16-56962023-C-G

Variant summary

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

The NM_000078.3(CETP):​c.44C>G​(p.Ala15Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00404 in 1,614,066 control chromosomes in the GnomAD database, including 202 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A15S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.020 ( 115 hom., cov: 32)
Exomes 𝑓: 0.0024 ( 87 hom. )

Consequence

CETP
NM_000078.3 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -0.173

Publications

26 publications found
Variant links:
Genes affected
CETP (HGNC:1869): (cholesteryl ester transfer protein) The protein encoded by this gene is found in plasma, where it is involved in the transfer of cholesteryl ester from high density lipoprotein (HDL) to other lipoproteins. Defects in this gene are a cause of hyperalphalipoproteinemia 1 (HALP1). Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Oct 2013]
CETP Gene-Disease associations (from GenCC):
  • cholesterol-ester transfer protein deficiency
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, 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=0.001814127).
BP6
Variant 16-56962023-C-G is Benign according to our data. Variant chr16-56962023-C-G is described in ClinVar as [Benign]. Clinvar id is 319970.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0654 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CETPNM_000078.3 linkc.44C>G p.Ala15Gly missense_variant Exon 1 of 16 ENST00000200676.8 NP_000069.2 P11597-1A0A0S2Z3F6
CETPNM_001286085.2 linkc.44C>G p.Ala15Gly missense_variant Exon 1 of 15 NP_001273014.1 A0A0S2Z3I8B4DMZ5
CETPXM_006721124.4 linkc.44C>G p.Ala15Gly missense_variant Exon 1 of 9 XP_006721187.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CETPENST00000200676.8 linkc.44C>G p.Ala15Gly missense_variant Exon 1 of 16 1 NM_000078.3 ENSP00000200676.3 P11597-1
CETPENST00000379780.6 linkc.44C>G p.Ala15Gly missense_variant Exon 1 of 15 1 ENSP00000369106.2 P11597-2
CETPENST00000569082.1 linkn.42C>G non_coding_transcript_exon_variant Exon 1 of 9 5
CETPENST00000566128.1 linkc.-351C>G upstream_gene_variant 5 ENSP00000456276.1 H3BRJ9

Frequencies

GnomAD3 genomes
AF:
0.0201
AC:
3057
AN:
152202
Hom.:
115
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0672
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0115
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.0000941
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.000764
Gnomad OTH
AF:
0.0153
GnomAD2 exomes
AF:
0.00526
AC:
1322
AN:
251122
AF XY:
0.00387
show subpopulations
Gnomad AFR exome
AF:
0.0658
Gnomad AMR exome
AF:
0.00419
Gnomad ASJ exome
AF:
0.00119
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000464
Gnomad NFE exome
AF:
0.000581
Gnomad OTH exome
AF:
0.00391
GnomAD4 exome
AF:
0.00235
AC:
3442
AN:
1461746
Hom.:
87
Cov.:
31
AF XY:
0.00204
AC XY:
1482
AN XY:
727186
show subpopulations
African (AFR)
AF:
0.0683
AC:
2287
AN:
33470
American (AMR)
AF:
0.00494
AC:
221
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00172
AC:
45
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000197
AC:
17
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53302
Middle Eastern (MID)
AF:
0.00798
AC:
46
AN:
5768
European-Non Finnish (NFE)
AF:
0.000446
AC:
496
AN:
1111996
Other (OTH)
AF:
0.00546
AC:
330
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
192
383
575
766
958
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
84
168
252
336
420
<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:
0.0202
AC:
3075
AN:
152320
Hom.:
115
Cov.:
32
AF XY:
0.0203
AC XY:
1509
AN XY:
74492
show subpopulations
African (AFR)
AF:
0.0675
AC:
2804
AN:
41564
American (AMR)
AF:
0.0114
AC:
175
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.00173
AC:
6
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4832
European-Finnish (FIN)
AF:
0.0000941
AC:
1
AN:
10624
Middle Eastern (MID)
AF:
0.0102
AC:
3
AN:
294
European-Non Finnish (NFE)
AF:
0.000764
AC:
52
AN:
68022
Other (OTH)
AF:
0.0152
AC:
32
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
147
294
442
589
736
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
32
64
96
128
160
<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:
0.00176
Hom.:
1
Bravo
AF:
0.0230
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.0648
AC:
285
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.00651
AC:
791
Asia WGS
AF:
0.00606
AC:
22
AN:
3478
EpiCase
AF:
0.000545
EpiControl
AF:
0.000771

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Jan 29, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Apr 21, 2019
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 26683795) -

Hyperalphalipoproteinemia 1 Benign:1
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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.079
BayesDel_addAF
Benign
-0.71
T
BayesDel_noAF
Benign
-0.75
CADD
Benign
6.2
DANN
Benign
0.86
DEOGEN2
Benign
0.31
T;.
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.022
N
LIST_S2
Benign
0.57
T;T
MetaRNN
Benign
0.0018
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.8
L;L
PhyloP100
-0.17
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-1.8
N;N
REVEL
Benign
0.013
Sift
Benign
0.032
D;D
Sift4G
Benign
0.075
T;T
Polyphen
0.084
B;B
Vest4
0.084
MVP
0.32
MPC
0.16
ClinPred
0.0018
T
GERP RS
-0.44
PromoterAI
0.097
Neutral
Varity_R
0.072
gMVP
0.41
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: rs34065661; hg19: chr16-56995935; API