16-75207128-C-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001025200.4(CTRB2):​c.14G>T​(p.Trp5Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00135 in 1,558,852 control chromosomes in the GnomAD database, including 7 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00087 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0014 ( 6 hom. )

Consequence

CTRB2
NM_001025200.4 missense

Scores

1
6
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.92
Variant links:
Genes affected
CTRB2 (HGNC:2522): (chymotrypsinogen B2) This gene encodes a member of the serine protease family of enzymes and forms a principal precursor of the pancreatic proteolytic enzymes. The encoded preproprotein is synthesized in the acinar cells of the pancreas and secreted into the small intestine where it undergoes proteolytic activation to generate a functional enzyme. This CTRB2 gene is located head-to-head with the related CTRB1 gene. Some human populations have an alternate haplotype which inverts a 16.6 Kb region containing portions of intron 1, exon 1, and the upstream sequence of the CTRB1 and CTRB2 genes. In this inversion haplotype exon 1 and flanking sequence is swapped in CTRB1 and CTRB2. This inversion is associated with differential gene expression and increased risk for chronic pancreatitis. The GRCh38 assembly represents the minor allele for SNP rs8048956 of the CTRB1 gene. SNP rs8048956 is diagnostic for this inversion. [provided by RefSeq, Jan 2021]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.04414016).
BS2
High Homozygotes in GnomAdExome4 at 6 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CTRB2NM_001025200.4 linkuse as main transcriptc.14G>T p.Trp5Leu missense_variant 1/7 ENST00000303037.13 NP_001020371.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CTRB2ENST00000303037.13 linkuse as main transcriptc.14G>T p.Trp5Leu missense_variant 1/71 NM_001025200.4 ENSP00000303963 P1
CTRB2ENST00000481611.1 linkuse as main transcriptn.32G>T non_coding_transcript_exon_variant 1/42

Frequencies

GnomAD3 genomes
AF:
0.000867
AC:
132
AN:
152232
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000362
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000916
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:
0.00150
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.00117
AC:
194
AN:
165510
Hom.:
4
AF XY:
0.00111
AC XY:
97
AN XY:
87336
show subpopulations
Gnomad AFR exome
AF:
0.000100
Gnomad AMR exome
AF:
0.00348
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000646
Gnomad NFE exome
AF:
0.00132
Gnomad OTH exome
AF:
0.00395
GnomAD4 exome
AF:
0.00140
AC:
1976
AN:
1406502
Hom.:
6
Cov.:
31
AF XY:
0.00135
AC XY:
935
AN XY:
694244
show subpopulations
Gnomad4 AFR exome
AF:
0.000277
Gnomad4 AMR exome
AF:
0.00356
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000125
Gnomad4 FIN exome
AF:
0.0000606
Gnomad4 NFE exome
AF:
0.00164
Gnomad4 OTH exome
AF:
0.00108
GnomAD4 genome
AF:
0.000866
AC:
132
AN:
152350
Hom.:
1
Cov.:
32
AF XY:
0.000698
AC XY:
52
AN XY:
74504
show subpopulations
Gnomad4 AFR
AF:
0.000361
Gnomad4 AMR
AF:
0.000915
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00150
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00125
Hom.:
0
Bravo
AF:
0.00126
TwinsUK
AF:
0.00189
AC:
7
ALSPAC
AF:
0.00285
AC:
11
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00141
AC:
12
ExAC
AF:
0.000461
AC:
50

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsAug 12, 2021The c.14G>T (p.W5L) alteration is located in exon 1 (coding exon 1) of the CTRB2 gene. This alteration results from a G to T substitution at nucleotide position 14, causing the tryptophan (W) at amino acid position 5 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.13
T
BayesDel_noAF
Uncertain
0.030
CADD
Benign
20
DANN
Benign
0.95
DEOGEN2
Uncertain
0.43
T
Eigen
Benign
-0.41
Eigen_PC
Benign
-0.25
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Benign
0.83
T
M_CAP
Uncertain
0.14
D
MetaRNN
Benign
0.044
T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
0.81
L
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.53
T
PROVEAN
Pathogenic
-6.6
D
REVEL
Uncertain
0.47
Sift
Benign
0.12
T
Sift4G
Benign
0.38
T
Polyphen
0.0070
B
Vest4
0.59
MVP
0.76
MPC
0.48
ClinPred
0.093
T
GERP RS
4.6
Varity_R
0.25
gMVP
0.46

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs148293871; hg19: chr16-75241026; COSMIC: COSV105823507; COSMIC: COSV105823507; API