16-68737468-C-G

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP2BA1

This summary comes from the ClinGen Evidence Repository: The NM_004360.5(CDH1):c.48+5C>G variant has an allele frequency of 0.11584 (11.584%, 1670/14416 alleles, 98 homozygotes) in the African subpopulation of the gnomAD v2.1.1 cohort (BA1; BP2). Therefore, this variant meets criteria to be classified as benign. ACMG/AMP criteria applied, as specified by the CDH1 Variant Curation Expert Panel (Variant Interpretation Guidelines Version 3.1): BA1, BP2. LINK:https://erepo.genome.network/evrepo/ui/classification/CA163551/MONDO:0007648/007

Frequency

Genomes: 𝑓 0.033 ( 276 hom., cov: 33)
Exomes 𝑓: 0.0032 ( 233 hom. )

Consequence

CDH1
NM_004360.5 splice_region, intron

Scores

2
Splicing: ADA: 0.00003346
2

Clinical Significance

Benign reviewed by expert panel B:23

Conservation

PhyloP100: -0.430

Publications

2 publications found
Variant links:
Genes affected
CDH1 (HGNC:1748): (cadherin 1) This gene encodes a classical cadherin of the cadherin superfamily. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed to generate the mature glycoprotein. This calcium-dependent cell-cell adhesion protein is comprised of five extracellular cadherin repeats, a transmembrane region and a highly conserved cytoplasmic tail. Mutations in this gene are correlated with gastric, breast, colorectal, thyroid and ovarian cancer. Loss of function of this gene is thought to contribute to cancer progression by increasing proliferation, invasion, and/or metastasis. The ectodomain of this protein mediates bacterial adhesion to mammalian cells and the cytoplasmic domain is required for internalization. This gene is present in a gene cluster with other members of the cadherin family on chromosome 16. [provided by RefSeq, Nov 2015]
CDH1 Gene-Disease associations (from GenCC):
  • blepharocheilodontic syndrome 1
    Inheritance: AD Classification: DEFINITIVE, STRONG, MODERATE Submitted by: Ambry Genetics, Illumina, Labcorp Genetics (formerly Invitae), G2P
  • CDH1-related diffuse gastric and lobular breast cancer syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P
  • hereditary breast carcinoma
    Inheritance: AD Classification: DEFINITIVE Submitted by: Ambry Genetics
  • hereditary diffuse gastric adenocarcinoma
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet
  • cleft soft palate
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • orofacial cleft 3
    Inheritance: AD Classification: MODERATE Submitted by: Ambry Genetics
  • blepharocheilodontic syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial ovarian cancer
    Inheritance: AD Classification: NO_KNOWN Submitted by: ClinGen

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP2
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004360.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDH1
NM_004360.5
MANE Select
c.48+5C>G
splice_region intron
N/ANP_004351.1
CDH1
NM_001317184.2
c.48+5C>G
splice_region intron
N/ANP_001304113.1
CDH1
NM_001317185.2
c.-1568+5C>G
splice_region intron
N/ANP_001304114.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDH1
ENST00000261769.10
TSL:1 MANE Select
c.48+5C>G
splice_region intron
N/AENSP00000261769.4
CDH1
ENST00000422392.6
TSL:1
c.48+5C>G
splice_region intron
N/AENSP00000414946.2
CDH1
ENST00000566612.5
TSL:1
n.48+5C>G
splice_region intron
N/AENSP00000454782.1

Frequencies

GnomAD3 genomes
AF:
0.0325
AC:
4951
AN:
152192
Hom.:
277
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.113
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0133
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:
0.000456
Gnomad OTH
AF:
0.0229
GnomAD2 exomes
AF:
0.00637
AC:
836
AN:
131340
AF XY:
0.00499
show subpopulations
Gnomad AFR exome
AF:
0.110
Gnomad AMR exome
AF:
0.00714
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000949
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000261
Gnomad OTH exome
AF:
0.00250
GnomAD4 exome
AF:
0.00321
AC:
4450
AN:
1385290
Hom.:
233
Cov.:
30
AF XY:
0.00286
AC XY:
1955
AN XY:
684218
show subpopulations
African (AFR)
AF:
0.112
AC:
3517
AN:
31436
American (AMR)
AF:
0.00761
AC:
277
AN:
36402
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25158
East Asian (EAS)
AF:
0.0000278
AC:
1
AN:
35910
South Asian (SAS)
AF:
0.000252
AC:
20
AN:
79232
European-Finnish (FIN)
AF:
0.0000288
AC:
1
AN:
34706
Middle Eastern (MID)
AF:
0.00436
AC:
18
AN:
4126
European-Non Finnish (NFE)
AF:
0.000160
AC:
173
AN:
1080470
Other (OTH)
AF:
0.00766
AC:
443
AN:
57850
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
216
431
647
862
1078
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
114
228
342
456
570
<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:
0.0326
AC:
4968
AN:
152308
Hom.:
276
Cov.:
33
AF XY:
0.0320
AC XY:
2386
AN XY:
74478
show subpopulations
African (AFR)
AF:
0.113
AC:
4686
AN:
41564
American (AMR)
AF:
0.0133
AC:
203
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000456
AC:
31
AN:
68020
Other (OTH)
AF:
0.0227
AC:
48
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
239
479
718
958
1197
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
50
100
150
200
250
<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:
0.00489
Hom.:
4
Bravo
AF:
0.0360

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
7
not specified (7)
-
-
5
Hereditary diffuse gastric adenocarcinoma (5)
-
-
4
not provided (4)
-
-
3
Hereditary cancer-predisposing syndrome (3)
-
-
1
Breast and/or ovarian cancer (1)
-
-
1
CDH1-related diffuse gastric and lobular breast cancer syndrome (1)
-
-
1
Malignant tumor of breast (1)
-
-
1
Prostate cancer (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.81
CADD
Benign
7.1
DANN
Benign
0.61
PhyloP100
-0.43
PromoterAI
0.21
Neutral
Mutation Taster
=94/6
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000033
dbscSNV1_RF
Benign
0.010
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: rs77312180; hg19: chr16-68771371; API