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GeneBe

2-124434511-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001367498.1(CNTNAP5):c.557G>A(p.Arg186Gln) variant causes a missense change. The variant allele was found at a frequency of 0.000103 in 1,613,868 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00036 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000077 ( 0 hom. )

Consequence

CNTNAP5
NM_001367498.1 missense

Scores

1
3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.73
Variant links:
Genes affected
CNTNAP5 (HGNC:18748): (contactin associated protein family member 5) This gene product belongs to the neurexin family, members of which function in the vertebrate nervous system as cell adhesion molecules and receptors. This protein, like other neurexin proteins, contains epidermal growth factor repeats and laminin G domains. In addition, it includes an F5/8 type C domain, discoidin/neuropilin- and fibrinogen-like domains, and thrombospondin N-terminal-like domains. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.061420858).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CNTNAP5NM_001367498.1 linkuse as main transcriptc.557G>A p.Arg186Gln missense_variant 5/24 ENST00000682447.1
CNTNAP5NM_130773.4 linkuse as main transcriptc.557G>A p.Arg186Gln missense_variant 5/24
CNTNAP5XM_017003316.2 linkuse as main transcriptc.557G>A p.Arg186Gln missense_variant 5/23

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CNTNAP5ENST00000682447.1 linkuse as main transcriptc.557G>A p.Arg186Gln missense_variant 5/24 NM_001367498.1 A1
CNTNAP5ENST00000431078.1 linkuse as main transcriptc.557G>A p.Arg186Gln missense_variant 5/241 P4

Frequencies

GnomAD3 genomes
AF:
0.000361
AC:
55
AN:
152190
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00118
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.0000942
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000803
AC:
20
AN:
249034
Hom.:
0
AF XY:
0.0000814
AC XY:
11
AN XY:
135102
show subpopulations
Gnomad AFR exome
AF:
0.00110
Gnomad AMR exome
AF:
0.00
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:
0.0000266
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000766
AC:
112
AN:
1461560
Hom.:
0
Cov.:
34
AF XY:
0.0000660
AC XY:
48
AN XY:
727080
show subpopulations
Gnomad4 AFR exome
AF:
0.00140
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000432
Gnomad4 OTH exome
AF:
0.000182
GnomAD4 genome
AF:
0.000361
AC:
55
AN:
152308
Hom.:
0
Cov.:
33
AF XY:
0.000336
AC XY:
25
AN XY:
74466
show subpopulations
Gnomad4 AFR
AF:
0.00118
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.0000942
Gnomad4 NFE
AF:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000124
Hom.:
0
Bravo
AF:
0.000453
ESP6500AA
AF:
0.00180
AC:
7
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000910
AC:
11
EpiCase
AF:
0.0000546
EpiControl
AF:
0.0000593

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 GeneticsJan 10, 2023The c.557G>A (p.R186Q) alteration is located in exon 5 (coding exon 5) of the CNTNAP5 gene. This alteration results from a G to A substitution at nucleotide position 557, causing the arginine (R) at amino acid position 186 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
0.090
BayesDel_addAF
Benign
-0.069
T
BayesDel_noAF
Uncertain
0.080
Cadd
Uncertain
25
Dann
Benign
0.95
DEOGEN2
Benign
0.013
T
Eigen
Benign
-0.41
Eigen_PC
Benign
-0.19
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.016
T
MetaRNN
Benign
0.061
T
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
1.1
L
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.74
T
PROVEAN
Benign
-0.65
N
REVEL
Uncertain
0.42
Sift
Benign
0.76
T
Sift4G
Benign
0.51
T
Polyphen
0.033
B
Vest4
0.63
MVP
0.51
MPC
0.10
ClinPred
0.094
T
GERP RS
4.6
Varity_R
0.12
gMVP
0.46

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs202245541; hg19: chr2-125192088; COSMIC: COSV104436430; API