19-42387444-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_032488.4(CNFN):​c.145G>T​(p.Ala49Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000125 in 1,596,614 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 6.9e-7 ( 0 hom. )

Consequence

CNFN
NM_032488.4 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.49
Variant links:
Genes affected
CNFN (HGNC:30183): (cornifelin) Predicted to be involved in keratinization. Located in cornified envelope. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.3784477).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CNFNNM_032488.4 linkuse as main transcriptc.145G>T p.Ala49Ser missense_variant 3/4 ENST00000222032.10 NP_115877.2
CNFNXM_005259332.4 linkuse as main transcriptc.184G>T p.Ala62Ser missense_variant 4/5 XP_005259389.1
CNFNXM_011527396.3 linkuse as main transcriptc.184G>T p.Ala62Ser missense_variant 4/5 XP_011525698.1
CNFNXM_011527397.3 linkuse as main transcriptc.184G>T p.Ala62Ser missense_variant 4/5 XP_011525699.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CNFNENST00000222032.10 linkuse as main transcriptc.145G>T p.Ala49Ser missense_variant 3/41 NM_032488.4 ENSP00000222032 P1
CNFNENST00000597255.1 linkuse as main transcriptc.145G>T p.Ala49Ser missense_variant 4/51 ENSP00000469590 P1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152154
Hom.:
0
Cov.:
31
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
6.92e-7
AC:
1
AN:
1444460
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
717412
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.05e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152154
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
74322
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:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000756

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 GeneticsNov 21, 2022The c.145G>T (p.A49S) alteration is located in exon 3 (coding exon 2) of the CNFN gene. This alteration results from a G to T substitution at nucleotide position 145, causing the alanine (A) at amino acid position 49 to be replaced by a serine (S). 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
0.21
BayesDel_addAF
Benign
-0.081
T
BayesDel_noAF
Benign
-0.35
CADD
Uncertain
25
DANN
Benign
0.97
DEOGEN2
Benign
0.029
T;T
Eigen
Benign
-0.30
Eigen_PC
Benign
-0.29
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Benign
0.59
.;T
M_CAP
Uncertain
0.098
D
MetaRNN
Benign
0.38
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.98
L;L
MutationTaster
Benign
0.91
D
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
0.040
N;.
REVEL
Benign
0.22
Sift
Benign
0.41
T;.
Sift4G
Benign
0.51
T;T
Polyphen
0.75
P;P
Vest4
0.58
MutPred
0.53
Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);
MVP
0.22
MPC
0.48
ClinPred
0.60
D
GERP RS
2.6
Varity_R
0.073
gMVP
0.63

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: rs1473289137; hg19: chr19-42891596; API