2-218580672-C-G

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PP3PP5_Moderate

The NM_005444.3(CNOT9):​c.136C>G​(p.Arg46Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R46Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)

Consequence

CNOT9
NM_005444.3 missense

Scores

9
8
1

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 2.04
Variant links:
Genes affected
CNOT9 (HGNC:10445): (CCR4-NOT transcription complex subunit 9) This gene encodes a member of the highly conserved RCD1 protein family. The encoded protein is a transcriptional cofactor and a core protein of the CCR4-NOT complex. It may be involved in signal transduction as well as retinoic acid-regulated cell differentiation and development. Alternatively spliced transcript variants have been described for this gene. [provided by RefSeq, Oct 2012]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a chain CCR4-NOT transcription complex subunit 9 (size 298) in uniprot entity CNOT9_HUMAN there are 7 pathogenic changes around while only 1 benign (88%) in NM_005444.3
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.838
PP5
Variant 2-218580672-C-G is Pathogenic according to our data. Variant chr2-218580672-C-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 1707499.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CNOT9NM_005444.3 linkuse as main transcriptc.136C>G p.Arg46Gly missense_variant 2/8 ENST00000273064.11
CNOT9NM_001271634.2 linkuse as main transcriptc.136C>G p.Arg46Gly missense_variant 2/9
CNOT9NM_001271635.2 linkuse as main transcriptc.136C>G p.Arg46Gly missense_variant 2/8
CNOT9NR_073390.2 linkuse as main transcriptn.252C>G non_coding_transcript_exon_variant 2/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CNOT9ENST00000273064.11 linkuse as main transcriptc.136C>G p.Arg46Gly missense_variant 2/81 NM_005444.3 P1Q92600-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
31
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

CNOT9-associated neurodevelopmental disorder Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingInstitute of Human Genetics, University of Leipzig Medical CenterSep 28, 2022PS2_MOD, PM1, PM2_SUP, PP2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Pathogenic
0.31
D
BayesDel_noAF
Pathogenic
0.21
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.50
.;T;T;.
Eigen
Uncertain
0.50
Eigen_PC
Uncertain
0.37
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Pathogenic
0.99
D;.;D;D
M_CAP
Uncertain
0.18
D
MetaRNN
Pathogenic
0.84
D;D;D;D
MetaSVM
Uncertain
0.27
D
MutationTaster
Benign
1.0
D;D;D;D
PrimateAI
Pathogenic
0.92
D
PROVEAN
Pathogenic
-6.8
.;D;D;D
REVEL
Pathogenic
0.70
Sift
Uncertain
0.0010
.;D;D;D
Sift4G
Pathogenic
0.0010
D;D;D;D
Polyphen
1.0
.;D;D;.
Vest4
0.87
MutPred
0.67
Gain of relative solvent accessibility (P = 0.0166);Gain of relative solvent accessibility (P = 0.0166);Gain of relative solvent accessibility (P = 0.0166);Gain of relative solvent accessibility (P = 0.0166);
MVP
0.69
MPC
2.6
ClinPred
0.98
D
GERP RS
2.9
Varity_R
0.89
gMVP
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr2-219445395; API