19-18768750-C-T

Variant summary

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

The NM_015321.3(CRTC1):​c.1277C>T​(p.Pro426Leu) variant causes a missense change. The variant allele was found at a frequency of 0.00000414 in 1,449,840 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts 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. P426Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000041 ( 0 hom. )

Consequence

CRTC1
NM_015321.3 missense

Scores

5
14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.94
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.15738866).
BS2
High AC in GnomAdExome4 at 6 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CRTC1NM_015321.3 linkuse as main transcriptc.1277C>T p.Pro426Leu missense_variant 10/14 ENST00000321949.13
CRTC1NM_001098482.2 linkuse as main transcriptc.1325C>T p.Pro442Leu missense_variant 11/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CRTC1ENST00000321949.13 linkuse as main transcriptc.1277C>T p.Pro426Leu missense_variant 10/141 NM_015321.3 A1Q6UUV9-1
CRTC1ENST00000338797.10 linkuse as main transcriptc.1325C>T p.Pro442Leu missense_variant 11/151 P4Q6UUV9-2
CRTC1ENST00000594658.5 linkuse as main transcriptc.1154C>T p.Pro385Leu missense_variant 10/141
CRTC1ENST00000601916.1 linkuse as main transcriptc.786+3222C>T intron_variant 5

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000447
AC:
1
AN:
223958
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
122092
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:
0.0000102
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000414
AC:
6
AN:
1449840
Hom.:
0
Cov.:
34
AF XY:
0.00000278
AC XY:
2
AN XY:
720110
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:
0.0000119
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000361
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
Cov.:
33

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 GeneticsJun 17, 2024The c.1325C>T (p.P442L) alteration is located in exon 11 (coding exon 11) of the CRTC1 gene. This alteration results from a C to T substitution at nucleotide position 1325, causing the proline (P) at amino acid position 442 to be replaced by a leucine (L). 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
0.074
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.57
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.27
T;.;.
Eigen
Benign
-0.057
Eigen_PC
Benign
0.078
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.79
T;T;T
M_CAP
Benign
0.032
D
MetaRNN
Benign
0.16
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Uncertain
2.0
M;.;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.44
T
PROVEAN
Uncertain
-2.6
D;D;.
REVEL
Benign
0.092
Sift
Uncertain
0.0080
D;D;.
Sift4G
Benign
0.20
T;T;T
Polyphen
0.047
B;B;.
Vest4
0.23
MutPred
0.21
Loss of glycosylation at P426 (P = 0.0093);.;.;
MVP
0.24
MPC
0.75
ClinPred
0.68
D
GERP RS
4.0
Varity_R
0.085
gMVP
0.38

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs770653630; hg19: chr19-18879560; COSMIC: COSV105893830; API