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GeneBe

16-21258783-A-G

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM4BS2

The NM_001376256.1(CRYM):ā€‹c.943T>Cā€‹(p.Ter315GlnextTer5) variant causes a stop lost change. The variant allele was found at a frequency of 0.0000335 in 1,613,626 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00020 ( 0 hom., cov: 32)
Exomes š‘“: 0.000016 ( 0 hom. )

Consequence

CRYM
NM_001376256.1 stop_lost

Scores

3
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.00
Variant links:
Genes affected
CRYM (HGNC:2418): (crystallin mu) Crystallins are separated into two classes: taxon-specific and ubiquitous. The former class is also called phylogenetically-restricted crystallins. The latter class constitutes the major proteins of vertebrate eye lens and maintains the transparency and refractive index of the lens. This gene encodes a taxon-specific crystallin protein that binds NADPH and has sequence similarity to bacterial ornithine cyclodeaminases. The encoded protein does not perform a structural role in lens tissue, and instead it binds thyroid hormone for possible regulatory or developmental roles. Mutations in this gene have been associated with autosomal dominant non-syndromic deafness. [provided by RefSeq, Sep 2014]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM4
Stoplost variant in NM_001376256.1 Downstream stopcodon found after 7 codons.
BS2
High AC in GnomAd4 at 30 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CRYMNM_001376256.1 linkuse as main transcriptc.943T>C p.Ter315GlnextTer5 stop_lost 8/8 ENST00000572914.2
CRYMNM_001888.5 linkuse as main transcriptc.943T>C p.Ter315GlnextTer5 stop_lost 10/10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CRYMENST00000572914.2 linkuse as main transcriptc.943T>C p.Ter315GlnextTer5 stop_lost 8/82 NM_001376256.1 P1

Frequencies

GnomAD3 genomes
AF:
0.000197
AC:
30
AN:
152212
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000796
AC:
20
AN:
251206
Hom.:
0
AF XY:
0.0000295
AC XY:
4
AN XY:
135762
show subpopulations
Gnomad AFR exome
AF:
0.00123
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000164
AC:
24
AN:
1461296
Hom.:
0
Cov.:
30
AF XY:
0.0000151
AC XY:
11
AN XY:
727018
show subpopulations
Gnomad4 AFR exome
AF:
0.000627
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.000197
AC:
30
AN:
152330
Hom.:
0
Cov.:
32
AF XY:
0.000121
AC XY:
9
AN XY:
74472
show subpopulations
Gnomad4 AFR
AF:
0.000721
Gnomad4 AMR
AF:
0.00
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:
0.0000504
Hom.:
0
Bravo
AF:
0.000310
ESP6500AA
AF:
0.00159
AC:
7
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000988
AC:
12

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Autosomal dominant nonsyndromic hearing loss 40 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingNew York Genome CenterSep 26, 2019The inherited c.943T>C (p.Ter315GlnextTer5) variant identified in the CRYM gene is a stop loss which substitutes the stop codon (amino acid 315/315; coding exon 10/10) for a Glutamine, which is predicted to extend the protein by 5 C-terminal amino acids. This variant is found with low frequency in gnomAD (22 heterozygotes, 0 homozygotes; allele frequency: 7.79e-5) and ExAC (12 heterozygotes, 0 homozygotes; allele frequency: 9.89e-5), suggesting it is not a common benign variant in the populations represented in these databases. This variant is absent from ClinVar, however a different amino acid change at the same amino acid (c.945A>T; p.Ter315TyrextTer5) has been reported as pathogenic (VarID:16934). While the p.Ter315GlnextTer5 identified here has not been reported in affected individuals in the literature, the p.Ter315TyrextTer5 variant reported in ClinVar has been identified as a de novo variant in an individual with bilateral moderate sensorineural hearing loss affecting all frequencies [PMID: 12471561], and in vitro functional studies suggested this variant may lead to mislocalization of the CRYM protein to the cytoplasm [PMID: 16740909]. While studies supporting the pathogenicity of the p.Ter315TyrextTer5 variant are promising, the lack of affected individuals reported or functional evidence supporting the pathogenicity of the c.943T>C (p.Ter315GlnextTer5) variant identified here leads to its classification as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
17
DANN
Benign
0.81
Eigen
Pathogenic
0.91
Eigen_PC
Pathogenic
0.71
FATHMM_MKL
Pathogenic
0.98
D
MutationTaster
Benign
1.0
N;N;N;N
Vest4
0.14
GERP RS
5.5

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: rs140779001; hg19: chr16-21270104; API