20-46174631-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_021248.3(CDH22):​c.2362C>A​(p.Leu788Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000606 in 1,550,384 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L788P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000060 ( 1 hom. )

Consequence

CDH22
NM_021248.3 missense

Scores

2
9
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.908
Variant links:
Genes affected
CDH22 (HGNC:13251): (cadherin 22) This gene is a member of the cadherin superfamily. The gene product is composed of five cadherin repeat domains and a cytoplasmic tail similar to the highly conserved cytoplasmic region of classical cadherins. Expressed predominantly in the brain, this putative calcium-dependent cell adhesion protein may play an important role in morphogenesis and tissue formation in neural and non-neural cells during development and maintenance of the brain and neuroendocrine organs. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.32431382).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CDH22NM_021248.3 linkuse as main transcriptc.2362C>A p.Leu788Met missense_variant 12/12 ENST00000537909.4
CDH22XM_011528994.3 linkuse as main transcriptc.2362C>A p.Leu788Met missense_variant 12/12
CDH22XM_047440373.1 linkuse as main transcriptc.2122C>A p.Leu708Met missense_variant 10/10
CDH22XM_024451966.2 linkuse as main transcriptc.1999C>A p.Leu667Met missense_variant 12/12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CDH22ENST00000537909.4 linkuse as main transcriptc.2362C>A p.Leu788Met missense_variant 12/122 NM_021248.3 P1

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152220
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000620
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000127
AC:
19
AN:
149184
Hom.:
0
AF XY:
0.000196
AC XY:
16
AN XY:
81662
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000787
Gnomad SAS exome
AF:
0.000689
Gnomad FIN exome
AF:
0.000133
Gnomad NFE exome
AF:
0.0000167
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000601
AC:
84
AN:
1398056
Hom.:
1
Cov.:
30
AF XY:
0.0000868
AC XY:
60
AN XY:
691040
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000266
Gnomad4 SAS exome
AF:
0.000914
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000276
Gnomad4 OTH exome
AF:
0.0000514
GnomAD4 genome
AF:
0.0000656
AC:
10
AN:
152328
Hom.:
0
Cov.:
32
AF XY:
0.0000940
AC XY:
7
AN XY:
74478
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000621
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000151
ExAC
AF:
0.0000893
AC:
10

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 28, 2022The c.2362C>A (p.L788M) alteration is located in exon 11 (coding exon 11) of the CDH22 gene. This alteration results from a C to A substitution at nucleotide position 2362, causing the leucine (L) at amino acid position 788 to be replaced by a methionine (M). 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
0.23
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.19
CADD
Uncertain
25
DANN
Uncertain
0.99
DEOGEN2
Benign
0.18
T;T
Eigen
Uncertain
0.36
Eigen_PC
Uncertain
0.25
FATHMM_MKL
Benign
0.11
N
LIST_S2
Uncertain
0.91
.;D
M_CAP
Pathogenic
0.85
D
MetaRNN
Benign
0.32
T;T
MetaSVM
Uncertain
-0.072
T
MutationAssessor
Uncertain
2.8
M;M
MutationTaster
Benign
0.92
N;N
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
-1.5
N;N
REVEL
Uncertain
0.46
Sift
Uncertain
0.0020
D;D
Sift4G
Uncertain
0.0030
D;D
Polyphen
0.97
D;D
Vest4
0.24
MutPred
0.73
Loss of stability (P = 0.0505);Loss of stability (P = 0.0505);
MVP
0.81
ClinPred
0.30
T
GERP RS
1.7
Varity_R
0.54
gMVP
0.42

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: rs747323649; hg19: chr20-44803270; API