19-7745542-G-C

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBS1BS2

The NM_021155.4(CD209):​c.724C>G​(p.Leu242Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00142 in 1,608,966 control chromosomes in the GnomAD database, including 42 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.010 ( 32 hom., cov: 31)
Exomes 𝑓: 0.00050 ( 10 hom. )

Consequence

CD209
NM_021155.4 missense

Scores

18

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.04

Publications

13 publications found
Variant links:
Genes affected
CD209 (HGNC:1641): (CD209 molecule) This gene encodes a C-type lectin that functions in cell adhesion and pathogen recognition. This receptor recognizes a wide range of evolutionarily divergent pathogens with a large impact on public health, including leprosy and tuberculosis mycobacteria, the Ebola, hepatitis C, HIV-1 and Dengue viruses, and the SARS-CoV acute respiratory syndrome coronavirus. The protein is organized into four distinct domains: a C-terminal carbohydrate recognition domain, a flexible tandem-repeat neck domain, a transmembrane region and an N-terminal cytoplasmic domain involved in internalization. This gene is closely related in terms of both sequence and function to a neighboring gene, CLEC4M (Gene ID: 10332), also known as L-SIGN. The two genes differ in viral recognition and expression patterns, with this gene showing high expression on the surface of dendritic cells. Polymorphisms in the neck region are associated with protection from HIV-1 infection, while single nucleotide polymorphisms in the promoter of this gene are associated with differing resistance and susceptibility to and severity of infectious disease, including rs4804803, which is associated with SARS severity. [provided by RefSeq, May 2020]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003434211).
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.0103 (1565/151830) while in subpopulation AFR AF = 0.0353 (1452/41156). AF 95% confidence interval is 0.0338. There are 32 homozygotes in GnomAd4. There are 774 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 32 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CD209NM_021155.4 linkc.724C>G p.Leu242Val missense_variant Exon 4 of 7 ENST00000315599.12 NP_066978.1 Q9NNX6-1B2R907

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CD209ENST00000315599.12 linkc.724C>G p.Leu242Val missense_variant Exon 4 of 7 1 NM_021155.4 ENSP00000315477.6 Q9NNX6-1
ENSG00000288669ENST00000678003.1 linkn.121C>G non_coding_transcript_exon_variant Exon 1 of 13 ENSP00000504497.1 A0A7I2YQT4

Frequencies

GnomAD3 genomes
AF:
0.0103
AC:
1562
AN:
151720
Hom.:
32
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0353
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00439
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000397
Gnomad OTH
AF:
0.00767
GnomAD2 exomes
AF:
0.000989
AC:
247
AN:
249800
AF XY:
0.000747
show subpopulations
Gnomad AFR exome
AF:
0.0127
Gnomad AMR exome
AF:
0.000987
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000115
Gnomad OTH exome
AF:
0.000818
GnomAD4 exome
AF:
0.000496
AC:
723
AN:
1457136
Hom.:
10
Cov.:
35
AF XY:
0.000450
AC XY:
326
AN XY:
725068
show subpopulations
African (AFR)
AF:
0.0128
AC:
405
AN:
31520
American (AMR)
AF:
0.00133
AC:
59
AN:
44526
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39692
South Asian (SAS)
AF:
0.000104
AC:
9
AN:
86142
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53038
Middle Eastern (MID)
AF:
0.00402
AC:
18
AN:
4478
European-Non Finnish (NFE)
AF:
0.000104
AC:
116
AN:
1111564
Other (OTH)
AF:
0.00192
AC:
115
AN:
60048
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.447
Heterozygous variant carriers
0
58
116
173
231
289
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0103
AC:
1565
AN:
151830
Hom.:
32
Cov.:
31
AF XY:
0.0104
AC XY:
774
AN XY:
74258
show subpopulations
African (AFR)
AF:
0.0353
AC:
1452
AN:
41156
American (AMR)
AF:
0.00438
AC:
67
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5192
South Asian (SAS)
AF:
0.000208
AC:
1
AN:
4814
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10596
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000397
AC:
27
AN:
68008
Other (OTH)
AF:
0.00759
AC:
16
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.489
Heterozygous variant carriers
0
72
144
216
288
360
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000381
Hom.:
0
Bravo
AF:
0.0124
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.0393
AC:
173
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00386
AC:
467
EpiCase
AF:
0.000872
EpiControl
AF:
0.000178

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.65
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
7.4
DANN
Benign
0.93
DEOGEN2
Benign
0.19
T;.;.;.;.;.
Eigen
Benign
-0.94
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.037
N
LIST_S2
Benign
0.69
T;T;T;T;T;T
MetaRNN
Benign
0.0034
T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
L;.;L;.;.;.
PhyloP100
1.0
PrimateAI
Benign
0.44
T
PROVEAN
Benign
-1.3
N;.;N;N;N;.
REVEL
Benign
0.026
Sift
Benign
0.050
D;.;D;T;D;.
Sift4G
Benign
0.061
T;T;D;T;T;T
Polyphen
0.0020
B;P;B;B;B;B
Vest4
0.20
MVP
0.16
MPC
0.090
ClinPred
0.0044
T
GERP RS
0.74
Varity_R
0.055
gMVP
0.15
Mutation Taster
=99/1
polymorphism

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

Other links and lift over

dbSNP: rs11465380; hg19: chr19-7810428; API