2-38071144-TGGTGGCATGA-TGGTGGCATGAGGTGGCATGA
Variant summary
Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_000104.4(CYP1B1):c.1209_1210insTCATGCCACC(p.Thr404SerfsTer30) variant causes a frameshift change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000185 in 1,613,870 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Pathogenic (★★).
Frequency
Genomes: 𝑓 0.00011 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00019 ( 0 hom. )
Consequence
CYP1B1
NM_000104.4 frameshift
NM_000104.4 frameshift
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 3.19
Genes affected
CYP1B1 (HGNC:2597): (cytochrome P450 family 1 subfamily B member 1) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. The enzyme encoded by this gene localizes to the endoplasmic reticulum and metabolizes procarcinogens such as polycyclic aromatic hydrocarbons and 17beta-estradiol. Mutations in this gene have been associated with primary congenital glaucoma; therefore it is thought that the enzyme also metabolizes a signaling molecule involved in eye development, possibly a steroid. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 18 ACMG points.
PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. There are 46 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-38071144-T-TGGTGGCATGA is Pathogenic according to our data. Variant chr2-38071144-T-TGGTGGCATGA is described in ClinVar as [Pathogenic]. Clinvar id is 68466.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CYP1B1 | NM_000104.4 | c.1209_1210insTCATGCCACC | p.Thr404SerfsTer30 | frameshift_variant | 3/3 | ENST00000610745.5 | NP_000095.2 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CYP1B1 | ENST00000610745.5 | c.1209_1210insTCATGCCACC | p.Thr404SerfsTer30 | frameshift_variant | 3/3 | 1 | NM_000104.4 | ENSP00000478561 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000112 AC: 17AN: 152120Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.000231 AC: 58AN: 251052Hom.: 0 AF XY: 0.000206 AC XY: 28AN XY: 135758
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GnomAD4 exome AF: 0.000193 AC: 282AN: 1461632Hom.: 0 Cov.: 35 AF XY: 0.000187 AC XY: 136AN XY: 727076
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GnomAD4 genome AF: 0.000112 AC: 17AN: 152238Hom.: 0 Cov.: 32 AF XY: 0.000107 AC XY: 8AN XY: 74428
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ClinVar
Significance: Pathogenic
Submissions summary: Pathogenic:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not provided Pathogenic:5
Pathogenic, criteria provided, single submitter | clinical testing | Institute of Medical Genetics and Applied Genomics, University Hospital Tübingen | Oct 23, 2020 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Revvity Omics, Revvity | Feb 01, 2022 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Eurofins Ntd Llc (ga) | Jan 15, 2016 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | GeneDx | Aug 02, 2021 | Frameshift variant in the C-terminus predicted to result in protein truncation, as the last 140 amino acids are replaced by 29 incorrect amino acids; This variant is associated with the following publications: (PMID: 17361544, 31589614, 25836661, 30820150, 32499604, 32832252, 26689913, 17591938, 19234632, 27272408, 9497261, 12036985, 14729846, 11558822, 12567107, 16735994, 24281366, 27508083, 28448622, 23922489, 30484747, 25750510) - |
Pathogenic, criteria provided, single submitter | clinical testing | CeGaT Center for Human Genetics Tuebingen | Jun 01, 2021 | - - |
Glaucoma 3A Pathogenic:3
Pathogenic, no assertion criteria provided | research | Institute of Medical Molecular Genetics, University of Zurich | Aug 01, 2019 | - - |
Pathogenic, no assertion criteria provided | literature only | OMIM | Mar 01, 1998 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Laboratorio de Genetica e Diagnostico Molecular, Hospital Israelita Albert Einstein | Jan 31, 2023 | ACMG classification criteria: PVS1 strong, PM3 very strong, PP1 supporting - |
Anterior segment dysgenesis Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | Eye Genetics Research Group, Children's Medical Research Institute | Mar 31, 2020 | - - |
Anterior segment dysgenesis 6 Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Baylor Genetics | Mar 18, 2024 | - - |
Glaucoma 3, primary infantile, B;C1856439:Glaucoma 3A;C4310623:Anterior segment dysgenesis 6 Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | Feb 25, 2022 | - - |
Irido-corneo-trabecular dysgenesis Pathogenic:1
Pathogenic, no assertion criteria provided | research | Eye Genetics Research Group, Children's Medical Research Institute | Mar 30, 2012 | - - |
CYP1B1-related disorder Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | PreventionGenetics, part of Exact Sciences | Apr 20, 2023 | The CYP1B1 c.1200_1209dup10 variant is predicted to result in a frameshift and premature protein termination (p.Thr404Serfs*30). This variant has been reported along with a second causative variant in CYP1B1 in patients with congenital glaucoma and additional systemic anomalies, Peters anomaly, and/or anterior polar cataracts (see for examples Reis et al. 2016. PubMed ID: 27272408; Prokudin et al. 2014. PubMed ID: 24281366; García-Antón et al. 2017. PubMed ID: 28448622). This variant is reported in 0.068% of alleles in individuals of Latino descent in gnomAD (http://gnomad.broadinstitute.org/variant/2-38298287-T-TGGTGGCATGA). Frameshift variants in CYP1B1 are expected to be pathogenic, and this variant has been classified as pathogenic by multiple independent submitters to the ClinVar database (https://www.ncbi.nlm.nih.gov/clinvar/variation/68466). Given all the evidence, we interpret c.1200_1209dup (p.Thr404Serfs*30) as pathogenic. - |
Congenital glaucoma Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Jan 09, 2024 | This sequence change creates a premature translational stop signal (p.Thr404Serfs*30) in the CYP1B1 gene. While this is not anticipated to result in nonsense mediated decay, it is expected to disrupt the last 140 amino acid(s) of the CYP1B1 protein. This variant is present in population databases (rs587778873, gnomAD 0.06%). This premature translational stop signal has been observed in individuals with Peters anomaly and primary congenital glaucoma (PMID: 9497261, 17591938, 19234632, 23922489, 24281366, 27272408, 28448622). It has also been observed to segregate with disease in related individuals. This variant is also known as c.1546dup10, c.1571_1580dup, and c.1198_1207dup. ClinVar contains an entry for this variant (Variation ID: 68466). For these reasons, this variant has been classified as Pathogenic. - |
Computational scores
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Find out detailed SpliceAI scores and Pangolin per-transcript scores at