17-30379665-C-G

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001304.5(CPD):​c.685C>G​(p.Pro229Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000717 in 1,521,694 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P229T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00051 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00074 ( 2 hom. )

Consequence

CPD
NM_001304.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.42

Publications

2 publications found
Variant links:
Genes affected
CPD (HGNC:2301): (carboxypeptidase D) The metallocarboxypeptidase family of enzymes is divided into 2 subfamilies based on sequence similarities. The pancreatic carboxypeptidase-like and the regulatory B-type carboxypeptidase subfamilies. Carboxypeptidase D has been identified as a regulatory B-type carboxypeptidase. CPD is a homolog of duck gp180, a hepatitis B virus-binding protein. Transcript variants utilizing alternative polyadenylation signals exist for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

BP4
Computational evidence support a benign effect (MetaRNN=0.014585882).
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CPDNM_001304.5 linkc.685C>G p.Pro229Ala missense_variant Exon 1 of 21 ENST00000225719.9 NP_001295.2 O75976-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CPDENST00000225719.9 linkc.685C>G p.Pro229Ala missense_variant Exon 1 of 21 1 NM_001304.5 ENSP00000225719.4 O75976-1
CPDENST00000583275.1 linkn.50C>G non_coding_transcript_exon_variant Exon 1 of 2 2

Frequencies

GnomAD3 genomes
AF:
0.000506
AC:
77
AN:
152106
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000145
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00118
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000720
Gnomad OTH
AF:
0.000958
GnomAD2 exomes
AF:
0.000537
AC:
76
AN:
141480
AF XY:
0.000506
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000923
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000701
Gnomad NFE exome
AF:
0.000717
Gnomad OTH exome
AF:
0.000969
GnomAD4 exome
AF:
0.000740
AC:
1014
AN:
1369470
Hom.:
2
Cov.:
33
AF XY:
0.000703
AC XY:
479
AN XY:
681324
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26784
American (AMR)
AF:
0.000943
AC:
26
AN:
27578
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
22768
East Asian (EAS)
AF:
0.00
AC:
0
AN:
33564
South Asian (SAS)
AF:
0.00
AC:
0
AN:
76854
European-Finnish (FIN)
AF:
0.000574
AC:
21
AN:
36566
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5462
European-Non Finnish (NFE)
AF:
0.000871
AC:
944
AN:
1083368
Other (OTH)
AF:
0.000407
AC:
23
AN:
56526
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
57
114
170
227
284
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
38
76
114
152
190
<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:
0.000506
AC:
77
AN:
152224
Hom.:
0
Cov.:
32
AF XY:
0.000497
AC XY:
37
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.000144
AC:
6
AN:
41542
American (AMR)
AF:
0.00118
AC:
18
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5164
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.000188
AC:
2
AN:
10612
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000721
AC:
49
AN:
68002
Other (OTH)
AF:
0.000948
AC:
2
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
4
8
12
16
20
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
Bravo
AF:
0.000638
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00130
AC:
5
ExAC
AF:
0.000365
AC:
42

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Jun 04, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.685C>G (p.P229A) alteration is located in exon 1 (coding exon 1) of the CPD gene. This alteration results from a C to G substitution at nucleotide position 685, causing the proline (P) at amino acid position 229 to be replaced by an alanine (A). 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
0.062
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
18
DANN
Benign
0.86
DEOGEN2
Benign
0.0024
T
Eigen
Benign
0.12
Eigen_PC
Benign
0.051
FATHMM_MKL
Benign
0.63
D
LIST_S2
Benign
0.69
T
M_CAP
Benign
0.0057
T
MetaRNN
Benign
0.015
T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
1.6
L
PhyloP100
1.4
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
0.18
N
REVEL
Benign
0.12
Sift
Benign
0.52
T
Sift4G
Benign
0.85
T
Polyphen
1.0
D
Vest4
0.20
MVP
0.37
MPC
0.34
ClinPred
0.050
T
GERP RS
2.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.043
gMVP
0.43
Mutation Taster
=81/19
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs530282755; hg19: chr17-28706683; API