19-18768645-G-A

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_015321.3(CRTC1):​c.1172G>A​(p.Arg391His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000124 in 970,336 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 27)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

CRTC1
NM_015321.3 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.17
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 Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10142225).
BS2
High AC in GnomAdExome4 at 12 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CRTC1NM_015321.3 linkuse as main transcriptc.1172G>A p.Arg391His missense_variant 10/14 ENST00000321949.13
CRTC1NM_001098482.2 linkuse as main transcriptc.1220G>A p.Arg407His missense_variant 11/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CRTC1ENST00000321949.13 linkuse as main transcriptc.1172G>A p.Arg391His missense_variant 10/141 NM_015321.3 A1Q6UUV9-1
CRTC1ENST00000338797.10 linkuse as main transcriptc.1220G>A p.Arg407His missense_variant 11/151 P4Q6UUV9-2
CRTC1ENST00000594658.5 linkuse as main transcriptc.1049G>A p.Arg350His missense_variant 10/141
CRTC1ENST00000601916.1 linkuse as main transcriptc.786+3117G>A intron_variant 5

Frequencies

GnomAD3 genomes
Cov.:
27
GnomAD3 exomes
AF:
0.00000890
AC:
1
AN:
112334
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
61486
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:
0.0000549
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000124
AC:
12
AN:
970336
Hom.:
0
Cov.:
29
AF XY:
0.0000105
AC XY:
5
AN XY:
475970
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:
0.0000532
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000102
Gnomad4 OTH exome
AF:
0.0000286
GnomAD4 genome
Cov.:
27
ExAC
AF:
0.00000983
AC:
1

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 GeneticsSep 20, 2023The c.1220G>A (p.R407H) alteration is located in exon 11 (coding exon 11) of the CRTC1 gene. This alteration results from a G to A substitution at nucleotide position 1220, causing the arginine (R) at amino acid position 407 to be replaced by a histidine (H). 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
0.083
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.66
CADD
Benign
15
DANN
Uncertain
0.99
DEOGEN2
Benign
0.10
T;.;.
Eigen
Benign
-0.81
Eigen_PC
Benign
-0.83
FATHMM_MKL
Benign
0.38
N
LIST_S2
Benign
0.74
T;T;T
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.10
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.69
N;.;.
MutationTaster
Benign
1.0
N;N
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
0.27
N;N;.
REVEL
Benign
0.016
Sift
Benign
0.16
T;T;.
Sift4G
Benign
0.15
T;T;T
Polyphen
0.31
B;B;.
Vest4
0.14
MutPred
0.32
Loss of methylation at R391 (P = 0.0171);.;.;
MVP
0.42
MPC
0.87
ClinPred
0.24
T
GERP RS
1.2
Varity_R
0.031
gMVP
0.12

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: rs747932993; hg19: chr19-18879455; API