19-33302101-TCGCCGCCGC-TCGCCGC

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP3BP6BS2

The NM_004364.5(CEBPA):​c.311_313delGCG​(p.Gly104del) variant causes a disruptive inframe deletion change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000123 in 1,320,690 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0000070 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00014 ( 0 hom. )

Consequence

CEBPA
NM_004364.5 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 2.85
Variant links:
Genes affected
CEBPA (HGNC:1833): (CCAAT enhancer binding protein alpha) This intronless gene encodes a transcription factor that contains a basic leucine zipper (bZIP) domain and recognizes the CCAAT motif in the promoters of target genes. The encoded protein functions in homodimers and also heterodimers with CCAAT/enhancer-binding proteins beta and gamma. Activity of this protein can modulate the expression of genes involved in cell cycle regulation as well as in body weight homeostasis. Mutation of this gene is associated with acute myeloid leukemia. The use of alternative in-frame non-AUG (GUG) and AUG start codons results in protein isoforms with different lengths. Differential translation initiation is mediated by an out-of-frame, upstream open reading frame which is located between the GUG and the first AUG start codons. [provided by RefSeq, Dec 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_004364.5
BP6
Variant 19-33302101-TCGC-T is Benign according to our data. Variant chr19-33302101-TCGC-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 1009372.We mark this variant Likely_benign, oryginal submissions are: {Benign=1, Uncertain_significance=1}. Variant chr19-33302101-TCGC-T is described in Lovd as [Likely_benign].
BS2
High AC in GnomAdExome4 at 162 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CEBPANM_004364.5 linkc.311_313delGCG p.Gly104del disruptive_inframe_deletion Exon 1 of 1 ENST00000498907.3 NP_004355.2 P49715-1
CEBPANM_001287424.2 linkc.416_418delGCG p.Gly139del disruptive_inframe_deletion Exon 1 of 1 NP_001274353.1 P49715-4
CEBPANM_001287435.2 linkc.269_271delGCG p.Gly90del disruptive_inframe_deletion Exon 1 of 1 NP_001274364.1 P49715-2
CEBPANM_001285829.2 linkc.-47_-45delGCG 5_prime_UTR_variant Exon 1 of 1 NP_001272758.1 P49715-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CEBPAENST00000498907.3 linkc.311_313delGCG p.Gly104del disruptive_inframe_deletion Exon 1 of 1 6 NM_004364.5 ENSP00000427514.1 P49715-1
ENSG00000267727ENST00000587312.1 linkn.*162_*164delCGC downstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.00000699
AC:
1
AN:
142978
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000152
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.000138
AC:
162
AN:
1177712
Hom.:
0
AF XY:
0.000161
AC XY:
92
AN XY:
571324
show subpopulations
Gnomad4 AFR exome
AF:
0.000166
Gnomad4 AMR exome
AF:
0.000708
Gnomad4 ASJ exome
AF:
0.000374
Gnomad4 EAS exome
AF:
0.0000767
Gnomad4 SAS exome
AF:
0.000765
Gnomad4 FIN exome
AF:
0.000229
Gnomad4 NFE exome
AF:
0.0000925
Gnomad4 OTH exome
AF:
0.000172
GnomAD4 genome
AF:
0.00000699
AC:
1
AN:
142978
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
69706
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000152
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Acute myeloid leukemia Uncertain:1
May 28, 2023
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. This variant has been observed in individual(s) with myelodysplastic syndrome and acute myeloid leukemia (PMID: 14726504, 18182175). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant, c.311_313del, results in the deletion of 1 amino acid(s) of the CEBPA protein (p.Gly104del), but otherwise preserves the integrity of the reading frame. -

Inborn genetic diseases Benign:1
Mar 20, 2024
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

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: rs780345232; hg19: chr19-33793007; API