16-55833076-C-G
Variant names: 
Variant summary
Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong
The NM_001025195.2(CES1):c.-21G>C variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.
Frequency
 Genomes: 𝑓 0.13   (  1374   hom.,  cov: 31) 
 Exomes 𝑓:  0.0056   (  2530   hom.  ) 
 Failed GnomAD Quality Control 
Consequence
 CES1
NM_001025195.2 5_prime_UTR
NM_001025195.2 5_prime_UTR
Scores
 2
Clinical Significance
 Not reported in ClinVar 
Conservation
 PhyloP100:  -2.33  
Publications
4 publications found 
Genes affected
 CES1  (HGNC:1863):  (carboxylesterase 1) This gene encodes a member of the carboxylesterase large family. The family members are responsible for the hydrolysis or transesterification of various xenobiotics, such as cocaine and heroin, and endogenous substrates with ester, thioester, or amide bonds. They may participate in fatty acyl and cholesterol ester metabolism, and may play a role in the blood-brain barrier system. This enzyme is the major liver enzyme and functions in liver drug clearance. Mutations of this gene cause carboxylesterase 1 deficiency. Three transcript variants encoding three different isoforms have been found for this gene. [provided by RefSeq, Jun 2010] 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Likely_benign. The variant received -4 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82). 
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| CES1 | NM_001025195.2  | c.-21G>C | 5_prime_UTR_variant | Exon 1 of 14 | ENST00000360526.8 | NP_001020366.1 | ||
| CES1 | NM_001025194.2  | c.-21G>C | 5_prime_UTR_variant | Exon 1 of 14 | NP_001020365.1 | |||
| CES1 | NM_001266.5  | c.-21G>C | 5_prime_UTR_variant | Exon 1 of 14 | NP_001257.4 | |||
| CES1 | XM_005255774.3  | c.-21G>C | 5_prime_UTR_variant | Exon 1 of 14 | XP_005255831.1 | 
Ensembl
Frequencies
GnomAD3 genomes   AF:  0.133  AC: 16134AN: 121058Hom.:  1376  Cov.: 31 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
16134
AN: 
121058
Hom.: 
Cov.: 
31
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
 AF: 
Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.0116  AC: 2614AN: 225748 AF XY:  0.0115   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
2614
AN: 
225748
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
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Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
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Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF:  0.00559  AC: 7540AN: 1348174Hom.:  2530  Cov.: 31 AF XY:  0.00617  AC XY: 4139AN XY: 671272 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
GnomAD4 exome 
Data not reliable, filtered out with message: AS_VQSR
 AF: 
AC: 
7540
AN: 
1348174
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
4139
AN XY: 
671272
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
252
AN: 
30958
American (AMR) 
 AF: 
AC: 
217
AN: 
42832
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
112
AN: 
24068
East Asian (EAS) 
 AF: 
AC: 
607
AN: 
33084
South Asian (SAS) 
 AF: 
AC: 
1530
AN: 
79918
European-Finnish (FIN) 
 AF: 
AC: 
513
AN: 
47582
Middle Eastern (MID) 
 AF: 
AC: 
52
AN: 
4998
European-Non Finnish (NFE) 
 AF: 
AC: 
3841
AN: 
1029710
Other (OTH) 
 AF: 
AC: 
416
AN: 
55024
 ⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.337 
Heterozygous variant carriers
 0 
 231 
 463 
 694 
 926 
 1157 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 34 
 68 
 102 
 136 
 170 
 <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  Data not reliable, filtered out with message: AS_VQSR AF:  0.133  AC: 16138AN: 121158Hom.:  1374  Cov.: 31 AF XY:  0.132  AC XY: 7749AN XY: 58906 show subpopulations  ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. 
GnomAD4 genome 
Data not reliable, filtered out with message: AS_VQSR
 AF: 
AC: 
16138
AN: 
121158
Hom.: 
Cov.: 
31
 AF XY: 
AC XY: 
7749
AN XY: 
58906
show subpopulations 
 ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. 
African (AFR) 
 AF: 
AC: 
3922
AN: 
34326
American (AMR) 
 AF: 
AC: 
1388
AN: 
11844
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
331
AN: 
2832
East Asian (EAS) 
 AF: 
AC: 
809
AN: 
3542
South Asian (SAS) 
 AF: 
AC: 
542
AN: 
3598
European-Finnish (FIN) 
 AF: 
AC: 
1199
AN: 
8512
Middle Eastern (MID) 
 AF: 
AC: 
41
AN: 
196
European-Non Finnish (NFE) 
 AF: 
AC: 
7632
AN: 
53926
Other (OTH) 
 AF: 
AC: 
244
AN: 
1676
 ⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals. 
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.318 
Heterozygous variant carriers
 0 
 773 
 1547 
 2320 
 3094 
 3867 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Genome Hom
Variant carriers
 0 
 182 
 364 
 546 
 728 
 910 
 <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: 
Hom.: 
ClinVar
Not reported inComputational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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