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GeneBe

19-18747056-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_015321.3(CRTC1):​c.385G>A​(p.Asp129Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000274 in 1,461,076 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

CRTC1
NM_015321.3 missense

Scores

1
11
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.24
Variant links:
Genes affected
CRTC1 (HGNC:16062): (CREB regulated transcription coactivator 1) Enables cAMP response element binding protein binding activity. Involved in positive regulation of transcription by RNA polymerase II. Located in cytosol; nuclear body; and plasma membrane. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CRTC1NM_015321.3 linkuse as main transcriptc.385G>A p.Asp129Asn missense_variant 4/14 ENST00000321949.13
CRTC1NM_001098482.2 linkuse as main transcriptc.433G>A p.Asp145Asn missense_variant 5/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CRTC1ENST00000321949.13 linkuse as main transcriptc.385G>A p.Asp129Asn missense_variant 4/141 NM_015321.3 A1Q6UUV9-1
CRTC1ENST00000338797.10 linkuse as main transcriptc.433G>A p.Asp145Asn missense_variant 5/151 P4Q6UUV9-2
CRTC1ENST00000594658.5 linkuse as main transcriptc.262G>A p.Asp88Asn missense_variant 4/141
CRTC1ENST00000601916.1 linkuse as main transcriptc.160G>A p.Asp54Asn missense_variant 3/105

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000400
AC:
1
AN:
250228
Hom.:
0
AF XY:
0.00000739
AC XY:
1
AN XY:
135378
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.00000885
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1461076
Hom.:
0
Cov.:
32
AF XY:
0.00000275
AC XY:
2
AN XY:
726856
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.00e-7
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
31

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 GeneticsFeb 03, 2022The c.433G>A (p.D145N) alteration is located in exon 5 (coding exon 5) of the CRTC1 gene. This alteration results from a G to A substitution at nucleotide position 433, causing the aspartic acid (D) at amino acid position 145 to be replaced by an asparagine (N). 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
Uncertain
0.37
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.51
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.75
D;.;.;.
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.48
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.94
D;D;D;D
M_CAP
Benign
0.043
D
MetaRNN
Uncertain
0.66
D;D;D;D
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.3
M;.;.;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.76
T
PROVEAN
Uncertain
-3.1
D;D;.;.
REVEL
Benign
0.16
Sift
Benign
0.10
T;T;.;.
Sift4G
Uncertain
0.011
D;T;D;D
Polyphen
1.0
D;P;.;.
Vest4
0.68
MutPred
0.24
Gain of MoRF binding (P = 0.0409);.;.;.;
MVP
0.68
MPC
0.60
ClinPred
0.86
D
GERP RS
4.8
Varity_R
0.18
gMVP
0.44

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs1177950459; hg19: chr19-18857866; API