19-40848304-C-A
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Variant summary
Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2
The NM_000762.6(CYP2A6):c.569G>T(p.Arg190Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000454 in 1,611,882 control chromosomes in the GnomAD database, including 28 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Genomes: 𝑓 0.00024 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00048 ( 28 hom. )
Consequence
CYP2A6
NM_000762.6 missense
NM_000762.6 missense
Scores
6
5
6
Clinical Significance
Conservation
PhyloP100: 5.59
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]
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ACMG classification
Classification made for transcript
Verdict is Benign. Variant got -16 ACMG points.
BP4
Computational evidence support a benign effect (MetaRNN=0.067304075).
BP6
Variant 19-40848304-C-A is Benign according to our data. Variant chr19-40848304-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 739786.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 37 AD gene.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CYP2A6 | NM_000762.6 | c.569G>T | p.Arg190Leu | missense_variant | 4/9 | ENST00000301141.10 | NP_000753.3 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CYP2A6 | ENST00000301141.10 | c.569G>T | p.Arg190Leu | missense_variant | 4/9 | 1 | NM_000762.6 | ENSP00000301141 | P1 | |
CYP2A6 | ENST00000596719.5 | n.420G>T | non_coding_transcript_exon_variant | 3/6 | 1 | |||||
CYP2A6 | ENST00000600495.1 | c.*381G>T | 3_prime_UTR_variant, NMD_transcript_variant | 4/6 | 1 | ENSP00000472905 |
Frequencies
GnomAD3 genomes AF: 0.000244 AC: 37AN: 151454Hom.: 0 Cov.: 31
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GnomAD3 exomes AF: 0.000972 AC: 244AN: 251158Hom.: 9 AF XY: 0.00139 AC XY: 189AN XY: 135748
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GnomAD4 exome AF: 0.000475 AC: 694AN: 1460316Hom.: 28 Cov.: 32 AF XY: 0.000698 AC XY: 507AN XY: 726468
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GnomAD4 genome AF: 0.000244 AC: 37AN: 151566Hom.: 0 Cov.: 31 AF XY: 0.000405 AC XY: 30AN XY: 74036
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ClinVar
Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Benign:2
Likely benign, criteria provided, single submitter | not provided | Breakthrough Genomics, Breakthrough Genomics | - | - - |
Likely benign, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Apr 10, 2018 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Benign
T
BayesDel_noAF
Benign
CADD
Pathogenic
DANN
Uncertain
Eigen
Uncertain
Eigen_PC
Uncertain
FATHMM_MKL
Pathogenic
D
LIST_S2
Pathogenic
D
M_CAP
Benign
T
MetaRNN
Benign
T
MetaSVM
Benign
T
MutationTaster
Benign
D
PrimateAI
Uncertain
T
PROVEAN
Pathogenic
D
REVEL
Uncertain
Sift
Pathogenic
D
Sift4G
Pathogenic
D
Vest4
MutPred
Gain of ubiquitination at K194 (P = 0.0719);
MVP
MPC
ClinPred
T
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Splicing
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at