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -1.56
Variant links:
Genes affected
CTSC (HGNC:2528): (cathepsin C) This gene encodes a member of the peptidase C1 family and lysosomal cysteine proteinase that appears to be a central coordinator for activation of many serine proteinases in cells of the immune system. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed to generate heavy and light chains that form a disulfide-linked dimer. A portion of the propeptide acts as an intramolecular chaperone for the folding and stabilization of the mature enzyme. This enzyme requires chloride ions for activity and can degrade glucagon. Defects in the encoded protein have been shown to be a cause of Papillon-Lefevre syndrome, an autosomal recessive disorder characterized by palmoplantar keratosis and periodontitis. [provided by RefSeq, Nov 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP6
Variant 11-88294225-A-C is Benign according to our data. Variant chr11-88294225-A-C is described in ClinVar as [Benign]. Clinvar id is 258189.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.56 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.0973 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CTSCNM_001814.6 linkuse as main transcriptc.1173T>G p.Thr391= synonymous_variant 7/7 ENST00000227266.10 NP_001805.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CTSCENST00000227266.10 linkuse as main transcriptc.1173T>G p.Thr391= synonymous_variant 7/71 NM_001814.6 ENSP00000227266 P1P53634-1

Frequencies

GnomAD3 genomes
AF:
0.0583
AC:
8862
AN:
151982
Hom.:
295
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0700
Gnomad AMI
AF:
0.0242
Gnomad AMR
AF:
0.0719
Gnomad ASJ
AF:
0.00548
Gnomad EAS
AF:
0.105
Gnomad SAS
AF:
0.0843
Gnomad FIN
AF:
0.0917
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0414
Gnomad OTH
AF:
0.0436
GnomAD3 exomes
AF:
0.0627
AC:
15739
AN:
250872
Hom.:
665
AF XY:
0.0621
AC XY:
8414
AN XY:
135552
show subpopulations
Gnomad AFR exome
AF:
0.0699
Gnomad AMR exome
AF:
0.0878
Gnomad ASJ exome
AF:
0.00706
Gnomad EAS exome
AF:
0.0895
Gnomad SAS exome
AF:
0.0954
Gnomad FIN exome
AF:
0.0946
Gnomad NFE exome
AF:
0.0406
Gnomad OTH exome
AF:
0.0461
GnomAD4 exome
AF:
0.0482
AC:
70506
AN:
1461814
Hom.:
2346
Cov.:
32
AF XY:
0.0487
AC XY:
35436
AN XY:
727206
show subpopulations
Gnomad4 AFR exome
AF:
0.0664
Gnomad4 AMR exome
AF:
0.0845
Gnomad4 ASJ exome
AF:
0.00708
Gnomad4 EAS exome
AF:
0.129
Gnomad4 SAS exome
AF:
0.0932
Gnomad4 FIN exome
AF:
0.0915
Gnomad4 NFE exome
AF:
0.0391
Gnomad4 OTH exome
AF:
0.0439
GnomAD4 genome
AF:
0.0584
AC:
8880
AN:
152100
Hom.:
293
Cov.:
32
AF XY:
0.0614
AC XY:
4563
AN XY:
74320
show subpopulations
Gnomad4 AFR
AF:
0.0700
Gnomad4 AMR
AF:
0.0722
Gnomad4 ASJ
AF:
0.00548
Gnomad4 EAS
AF:
0.105
Gnomad4 SAS
AF:
0.0846
Gnomad4 FIN
AF:
0.0917
Gnomad4 NFE
AF:
0.0414
Gnomad4 OTH
AF:
0.0455
Alfa
AF:
0.0388
Hom.:
183
Bravo
AF:
0.0556
Asia WGS
AF:
0.102
AC:
352
AN:
3478
EpiCase
AF:
0.0365
EpiControl
AF:
0.0317

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 28, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingGeneDxSep 05, 2017This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
Papillon-Lefèvre syndrome Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Haim-Munk syndrome Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Papillon-Lefèvre syndrome;C1855627:Haim-Munk syndrome;C4551681:Periodontitis, aggressive 1 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.82
CADD
Benign
2.1
DANN
Benign
0.65
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs17594; hg19: chr11-88027393; COSMIC: COSV57056951; COSMIC: COSV57056951; API