12-50144056-A-G

Variant summary

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

The NM_147190.5(CERS5):ā€‹c.199T>Cā€‹(p.Phe67Leu) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000258 in 1,591,384 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00020 ( 0 hom., cov: 32)
Exomes š‘“: 0.0000076 ( 0 hom. )

Consequence

CERS5
NM_147190.5 missense, splice_region

Scores

3
2
14
Splicing: ADA: 0.3478
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.94
Variant links:
Genes affected
CERS5 (HGNC:23749): (ceramide synthase 5) This gene encodes a protein that belongs to the TLC (TRAM, LAG1 and CLN8 homology domains) family of proteins. The encoded protein functions in the synthesis of ceramide, a lipid molecule that is involved in a several cellular signaling pathways. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]

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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=0.082417905).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CERS5NM_147190.5 linkuse as main transcriptc.199T>C p.Phe67Leu missense_variant, splice_region_variant 2/10 ENST00000317551.12 NP_671723.1
LOC124902931XR_007063304.1 linkuse as main transcriptn.492+365A>G intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CERS5ENST00000317551.12 linkuse as main transcriptc.199T>C p.Phe67Leu missense_variant, splice_region_variant 2/102 NM_147190.5 ENSP00000325485 P1Q8N5B7-1
ENST00000548468.2 linkuse as main transcriptn.106-20970A>G intron_variant, non_coding_transcript_variant 3

Frequencies

GnomAD3 genomes
AF:
0.000197
AC:
30
AN:
152208
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000603
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000327
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000438
AC:
11
AN:
251282
Hom.:
0
AF XY:
0.0000295
AC XY:
4
AN XY:
135812
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000764
AC:
11
AN:
1439058
Hom.:
0
Cov.:
26
AF XY:
0.00000837
AC XY:
6
AN XY:
717234
show subpopulations
Gnomad4 AFR exome
AF:
0.000274
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000117
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000168
GnomAD4 genome
AF:
0.000197
AC:
30
AN:
152326
Hom.:
0
Cov.:
32
AF XY:
0.000201
AC XY:
15
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.000601
Gnomad4 AMR
AF:
0.000327
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000111
Hom.:
0
Bravo
AF:
0.000147
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000741
AC:
9

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 GeneticsJan 09, 2024The c.199T>C (p.F67L) alteration is located in exon 2 (coding exon 2) of the CERS5 gene. This alteration results from a T to C substitution at nucleotide position 199, causing the phenylalanine (F) at amino acid position 67 to be replaced by a leucine (L). 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
Pathogenic
0.70
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
23
DANN
Uncertain
0.98
DEOGEN2
Benign
0.34
.;T;T
Eigen
Benign
-0.067
Eigen_PC
Benign
0.054
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.83
T;D;D
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.082
T;T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
1.8
.;L;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.87
D
PROVEAN
Uncertain
-3.0
D;D;.
REVEL
Benign
0.081
Sift
Benign
0.072
T;T;.
Sift4G
Benign
0.086
T;T;.
Polyphen
0.012
.;B;.
Vest4
0.18
MutPred
0.54
.;Gain of catalytic residue at P71 (P = 0);Gain of catalytic residue at P71 (P = 0);
MVP
0.70
MPC
0.41
ClinPred
0.087
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.34
gMVP
0.56

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.35
dbscSNV1_RF
Benign
0.40
SpliceAI score (max)
0.070
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: rs139125396; hg19: chr12-50537839; API