16-75223544-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BP4_Strong

The NM_001906.6(CTRB1):​c.412G>A​(p.Ala138Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00022 ( 0 hom., cov: 9)
Exomes 𝑓: 0.00038 ( 6 hom. )
Failed GnomAD Quality Control

Consequence

CTRB1
NM_001906.6 missense

Scores

2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.779
Variant links:
Genes affected
CTRB1 (HGNC:2521): (chymotrypsinogen B1) 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 CTRB1 gene is located head-to-head with the related CTRB2 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 in intron 1 of the CTRB2 gene is diagnostic for this inversion. This CTRB1 gene encodes distinct isoforms, some or all of which may undergo similar processing to generate the mature protein. [provided by RefSeq, Jan 2021]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.045964688).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CTRB1NM_001906.6 linkuse as main transcriptc.412G>A p.Ala138Thr missense_variant 5/7 ENST00000361017.9 NP_001897.4 P17538
CTRB1NM_001329190.2 linkuse as main transcriptc.412G>A p.Ala138Thr missense_variant 5/6 NP_001316119.1 P17538

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CTRB1ENST00000361017.9 linkuse as main transcriptc.412G>A p.Ala138Thr missense_variant 5/71 NM_001906.6 ENSP00000354294.4 P17538
CTRB1ENST00000495583.1 linkuse as main transcriptc.484G>A p.Ala162Thr missense_variant 4/42 ENSP00000463301.1 J3QKZ2

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
16
AN:
73216
Hom.:
0
Cov.:
9
FAILED QC
Gnomad AFR
AF:
0.0000454
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000677
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:
0.000301
Gnomad OTH
AF:
0.00123
GnomAD3 exomes
AF:
0.000348
AC:
20
AN:
57520
Hom.:
0
AF XY:
0.000342
AC XY:
10
AN XY:
29272
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000495
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000715
Gnomad OTH exome
AF:
0.000542
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000383
AC:
225
AN:
587742
Hom.:
6
Cov.:
7
AF XY:
0.000412
AC XY:
126
AN XY:
305872
show subpopulations
Gnomad4 AFR exome
AF:
0.000115
Gnomad4 AMR exome
AF:
0.000596
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000242
Gnomad4 NFE exome
AF:
0.000520
Gnomad4 OTH exome
AF:
0.000463
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.000219
AC:
16
AN:
73216
Hom.:
0
Cov.:
9
AF XY:
0.000117
AC XY:
4
AN XY:
34110
show subpopulations
Gnomad4 AFR
AF:
0.0000454
Gnomad4 AMR
AF:
0.000677
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000301
Gnomad4 OTH
AF:
0.00123
Alfa
AF:
0.0000743
Hom.:
0
ExAC
AF:
0.0000726
AC:
5

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 GeneticsOct 17, 2024The c.412G>A (p.A138T) alteration is located in exon 5 (coding exon 5) of the CTRB1 gene. This alteration results from a G to A substitution at nucleotide position 412, causing the alanine (A) at amino acid position 138 to be replaced by a threonine (T). 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
0.14
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.23
CADD
Benign
14
DANN
Benign
0.90
DEOGEN2
Benign
0.21
T;.
Eigen
Benign
-1.4
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.063
N
LIST_S2
Benign
0.76
T;T
M_CAP
Uncertain
0.21
D
MetaRNN
Benign
0.046
T;T
MetaSVM
Benign
-0.62
T
PrimateAI
Uncertain
0.49
T
PROVEAN
Benign
0.030
N;.
REVEL
Benign
0.22
Sift
Benign
0.048
D;.
Sift4G
Benign
0.51
T;T
Polyphen
0.090
B;.
Vest4
0.28
MutPred
0.62
Loss of sheet (P = 0.0817);.;
MVP
0.20
MPC
1.9
ClinPred
0.035
T
GERP RS
-3.7
Varity_R
0.068
gMVP
0.47

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: rs749947761; hg19: chr16-75257442; API