19-40846048-G-C

Variant summary

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

The NM_000762.6(CYP2A6):ā€‹c.881C>Gā€‹(p.Thr294Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000031 in 1,611,586 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/19 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: š‘“ 0.000099 ( 1 hom., cov: 31)
Exomes š‘“: 0.000024 ( 0 hom. )

Consequence

CYP2A6
NM_000762.6 missense

Scores

1
16

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.205
Variant links:
Genes affected
CYP2A6 (HGNC:2610): (cytochrome P450 family 2 subfamily A member 6) This gene, CYP2A6, encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and its expression is induced by phenobarbital. The enzyme is known to hydroxylate coumarin, and also metabolizes nicotine, aflatoxin B1, nitrosamines, and some pharmaceuticals. Individuals with certain allelic variants are said to have a poor metabolizer phenotype, meaning they do not efficiently metabolize coumarin or nicotine. This gene is part of a large cluster of cytochrome P450 genes from the CYP2A, CYP2B and CYP2F subfamilies on chromosome 19q. The gene was formerly referred to as CYP2A3; however, it has been renamed CYP2A6. [provided by RefSeq, Jul 2008]

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=0.074441165).
BS2
High AC in GnomAd4 at 15 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYP2A6NM_000762.6 linkuse as main transcriptc.881C>G p.Thr294Ser missense_variant 6/9 ENST00000301141.10 NP_000753.3 P11509

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP2A6ENST00000301141.10 linkuse as main transcriptc.881C>G p.Thr294Ser missense_variant 6/91 NM_000762.6 ENSP00000301141.4 P11509
ENSG00000268797ENST00000601627.1 linkuse as main transcriptn.117+44633G>C intron_variant 3 ENSP00000469533.1 M0QY20

Frequencies

GnomAD3 genomes
AF:
0.0000992
AC:
15
AN:
151224
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000365
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000319
AC:
8
AN:
251110
Hom.:
1
AF XY:
0.0000147
AC XY:
2
AN XY:
135726
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.0000289
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:
0.00000879
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.0000240
AC:
35
AN:
1460248
Hom.:
0
Cov.:
31
AF XY:
0.0000262
AC XY:
19
AN XY:
726442
show subpopulations
Gnomad4 AFR exome
AF:
0.000687
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000450
Gnomad4 OTH exome
AF:
0.0000498
GnomAD4 genome
AF:
0.0000991
AC:
15
AN:
151338
Hom.:
1
Cov.:
31
AF XY:
0.0000947
AC XY:
7
AN XY:
73914
show subpopulations
Gnomad4 AFR
AF:
0.000364
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:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000945
ExAC
AF:
0.0000330
AC:
4
Asia WGS
AF:
0.000585
AC:
2
AN:
3432
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.39
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
14
DANN
Benign
0.36
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.24
N
LIST_S2
Benign
0.38
T
M_CAP
Benign
0.032
D
MetaRNN
Benign
0.074
T
MetaSVM
Benign
-0.92
T
PrimateAI
Uncertain
0.58
T
PROVEAN
Benign
-2.4
N
REVEL
Benign
0.12
Sift
Benign
0.19
T
Sift4G
Benign
0.19
T
Vest4
0.078
MutPred
0.27
Loss of ubiquitination at K289 (P = 0.1651);
MVP
0.49
MPC
0.13
ClinPred
0.11
T
GERP RS
1.3
gMVP
0.20

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: rs4997557; hg19: chr19-41351953; API