20-23605729-T-C

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP4_StrongBP6_ModerateBS2

The NM_001008693.3(CST9):ā€‹c.136A>Gā€‹(p.Met46Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00541 in 1,614,216 control chromosomes in the GnomAD database, including 30 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…).

Frequency

Genomes: š‘“ 0.0040 ( 5 hom., cov: 33)
Exomes š‘“: 0.0056 ( 25 hom. )

Consequence

CST9
NM_001008693.3 missense

Scores

19

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.745
Variant links:
Genes affected
CST9 (HGNC:13261): (cystatin 9) The cystatin superfamily encompasses proteins that contain multiple cystatin-like sequences. Some of the members are active cysteine protease inhibitors, while others have lost or perhaps never acquired this inhibitory activity. There are three inhibitory families in the superfamily, including the type 1 cystatins (stefins), type 2 cystatins and the kininogens. The type 2 cystatin proteins are a class of cysteine proteinase inhibitors found in a variety of human fluids and secretions, where they appear to provide protective functions. The cystatin locus on chromosome 20 contains the majority of the type 2 cystatin genes and pseudogenes. This gene is located in the cystatin locus and encodes a secreted protein that may play a role in hematopoietic differentiation or inflammation. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0076812506).
BP6
Variant 20-23605729-T-C is Benign according to our data. Variant chr20-23605729-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 2652241.Status of the report is criteria_provided_single_submitter, 1 stars.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CST9NM_001008693.3 linkuse as main transcriptc.136A>G p.Met46Val missense_variant 1/2 ENST00000376971.4 NP_001008693.2 Q5W186

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CST9ENST00000376971.4 linkuse as main transcriptc.136A>G p.Met46Val missense_variant 1/21 NM_001008693.3 ENSP00000366170.4 Q5W186

Frequencies

GnomAD3 genomes
AF:
0.00403
AC:
614
AN:
152224
Hom.:
5
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00195
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00314
Gnomad ASJ
AF:
0.0127
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00311
Gnomad FIN
AF:
0.00235
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00579
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00458
AC:
1153
AN:
251496
Hom.:
7
AF XY:
0.00519
AC XY:
706
AN XY:
135922
show subpopulations
Gnomad AFR exome
AF:
0.00209
Gnomad AMR exome
AF:
0.00168
Gnomad ASJ exome
AF:
0.00992
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00480
Gnomad FIN exome
AF:
0.00342
Gnomad NFE exome
AF:
0.00625
Gnomad OTH exome
AF:
0.00472
GnomAD4 exome
AF:
0.00556
AC:
8121
AN:
1461874
Hom.:
25
Cov.:
35
AF XY:
0.00546
AC XY:
3973
AN XY:
727238
show subpopulations
Gnomad4 AFR exome
AF:
0.00128
Gnomad4 AMR exome
AF:
0.00165
Gnomad4 ASJ exome
AF:
0.0108
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00463
Gnomad4 FIN exome
AF:
0.00391
Gnomad4 NFE exome
AF:
0.00611
Gnomad4 OTH exome
AF:
0.00492
GnomAD4 genome
AF:
0.00403
AC:
614
AN:
152342
Hom.:
5
Cov.:
33
AF XY:
0.00409
AC XY:
305
AN XY:
74492
show subpopulations
Gnomad4 AFR
AF:
0.00195
Gnomad4 AMR
AF:
0.00314
Gnomad4 ASJ
AF:
0.0127
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00311
Gnomad4 FIN
AF:
0.00235
Gnomad4 NFE
AF:
0.00579
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.00582
Hom.:
8
Bravo
AF:
0.00406
TwinsUK
AF:
0.00755
AC:
28
ALSPAC
AF:
0.00727
AC:
28
ESP6500AA
AF:
0.00159
AC:
7
ESP6500EA
AF:
0.00674
AC:
58
ExAC
AF:
0.00467
AC:
567
Asia WGS
AF:
0.000866
AC:
3
AN:
3478
EpiCase
AF:
0.00518
EpiControl
AF:
0.00557

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenFeb 01, 2023CST9: BP4, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.054
BayesDel_addAF
Benign
-0.67
T
BayesDel_noAF
Benign
-0.73
CADD
Benign
0.16
DANN
Benign
0.35
DEOGEN2
Benign
0.0046
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.0033
N
LIST_S2
Benign
0.18
T
M_CAP
Benign
0.0012
T
MetaRNN
Benign
0.0077
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.90
N
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-0.060
N
REVEL
Benign
0.033
Sift
Benign
0.12
T
Sift4G
Benign
0.53
T
Polyphen
0.0
B
Vest4
0.090
MVP
0.14
MPC
0.042
ClinPred
0.0070
T
GERP RS
-1.9
Varity_R
0.072
gMVP
0.39

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: rs148465199; hg19: chr20-23586366; COSMIC: COSV99057772; API