2-219010021-C-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_194302.4(CFAP65):​c.4373G>A​(p.Arg1458His) variant causes a missense change. The variant allele was found at a frequency of 0.00022 in 1,612,470 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00028 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00021 ( 3 hom. )

Consequence

CFAP65
NM_194302.4 missense

Scores

3
8
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.00
Variant links:
Genes affected
CFAP65 (HGNC:25325): (cilia and flagella associated protein 65) The protein encoded by this gene has putative coiled-coil domains and may be a transmembrane protein. The chicken ortholog of this gene is involved in the Rose-comb mutation, which is a large chromosome inversion, resulting in altered comb morphology and defects in sperm motility. [provided by RefSeq, Aug 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.026628584).
BS1
Variant frequency is greater than expected in population amr. gnomad4_exome allele frequency = 0.000214 (313/1460280) while in subpopulation AMR AF= 0.000269 (12/44640). AF 95% confidence interval is 0.000155. There are 3 homozygotes in gnomad4_exome. There are 160 alleles in male gnomad4_exome subpopulation. Median coverage is 31. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CFAP65NM_194302.4 linkuse as main transcriptc.4373G>A p.Arg1458His missense_variant 27/35 ENST00000341552.10 NP_919278.2 Q6ZU64-1B4DZ05

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CFAP65ENST00000341552.10 linkuse as main transcriptc.4373G>A p.Arg1458His missense_variant 27/355 NM_194302.4 ENSP00000340776.5 Q6ZU64-1
CFAP65ENST00000453220.5 linkuse as main transcriptc.4373G>A p.Arg1458His missense_variant 25/335 ENSP00000409117.1 Q6ZU64-1
ENSG00000224090ENST00000441450.1 linkuse as main transcriptn.151C>T non_coding_transcript_exon_variant 2/32

Frequencies

GnomAD3 genomes
AF:
0.000276
AC:
42
AN:
152072
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000381
AC:
95
AN:
249602
Hom.:
1
AF XY:
0.000407
AC XY:
55
AN XY:
135260
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000873
Gnomad ASJ exome
AF:
0.00753
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000107
Gnomad OTH exome
AF:
0.000823
GnomAD4 exome
AF:
0.000214
AC:
313
AN:
1460280
Hom.:
3
Cov.:
31
AF XY:
0.000220
AC XY:
160
AN XY:
726394
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000269
Gnomad4 ASJ exome
AF:
0.00709
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.0000465
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000621
Gnomad4 OTH exome
AF:
0.000696
GnomAD4 genome
AF:
0.000276
AC:
42
AN:
152190
Hom.:
1
Cov.:
32
AF XY:
0.000309
AC XY:
23
AN XY:
74418
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00865
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000663
Hom.:
1
Bravo
AF:
0.000227
ExAC
AF:
0.000354
AC:
43
EpiCase
AF:
0.000273
EpiControl
AF:
0.000297

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 GeneticsJun 11, 2021The c.4373G>A (p.R1458H) alteration is located in exon 27 (coding exon 25) of the CFAP65 gene. This alteration results from a G to A substitution at nucleotide position 4373, causing the arginine (R) at amino acid position 1458 to be replaced by a histidine (H). 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
0.14
BayesDel_addAF
Benign
-0.023
T
BayesDel_noAF
Uncertain
-0.070
CADD
Pathogenic
29
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.35
T;T
Eigen
Uncertain
0.63
Eigen_PC
Pathogenic
0.67
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Uncertain
0.86
.;D
M_CAP
Benign
0.022
T
MetaRNN
Benign
0.027
T;T
MetaSVM
Benign
-1.2
T
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.56
T
PROVEAN
Uncertain
-3.8
D;D
REVEL
Uncertain
0.32
Sift
Uncertain
0.0040
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
0.93
P;P
Vest4
0.83
MVP
0.72
MPC
0.36
ClinPred
0.22
T
GERP RS
5.8
Varity_R
0.32
gMVP
0.91

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs201564070; hg19: chr2-219874743; COSMIC: COSV58566858; API