13-46055843-C-A

Variant summary

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

The NM_001872.5(CPB2):​c.1006G>T​(p.Val336Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000626 in 1,582,608 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000057 ( 0 hom. )

Consequence

CPB2
NM_001872.5 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.404
Variant links:
Genes affected
CPB2 (HGNC:2300): (carboxypeptidase B2) Carboxypeptidases are enzymes that hydrolyze C-terminal peptide bonds. The carboxypeptidase family includes metallo-, serine, and cysteine carboxypeptidases. According to their substrate specificity, these enzymes are referred to as carboxypeptidase A (cleaving aliphatic residues) or carboxypeptidase B (cleaving basic amino residues). The protein encoded by this gene is activated by trypsin and acts on carboxypeptidase B substrates. After thrombin activation, the mature protein downregulates fibrinolysis. Polymorphisms have been described for this gene and its promoter region. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Jun 2013]
CPB2-AS1 (HGNC:39898): (CPB2 antisense RNA 1)

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=0.032669544).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CPB2NM_001872.5 linkuse as main transcriptc.1006G>T p.Val336Leu missense_variant 10/11 ENST00000181383.10 NP_001863.3
CPB2-AS1NR_046226.1 linkuse as main transcriptn.118+2878C>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CPB2ENST00000181383.10 linkuse as main transcriptc.1006G>T p.Val336Leu missense_variant 10/111 NM_001872.5 ENSP00000181383 P1Q96IY4-1
CPB2-AS1ENST00000663159.1 linkuse as main transcriptn.469+2878C>A intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.000125
AC:
19
AN:
152058
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000393
Gnomad ASJ
AF:
0.000576
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.0000866
AC:
21
AN:
242444
Hom.:
0
AF XY:
0.0000533
AC XY:
7
AN XY:
131390
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000314
Gnomad ASJ exome
AF:
0.000403
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000538
Gnomad OTH exome
AF:
0.000170
GnomAD4 exome
AF:
0.0000566
AC:
81
AN:
1430432
Hom.:
0
Cov.:
24
AF XY:
0.0000533
AC XY:
38
AN XY:
712800
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000280
Gnomad4 ASJ exome
AF:
0.000234
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000459
Gnomad4 OTH exome
AF:
0.000186
GnomAD4 genome
AF:
0.000118
AC:
18
AN:
152176
Hom.:
0
Cov.:
33
AF XY:
0.000108
AC XY:
8
AN XY:
74396
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000393
Gnomad4 ASJ
AF:
0.000576
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.0000676
Hom.:
0
Bravo
AF:
0.000113
ExAC
AF:
0.0000577
AC:
7

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 GeneticsJul 25, 2023The c.1006G>T (p.V336L) alteration is located in exon 10 (coding exon 10) of the CPB2 gene. This alteration results from a G to T substitution at nucleotide position 1006, causing the valine (V) at amino acid position 336 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
Benign
0.20
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.70
CADD
Benign
9.5
DANN
Benign
0.90
DEOGEN2
Benign
0.063
T;T;.
Eigen
Benign
-0.80
Eigen_PC
Benign
-0.63
FATHMM_MKL
Benign
0.22
N
LIST_S2
Benign
0.64
.;T;T
M_CAP
Benign
0.0067
T
MetaRNN
Benign
0.033
T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Benign
-0.030
N;N;.
MutationTaster
Benign
0.79
D;D
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-0.45
.;N;N
REVEL
Benign
0.070
Sift
Benign
0.67
.;T;T
Sift4G
Benign
0.74
.;T;T
Polyphen
0.0010
B;B;.
Vest4
0.059, 0.091
MutPred
0.63
Gain of disorder (P = 0.1826);Gain of disorder (P = 0.1826);.;
MVP
0.14
MPC
0.38
ClinPred
0.070
T
GERP RS
2.7
Varity_R
0.24
gMVP
0.67

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: rs184648402; hg19: chr13-46629978; API