2-38074404-C-T

Variant summary

Our verdict is Pathogenic. Variant got 14 ACMG points: 14P and 0B. PM2PM5PP3_ModeratePP5_Very_Strong

The ENST00000610745.5(CYP1B1):​c.985G>A​(p.Gly329Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000958 in 1,461,098 control chromosomes in the GnomAD database, with no homozygous occurrence. 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. G329D) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 0.0000096 ( 0 hom. )

Consequence

CYP1B1
ENST00000610745.5 missense

Scores

5
8
3

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:4

Conservation

PhyloP100: 5.62
Variant links:
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]
CYP1B1-AS1 (HGNC:28543): (CYP1B1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr2-38074403-C-T is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.921
PP5
Variant 2-38074404-C-T is Pathogenic according to our data. Variant chr2-38074404-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 632362.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
CYP1B1NM_000104.4 linkuse as main transcriptc.985G>A p.Gly329Ser missense_variant 2/3 ENST00000610745.5 NP_000095.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP1B1ENST00000610745.5 linkuse as main transcriptc.985G>A p.Gly329Ser missense_variant 2/31 NM_000104.4 ENSP00000478561 P1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.0000121
AC:
3
AN:
248888
Hom.:
0
AF XY:
0.0000222
AC XY:
3
AN XY:
135124
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000546
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000178
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000958
AC:
14
AN:
1461098
Hom.:
0
Cov.:
31
AF XY:
0.0000138
AC XY:
10
AN XY:
726850
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.0000113
ExAC
AF:
0.0000247
AC:
3

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Anterior segment dysgenesis 6 Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingBaylor GeneticsFeb 19, 2024- -
Glaucoma 3A Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaNov 21, 2018The CYP1B1 c.985G>A (p.Gly329Ser) missense variant has been reported in one study and found in three individuals with primary congenital glaucoma including one each in a homozygous state, compound heterozygous state with a frameshift variant and heterozygous state (Kim et al. 2011). The variant was absent from 400 control chromosomes and is reported at a frequency of 0.000016 in the Total population of the Genome Aggregation Database. HEK293T cells expressing the p.Gly329Ser variant completely lacked retinol metabolizing activity (Banerjee et al. 2016). Based on the evidence, the p.Gly329Ser variant is classified as likely pathogenic for primary congenital glaucoma. This variant was observed by ICSL as part of a predisposition screen in an ostensibly healthy population. -
Primary congenital glaucoma Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 23, 2022Variant summary: CYP1B1 c.985G>A (p.Gly329Ser) results in a non-conservative amino acid change located in the conserved helixe I (aa316-349, Jeannot_2007) of the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 1.2e-05 in 249004 control chromosomes (gnomAD and publication data). c.985G>A has been reported in the literature in individuals affected with Primary Congenital Glaucoma, including one homozygote (Kim_2011, Suh_2012). These data indicate that the variant may be associated with disease. Functional studies report experimental evidence evaluating an impact on protein function, where the variant protein was found to be enzymatically null for both estradiol and retinoic acid metabolism (Jeannot_2007, Banerjee_2016). In addition, other missense variants in the same residue (G329D and G329V) have been reported in the Human Gene Mutation Database in association with Primary Congenital Glaucoma (PMID: 17718864, 17893647), supporting the functional importance of this residue of the protein. Two ClinVar submitters have assessed the variant since 2014: one classified the variant as likely pathogenic, and one as of uncertain significance. Based on the evidence outlined above, the variant was classified as likely pathogenic. -
Congenital glaucoma Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 30, 2023This sequence change replaces glycine, which is neutral and non-polar, with serine, which is neutral and polar, at codon 329 of the CYP1B1 protein (p.Gly329Ser). This variant is present in population databases (rs777678299, gnomAD 0.01%). This missense change has been observed in individuals with primary congenital glaucoma (PMID: 22942166). ClinVar contains an entry for this variant (Variation ID: 632362). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt CYP1B1 protein function. Experimental studies have shown that this missense change affects CYP1B1 function (PMID: 17363580, 27243976). This variant disrupts the p.Gly329 amino acid residue in CYP1B1. Other variant(s) that disrupt this residue have been observed in individuals with CYP1B1-related conditions (PMID: 31024815), which suggests that this may be a clinically significant amino acid residue. For these reasons, this variant has been classified as Pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.66
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.33
CADD
Pathogenic
32
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.57
D;D
Eigen
Uncertain
0.66
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.95
.;D
M_CAP
Pathogenic
0.59
D
MetaRNN
Pathogenic
0.92
D;D
MetaSVM
Uncertain
-0.19
T
MutationAssessor
Benign
1.9
L;L
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.77
T
Sift4G
Benign
0.069
T;T
Vest4
0.94
MVP
0.44
ClinPred
0.94
D
GERP RS
4.0
Varity_R
0.87
gMVP
0.78

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: rs777678299; hg19: chr2-38301547; API