18-59431404-C-G

Variant names:

• chr18-59431404-C-G
• rs7230906
• NM_133459.4:c.*4504G>C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_Strong BP6_Very_Strong BA1

The NM_133459.4(CCBE1):​c.*4504G>C variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.396 in 152,066 control chromosomes in the GnomAD database, including 12,715 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

• Frequency:
  • Genomes: 𝑓 0.40 (12714 hom., cov: 33)
  • Exomes 𝑓: 0.50 (1 hom.)
• Consequence: CCBE1 NM_133459.4 3_prime_UTR
• Clinical Significance: Benign criteria provided, multiple submitters, no conflicts B:2
• Conservation: PhyloP100: 0.623

Genes affected

CCBE1 (HGNC:29426): (collagen and calcium binding EGF domains 1) This gene is thought to function in extracellular matrix remodeling and migration. It is predominantly expressed in the ovary, but down regulated in ovarian cancer cell lines and primary carcinomas, suggesting its role as a tumour suppressor. Mutations in this gene have been associated with Hennekam lymphangiectasia-lymphedema syndrome, a generalized lymphatic dysplasia in humans. [provided by RefSeq, Mar 2010]

ACMG classification

Verdict is Benign. Variant got -20 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.82).
• BP6: Variant 18-59431404-C-G is Benign according to our data. Variant chr18-59431404-C-G is described in ClinVar as [Benign]. Clinvar id is 327594.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BA1: GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.652 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	MANE	Protein	UniProt
CCBE1	NM_133459.4	c.*4504G>C		3_prime_UTR_variant	Exon 11 of 11	ENST00000439986.9	NP_597716.1

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	Exon rank	TSL	MANE	Protein	Appris	UniProt
CCBE1	ENST00000439986	c.*4504G>C		3_prime_UTR_variant	Exon 11 of 11	1	NM_133459.4	ENSP00000404464.2
CCBE1	ENST00000649564	c.*4504G>C		3_prime_UTR_variant	Exon 12 of 12			ENSP00000497183.1
CCBE1	ENST00000650467	c.*4504G>C		3_prime_UTR_variant	Exon 9 of 9			ENSP00000496897.2

Frequencies

GnomAD3 genomes AF: 0.396 AC: 60201 AN: 151944 Hom.: 12712 Cov.: 33

Gnomad AFR AF: 0.250

Gnomad AMI AF: 0.589

Gnomad AMR AF: 0.441

Gnomad ASJ AF: 0.388

Gnomad EAS AF: 0.670

Gnomad SAS AF: 0.497

Gnomad FIN AF: 0.508

Gnomad MID AF: 0.320

Gnomad NFE AF: 0.428

Gnomad OTH AF: 0.409

GnomAD4 exome AF: 0.500 AC: 2 AN: 4 Hom.: 1 Cov.: 0 AF XY: 0.00 AC XY: 0 AN XY: 2

Gnomad4 OTH exome AF: 0.500

GnomAD4 genome AF: 0.396 AC: 60214 AN: 152062 Hom.: 12714 Cov.: 33 AF XY: 0.403 AC XY: 29968 AN XY: 74318

Gnomad4 AFR AF: 0.250

Gnomad4 AMR AF: 0.441

Gnomad4 ASJ AF: 0.388

Gnomad4 EAS AF: 0.670

Gnomad4 SAS AF: 0.496

Gnomad4 FIN AF: 0.508

Gnomad4 NFE AF: 0.428

Gnomad4 OTH AF: 0.408

Alfa AF: 0.415 Hom.: 1697

Bravo AF: 0.384

Asia WGS AF: 0.536 AC: 1865 AN: 3478

ClinVar

Significance: Benign

Submissions summary: Benign:2

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

not provided Benign:1

-

Breakthrough Genomics, Breakthrough Genomics

Significance: Benign

Review Status: criteria provided, single submitter

Collection Method: not provided

- -

Hennekam lymphangiectasia-lymphedema syndrome 1 Benign:1

Jan 12, 2018

Illumina Laboratory Services, Illumina

Significance: Benign

Review Status: criteria provided, single submitter

Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.82
CADD	Benign	5.0
DANN	Benign	0.48

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

Other links and lift over

dbSNP: rs7230906; hg19: chr18-57098636;