16-10907837-T-C

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000246.4(CIITA):​c.2345T>C​(p.Val782Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0759 in 1,613,464 control chromosomes in the GnomAD database, including 5,099 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. V782V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.062 ( 366 hom., cov: 33)
Exomes 𝑓: 0.077 ( 4733 hom. )

Consequence

CIITA
NM_000246.4 missense

Scores

16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: -2.09

Publications

20 publications found
Variant links:
Genes affected
CIITA (HGNC:7067): (class II major histocompatibility complex transactivator) This gene encodes a protein with an acidic transcriptional activation domain, 4 LRRs (leucine-rich repeats) and a GTP binding domain. The protein is located in the nucleus and acts as a positive regulator of class II major histocompatibility complex gene transcription, and is referred to as the "master control factor" for the expression of these genes. The protein also binds GTP and uses GTP binding to facilitate its own transport into the nucleus. Once in the nucleus it does not bind DNA but rather uses an intrinsic acetyltransferase (AT) activity to act in a coactivator-like fashion. Mutations in this gene have been associated with bare lymphocyte syndrome type II (also known as hereditary MHC class II deficiency or HLA class II-deficient combined immunodeficiency), increased susceptibility to rheumatoid arthritis, multiple sclerosis, and possibly myocardial infarction. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2013]
CIITA Gene-Disease associations (from GenCC):
  • MHC class II deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0027588606).
BP6
Variant 16-10907837-T-C is Benign according to our data. Variant chr16-10907837-T-C is described in ClinVar as [Benign]. Clinvar id is 317709.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0809 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CIITANM_000246.4 linkc.2345T>C p.Val782Ala missense_variant Exon 11 of 20 ENST00000324288.14 NP_000237.2 P33076A0A0B4J1S1Q66X48

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CIITAENST00000324288.14 linkc.2345T>C p.Val782Ala missense_variant Exon 11 of 20 1 NM_000246.4 ENSP00000316328.8 A0A0B4J1S1

Frequencies

GnomAD3 genomes
AF:
0.0622
AC:
9464
AN:
152094
Hom.:
366
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0351
Gnomad AMI
AF:
0.126
Gnomad AMR
AF:
0.0556
Gnomad ASJ
AF:
0.0611
Gnomad EAS
AF:
0.000966
Gnomad SAS
AF:
0.0478
Gnomad FIN
AF:
0.0730
Gnomad MID
AF:
0.114
Gnomad NFE
AF:
0.0827
Gnomad OTH
AF:
0.0808
GnomAD2 exomes
AF:
0.0629
AC:
15563
AN:
247422
AF XY:
0.0650
show subpopulations
Gnomad AFR exome
AF:
0.0343
Gnomad AMR exome
AF:
0.0376
Gnomad ASJ exome
AF:
0.0638
Gnomad EAS exome
AF:
0.000607
Gnomad FIN exome
AF:
0.0722
Gnomad NFE exome
AF:
0.0851
Gnomad OTH exome
AF:
0.0721
GnomAD4 exome
AF:
0.0773
AC:
112944
AN:
1461252
Hom.:
4733
Cov.:
69
AF XY:
0.0775
AC XY:
56362
AN XY:
726930
show subpopulations
African (AFR)
AF:
0.0362
AC:
1211
AN:
33450
American (AMR)
AF:
0.0401
AC:
1791
AN:
44674
Ashkenazi Jewish (ASJ)
AF:
0.0608
AC:
1584
AN:
26070
East Asian (EAS)
AF:
0.000756
AC:
30
AN:
39692
South Asian (SAS)
AF:
0.0544
AC:
4689
AN:
86224
European-Finnish (FIN)
AF:
0.0730
AC:
3890
AN:
53262
Middle Eastern (MID)
AF:
0.0973
AC:
561
AN:
5764
European-Non Finnish (NFE)
AF:
0.0851
AC:
94578
AN:
1111740
Other (OTH)
AF:
0.0764
AC:
4610
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.477
Heterozygous variant carriers
0
6741
13482
20222
26963
33704
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3406
6812
10218
13624
17030
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0623
AC:
9476
AN:
152212
Hom.:
366
Cov.:
33
AF XY:
0.0618
AC XY:
4603
AN XY:
74426
show subpopulations
African (AFR)
AF:
0.0354
AC:
1470
AN:
41548
American (AMR)
AF:
0.0555
AC:
848
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.0611
AC:
212
AN:
3470
East Asian (EAS)
AF:
0.000968
AC:
5
AN:
5164
South Asian (SAS)
AF:
0.0478
AC:
231
AN:
4828
European-Finnish (FIN)
AF:
0.0730
AC:
774
AN:
10602
Middle Eastern (MID)
AF:
0.109
AC:
32
AN:
294
European-Non Finnish (NFE)
AF:
0.0827
AC:
5620
AN:
67988
Other (OTH)
AF:
0.0799
AC:
169
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.510
Heterozygous variant carriers
0
485
970
1456
1941
2426
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
108
216
324
432
540
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0755
Hom.:
967
Bravo
AF:
0.0609
TwinsUK
AF:
0.0809
AC:
300
ALSPAC
AF:
0.0848
AC:
327
ESP6500AA
AF:
0.0364
AC:
159
ESP6500EA
AF:
0.0835
AC:
717
ExAC
AF:
0.0629
AC:
7630
EpiCase
AF:
0.0865
EpiControl
AF:
0.0891

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

MHC class II deficiency Benign:4
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

not specified Benign:1
Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant 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 -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.66
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
0.0050
DANN
Benign
0.46
Eigen
Benign
-1.9
Eigen_PC
Benign
-1.9
FATHMM_MKL
Benign
0.010
N
LIST_S2
Benign
0.35
T;T
MetaRNN
Benign
0.0028
T;T
MetaSVM
Benign
-1.0
T
PhyloP100
-2.1
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.97
.;N
REVEL
Benign
0.20
Sift
Benign
0.59
.;T
Sift4G
Benign
1.0
T;T
Vest4
0.025
MPC
0.15
ClinPred
0.0035
T
GERP RS
-6.0
gMVP
0.16
Mutation Taster
=100/0
polymorphism (auto)

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

Other links and lift over

dbSNP: rs13336804; hg19: chr16-11001694; COSMIC: COSV60855512; API