16-28933379-G-T

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_001770.6(CD19):​c.705G>T​(p.Pro235Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.329 in 1,613,826 control chromosomes in the GnomAD database, including 92,518 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.28 ( 6874 hom., cov: 31)
Exomes 𝑓: 0.33 ( 85644 hom. )

Consequence

CD19
NM_001770.6 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -2.29
Variant links:
Genes affected
CD19 (HGNC:1633): (CD19 molecule) This gene encodes a member of the immunoglobulin gene superfamily. Expression of this cell surface protein is restricted to B cell lymphocytes. This protein is a reliable marker for pre-B cells but its expression diminishes during terminal B cell differentiation in antibody secreting plasma cells. The protein has two N-terminal extracellular Ig-like domains separated by a non-Ig-like domain, a hydrophobic transmembrane domain, and a large C-terminal cytoplasmic domain. This protein forms a complex with several membrane proteins including complement receptor type 2 (CD21) and tetraspanin (CD81) and this complex reduces the threshold for antigen-initiated B cell activation. Activation of this B-cell antigen receptor complex activates the phosphatidylinositol 3-kinase signalling pathway and the subsequent release of intracellular stores of calcium ions. This protein is a target of chimeric antigen receptor (CAR) T-cells used in the treatment of lymphoblastic leukemia. Mutations in this gene are associated with the disease common variable immunodeficiency 3 (CVID3) which results in a failure of B-cell differentiation and impaired secretion of immunoglobulins. CVID3 is characterized by hypogammaglobulinemia, an inability to mount an antibody response to antigen, and recurrent bacterial infections. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2020]
RABEP2 (HGNC:24817): (rabaptin, RAB GTPase binding effector protein 2) Predicted to enable GTPase activator activity and growth factor activity. Involved in regulation of cilium assembly. Located in cytosol; intracellular membrane-bounded organelle; and microtubule organizing center. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 16-28933379-G-T is Benign according to our data. Variant chr16-28933379-G-T is described in ClinVar as [Benign]. Clinvar id is 318805.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-28933379-G-T is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-2.29 with no splicing effect.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.353 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CD19NM_001770.6 linkuse as main transcriptc.705G>T p.Pro235Pro synonymous_variant 4/15 ENST00000538922.8 NP_001761.3 P15391-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CD19ENST00000538922.8 linkuse as main transcriptc.705G>T p.Pro235Pro synonymous_variant 4/155 NM_001770.6 ENSP00000437940.2 P15391-1

Frequencies

GnomAD3 genomes
AF:
0.276
AC:
41925
AN:
151942
Hom.:
6876
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.110
Gnomad AMI
AF:
0.423
Gnomad AMR
AF:
0.279
Gnomad ASJ
AF:
0.409
Gnomad EAS
AF:
0.191
Gnomad SAS
AF:
0.126
Gnomad FIN
AF:
0.442
Gnomad MID
AF:
0.367
Gnomad NFE
AF:
0.357
Gnomad OTH
AF:
0.315
GnomAD3 exomes
AF:
0.298
AC:
74786
AN:
251284
Hom.:
12650
AF XY:
0.297
AC XY:
40399
AN XY:
135830
show subpopulations
Gnomad AFR exome
AF:
0.100
Gnomad AMR exome
AF:
0.258
Gnomad ASJ exome
AF:
0.400
Gnomad EAS exome
AF:
0.179
Gnomad SAS exome
AF:
0.136
Gnomad FIN exome
AF:
0.442
Gnomad NFE exome
AF:
0.362
Gnomad OTH exome
AF:
0.341
GnomAD4 exome
AF:
0.334
AC:
488298
AN:
1461766
Hom.:
85644
Cov.:
47
AF XY:
0.329
AC XY:
239309
AN XY:
727194
show subpopulations
Gnomad4 AFR exome
AF:
0.102
Gnomad4 AMR exome
AF:
0.252
Gnomad4 ASJ exome
AF:
0.409
Gnomad4 EAS exome
AF:
0.212
Gnomad4 SAS exome
AF:
0.140
Gnomad4 FIN exome
AF:
0.440
Gnomad4 NFE exome
AF:
0.358
Gnomad4 OTH exome
AF:
0.314
GnomAD4 genome
AF:
0.276
AC:
41914
AN:
152060
Hom.:
6874
Cov.:
31
AF XY:
0.277
AC XY:
20558
AN XY:
74318
show subpopulations
Gnomad4 AFR
AF:
0.110
Gnomad4 AMR
AF:
0.278
Gnomad4 ASJ
AF:
0.409
Gnomad4 EAS
AF:
0.191
Gnomad4 SAS
AF:
0.126
Gnomad4 FIN
AF:
0.442
Gnomad4 NFE
AF:
0.357
Gnomad4 OTH
AF:
0.311
Alfa
AF:
0.329
Hom.:
11331
Bravo
AF:
0.260
Asia WGS
AF:
0.148
AC:
520
AN:
3478
EpiCase
AF:
0.366
EpiControl
AF:
0.362

ClinVar

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

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingGeneDxNov 10, 2018- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Immunodeficiency, common variable, 3 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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. -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabJul 14, 2021- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingUnidad de Genómica Garrahan, Hospital de Pediatría GarrahanJan 24, 2024This variant is classified as Benign based on local population frequency. This variant was detected in 47% of patients studied by a panel of primary immunodeficiencies. Number of patients: 45. Only high quality variants are reported. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
0.19
DANN
Benign
0.78

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs35979293; hg19: chr16-28944700; COSMIC: COSV61188690; COSMIC: COSV61188690; API