19-47320460-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001736.4(C5AR1):​c.683G>A​(p.Arg228Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000958 in 1,460,736 control chromosomes in the GnomAD database, with no homozygous occurrence. 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. R228W) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

C5AR1
NM_001736.4 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.09
Variant links:
Genes affected
C5AR1 (HGNC:1338): (complement C5a receptor 1) Enables G protein-coupled receptor activity and complement component C5a receptor activity. Involved in several processes, including complement component C5a signaling pathway; mRNA transcription by RNA polymerase II; and positive regulation of ERK1 and ERK2 cascade. Located in apical part of cell and basolateral plasma membrane. Biomarker of Alzheimer's disease; asthma; chronic obstructive pulmonary disease; rhinitis; and severe acute respiratory syndrome. [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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
C5AR1NM_001736.4 linkuse as main transcriptc.683G>A p.Arg228Gln missense_variant 2/2 ENST00000355085.4
C5AR1XM_047439300.1 linkuse as main transcriptc.785G>A p.Arg262Gln missense_variant 3/3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
C5AR1ENST00000355085.4 linkuse as main transcriptc.683G>A p.Arg228Gln missense_variant 2/21 NM_001736.4 P1

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
0.00000958
AC:
14
AN:
1460736
Hom.:
0
Cov.:
78
AF XY:
0.0000110
AC XY:
8
AN XY:
726738
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:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000108
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
Bravo
AF:
0.00000378

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 GeneticsApr 01, 2024The c.683G>A (p.R228Q) alteration is located in exon 2 (coding exon 2) of the C5AR1 gene. This alteration results from a G to A substitution at nucleotide position 683, causing the arginine (R) at amino acid position 228 to be replaced by a glutamine (Q). 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
0.17
BayesDel_addAF
Benign
-0.099
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
23
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.40
T
Eigen
Benign
0.040
Eigen_PC
Benign
-0.056
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.83
T
M_CAP
Benign
0.029
D
MetaRNN
Uncertain
0.58
D
MetaSVM
Benign
-0.99
T
MutationAssessor
Uncertain
2.4
M
MutationTaster
Benign
0.96
N
PrimateAI
Benign
0.38
T
PROVEAN
Uncertain
-2.9
D
REVEL
Benign
0.13
Sift
Uncertain
0.0060
D
Sift4G
Uncertain
0.022
D
Polyphen
0.94
P
Vest4
0.35
MutPred
0.68
Loss of MoRF binding (P = 0.0344);
MVP
0.62
MPC
0.68
ClinPred
0.96
D
GERP RS
2.7
Varity_R
0.49
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs916815948; hg19: chr19-47823717; COSMIC: COSV61893319; COSMIC: COSV61893319; API