16-68822063-G-A

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BA1

This summary comes from the ClinGen Evidence Repository: The c.1774G>A (p.Ala592Thr) variant has an allele frequency of 0.00481 (0.48%, 609/126,710 alleles) in the European (non-Finnish) subpopulation of the gnomAD cohort (BA1). In summary, 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. LINK:https://erepo.genome.network/evrepo/ui/classification/CA157954/MONDO:0007648/007

Frequency

Genomes: 𝑓 0.0031 ( 2 hom., cov: 31)
Exomes 𝑓: 0.0051 ( 26 hom. )

Consequence

CDH1
NM_004360.5 missense

Scores

1
10
7

Clinical Significance

Benign reviewed by expert panel B:33O:1

Conservation

PhyloP100: 9.20

Publications

68 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, Labcorp Genetics (formerly Invitae), G2P, Illumina
  • CDH1-related diffuse gastric and lobular breast cancer syndrome
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), G2P
  • hereditary breast carcinoma
    Inheritance: AD Classification: DEFINITIVE Submitted by: Ambry Genetics
  • hereditary diffuse gastric adenocarcinoma
    Inheritance: AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics
  • 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: Unknown Classification: NO_KNOWN Submitted by: ClinGen

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

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

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDH1
NM_004360.5
MANE Select
c.1774G>Ap.Ala592Thr
missense
Exon 12 of 16NP_004351.1A0A0U2ZQU7
CDH1
NM_001317184.2
c.1591G>Ap.Ala531Thr
missense
Exon 11 of 15NP_001304113.1P12830-2
CDH1
NM_001317185.2
c.226G>Ap.Ala76Thr
missense
Exon 12 of 16NP_001304114.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CDH1
ENST00000261769.10
TSL:1 MANE Select
c.1774G>Ap.Ala592Thr
missense
Exon 12 of 16ENSP00000261769.4P12830-1
CDH1
ENST00000422392.6
TSL:1
c.1591G>Ap.Ala531Thr
missense
Exon 11 of 15ENSP00000414946.2P12830-2
CDH1
ENST00000562836.5
TSL:1
n.1845G>A
non_coding_transcript_exon
Exon 11 of 15

Frequencies

GnomAD3 genomes
AF:
0.00312
AC:
474
AN:
152088
Hom.:
2
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000990
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00255
Gnomad ASJ
AF:
0.00202
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00353
Gnomad FIN
AF:
0.000755
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00522
Gnomad OTH
AF:
0.00336
GnomAD2 exomes
AF:
0.00325
AC:
818
AN:
251486
AF XY:
0.00328
show subpopulations
Gnomad AFR exome
AF:
0.00105
Gnomad AMR exome
AF:
0.00179
Gnomad ASJ exome
AF:
0.00317
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00166
Gnomad NFE exome
AF:
0.00472
Gnomad OTH exome
AF:
0.00521
GnomAD4 exome
AF:
0.00514
AC:
7507
AN:
1461856
Hom.:
26
Cov.:
32
AF XY:
0.00508
AC XY:
3697
AN XY:
727228
show subpopulations
African (AFR)
AF:
0.000777
AC:
26
AN:
33478
American (AMR)
AF:
0.00188
AC:
84
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00268
AC:
70
AN:
26136
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39700
South Asian (SAS)
AF:
0.00407
AC:
351
AN:
86258
European-Finnish (FIN)
AF:
0.00202
AC:
108
AN:
53420
Middle Eastern (MID)
AF:
0.00711
AC:
41
AN:
5768
European-Non Finnish (NFE)
AF:
0.00590
AC:
6565
AN:
1111978
Other (OTH)
AF:
0.00429
AC:
259
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.460
Heterozygous variant carriers
0
394
788
1182
1576
1970
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
260
520
780
1040
1300
<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:
0.00311
AC:
473
AN:
152206
Hom.:
2
Cov.:
31
AF XY:
0.00304
AC XY:
226
AN XY:
74408
show subpopulations
African (AFR)
AF:
0.000987
AC:
41
AN:
41528
American (AMR)
AF:
0.00255
AC:
39
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.00202
AC:
7
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5174
South Asian (SAS)
AF:
0.00353
AC:
17
AN:
4816
European-Finnish (FIN)
AF:
0.000755
AC:
8
AN:
10594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00522
AC:
355
AN:
68020
Other (OTH)
AF:
0.00285
AC:
6
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
28
56
84
112
140
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00388
Hom.:
2
Bravo
AF:
0.00297
TwinsUK
AF:
0.00539
AC:
20
ALSPAC
AF:
0.00571
AC:
22
ESP6500AA
AF:
0.00114
AC:
5
ESP6500EA
AF:
0.00628
AC:
54
ExAC
AF:
0.00321
AC:
390
Asia WGS
AF:
0.00115
AC:
4
AN:
3478
EpiCase
AF:
0.00540
EpiControl
AF:
0.00474

ClinVar

ClinVar submissions
Significance:Benign
Revision:reviewed by expert panel
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
10
not provided (10)
-
-
6
Hereditary cancer-predisposing syndrome (6)
-
-
6
Hereditary diffuse gastric adenocarcinoma (6)
-
-
6
not specified (7)
-
-
2
CDH1-related diffuse gastric and lobular breast cancer syndrome (2)
-
-
1
Breast and/or ovarian cancer (1)
-
-
1
Breast neoplasm (1)
-
-
1
Familial cancer of breast;C0376358:Prostate cancer;C0476089:Endometrial carcinoma;C0919267:Ovarian neoplasm;C1708349:Hereditary diffuse gastric adenocarcinoma;C4551988:Blepharocheilodontic syndrome 1 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Uncertain
-0.030
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.78
D
Eigen
Uncertain
0.22
Eigen_PC
Uncertain
0.24
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Benign
0.76
T
M_CAP
Benign
0.048
D
MetaRNN
Benign
0.018
T
MetaSVM
Benign
-0.55
T
MutationAssessor
Uncertain
2.3
M
PhyloP100
9.2
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-2.8
D
REVEL
Uncertain
0.38
Sift
Uncertain
0.0020
D
Sift4G
Uncertain
0.0060
D
Polyphen
0.49
P
Vest4
0.20
MVP
0.86
MPC
0.29
ClinPred
0.043
T
GERP RS
5.6
Varity_R
0.20
gMVP
0.58
Mutation Taster
=91/9
polymorphism

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: rs35187787; hg19: chr16-68855966; COSMIC: COSV55738864; COSMIC: COSV55738864; API