20-44719949-G-T

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_003881.4(CCN5):​c.113G>T​(p.Arg38Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,492 control chromosomes in the GnomAD database, with no homozygous occurrence. 14/22 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R38Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

CCN5
NM_003881.4 missense

Scores

5
13

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.36

Publications

5 publications found
Variant links:
Genes affected
CCN5 (HGNC:12770): (cellular communication network factor 5) This gene encodes a member of the WNT1 inducible signaling pathway (WISP) protein subfamily, which belongs to the connective tissue growth factor (CTGF) family. WNT1 is a member of a family of cysteine-rich, glycosylated signaling proteins that mediate diverse developmental processes. The CTGF family members are characterized by four conserved cysteine-rich domains: insulin-like growth factor-binding domain, von Willebrand factor type C module, thrombospondin domain and C-terminal cystine knot-like (CT) domain. The encoded protein lacks the CT domain which is implicated in dimerization and heparin binding. It is 72% identical to the mouse protein at the amino acid level. This gene may be downstream in the WNT1 signaling pathway that is relevant to malignant transformation. Its expression in colon tumors is reduced while the other two WISP members are overexpressed in colon tumors. It is expressed at high levels in bone tissue, and may play an important role in modulating bone turnover. [provided by RefSeq, Jul 2008]
KCNK15-AS1 (HGNC:49901): (KCNK15 and WISP2 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003881.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CCN5
NM_003881.4
MANE Select
c.113G>Tp.Arg38Leu
missense
Exon 2 of 4NP_003872.1O76076-1
CCN5
NM_001323370.2
c.113G>Tp.Arg38Leu
missense
Exon 3 of 5NP_001310299.1O76076-1
CCN5
NM_001323369.2
c.113G>Tp.Arg38Leu
missense
Exon 2 of 3NP_001310298.1O76076-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CCN5
ENST00000190983.5
TSL:1 MANE Select
c.113G>Tp.Arg38Leu
missense
Exon 2 of 4ENSP00000190983.4O76076-1
CCN5
ENST00000372865.4
TSL:1
c.113G>Tp.Arg38Leu
missense
Exon 2 of 3ENSP00000361956.4O76076-2
CCN5
ENST00000372868.6
TSL:3
c.113G>Tp.Arg38Leu
missense
Exon 3 of 5ENSP00000361959.2O76076-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
248660
AF XY:
0.00
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461492
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727058
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33470
American (AMR)
AF:
0.00
AC:
0
AN:
44682
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26110
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39676
South Asian (SAS)
AF:
0.0000116
AC:
1
AN:
86228
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53336
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5738
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1111876
Other (OTH)
AF:
0.00
AC:
0
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.093
BayesDel_addAF
Benign
-0.053
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
15
DANN
Uncertain
0.98
DEOGEN2
Benign
0.11
T
Eigen
Benign
-0.29
Eigen_PC
Benign
-0.40
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.041
D
MetaRNN
Uncertain
0.51
D
MetaSVM
Benign
-0.80
T
MutationAssessor
Benign
1.8
L
PhyloP100
1.4
PrimateAI
Benign
0.28
T
PROVEAN
Uncertain
-3.4
D
REVEL
Benign
0.29
Sift
Benign
0.13
T
Sift4G
Uncertain
0.031
D
Polyphen
0.98
D
Vest4
0.47
MutPred
0.56
Loss of disorder (P = 0.076)
MVP
0.45
MPC
0.69
ClinPred
0.86
D
GERP RS
1.3
Varity_R
0.10
gMVP
0.47
Mutation Taster
=79/21
polymorphism

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

Other links and lift over

dbSNP: rs142450134; hg19: chr20-43348590; API