15-42736715-G-C
Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong
The NM_138477.4(CDAN1):c.156C>G(p.Phe52Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000293 in 1,560,680 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★).
Frequency
Consequence
NM_138477.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Pathogenic. Variant got 10 ACMG points.
Transcripts
RefSeq
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CDAN1 | ENST00000356231.4 | c.156C>G | p.Phe52Leu | missense_variant | Exon 2 of 28 | 1 | NM_138477.4 | ENSP00000348564.3 | ||
CDAN1 | ENST00000563260.1 | c.132C>G | p.Phe44Leu | missense_variant | Exon 2 of 2 | 3 | ENSP00000455536.1 | |||
CDAN1 | ENST00000643434.1 | n.90+298C>G | intron_variant | Intron 1 of 24 | ENSP00000494699.1 |
Frequencies
GnomAD3 genomes AF: 0.0000658 AC: 10AN: 151964Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000942 AC: 16AN: 169766Hom.: 0 AF XY: 0.000127 AC XY: 12AN XY: 94326
GnomAD4 exome AF: 0.000318 AC: 448AN: 1408716Hom.: 0 Cov.: 33 AF XY: 0.000298 AC XY: 208AN XY: 698320
GnomAD4 genome AF: 0.0000658 AC: 10AN: 151964Hom.: 0 Cov.: 32 AF XY: 0.0000404 AC XY: 3AN XY: 74218
ClinVar
Submissions by phenotype
not provided Pathogenic:4
This variant segregates with disease in at least one family (PMID: 33401150, 16098079, 27432187). The frequency of this variant in the general population is consistent with pathogenicity (http://gnomad.broadinstitute.org). Computational tools yielded predictions that this amino acid change may be damaging to the protein. This observation is not an independent occurrence and has been identified in the same individual by RCIGM, the other laboratory participating in the GEMINI study. -
The F52L variant in the CDAN1 gene has been reported previously in association with congenital dyserythropoietic anemia in affected individuals who were heterozygous for the F52L variant and another CDAN1 variant; however, parental testing information was not provided to determine if the variants were in trans (Tamary et al., 2005; Roy et al., 2016). The F52L variant was not observed in approximately 5,500 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, though the average read depth at this position was low (5X). The F52L variant is a conservative amino acid substitution, which is not likely to impact secondary protein structure as these residues share similar properties. However, this substitution occurs at a position that is conserved across species, and in silico analysis predicts this variant is probably damaging to the protein structure/function. The F52L variant is a strong candidate for a pathogenic variant, however the possibility it may be a rare benign variant cannot be excluded. -
This sequence change replaces phenylalanine, which is neutral and non-polar, with leucine, which is neutral and non-polar, at codon 52 of the CDAN1 protein (p.Phe52Leu). This variant is present in population databases (rs80338694, gnomAD 0.02%). This missense change has been observed in individual(s) with autosomal recessive dyserythropoietic anemia (PMID: 27432187; Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 21746). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be tolerated. For these reasons, this variant has been classified as Pathogenic. -
PP4, PP5, PM1, PM2, PM3 -
Anemia, congenital dyserythropoietic, type 1a Pathogenic:3
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Congenital dyserythropoietic anemia, type I Pathogenic:1
Variant summary: CDAN1 c.156C>G (p.Phe52Leu) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 9.4e-05 in 169766 control chromosomes (gnomAD). This frequency is not significantly higher than estimated for a pathogenic variant in CDAN1 causing Congenital dyserythropoietic anemia, type I, allowing no conclusion about variant significance. c.156C>G has been reported in the literature in individuals affected with Congenital dyserythropoietic anemia, type I (Tamary_2005, Roy_2016, Maron_2023). These data indicate that the variant is likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication have been ascertained in the context of this evaluation (PMID: 37432431, 33401150, 27432187, 16098079). ClinVar contains an entry for this variant (Variation ID: 21746). Based on the evidence outlined above, the variant was classified as likely pathogenic. -
CDAN1-related disorder Pathogenic:1
The CDAN1 c.156C>G variant is predicted to result in the amino acid substitution p.Phe52Leu. This variant has been reported to be causative for congenital dyserythropoietic anemia type I (Tamary et al. 2005. PubMed ID: 16098079; Roy et al. 2016. PubMed ID: 27432187; Niss et al. 2020. PubMed ID: 33401150). This variant is reported in 0.018% of alleles in individuals of European (Non-Finnish) descent in gnomAD. This variant is interpreted as pathogenic. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at