21-17565577-G-A

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_001338.5(CXADR):​c.983G>A​(p.Arg328His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00127 in 1,613,452 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/17 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00080 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0013 ( 2 hom. )

Consequence

CXADR
NM_001338.5 missense

Scores

1
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.51
Variant links:
Genes affected
CXADR (HGNC:2559): (CXADR Ig-like cell adhesion molecule) The protein encoded by this gene is a type I membrane receptor for group B coxsackieviruses and subgroup C adenoviruses. Several transcript variants encoding different isoforms have been found for this gene. Pseudogenes of this gene are found on chromosomes 15, 18, and 21. [provided by RefSeq, May 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.007686883).
BS2
High Homozygotes in GnomAdExome4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CXADRNM_001338.5 linkuse as main transcriptc.983G>A p.Arg328His missense_variant 7/7 ENST00000284878.12

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CXADRENST00000284878.12 linkuse as main transcriptc.983G>A p.Arg328His missense_variant 7/71 NM_001338.5 P2P78310-1
CXADRENST00000400166.5 linkuse as main transcriptc.721G>A p.Ala241Thr missense_variant 5/51 P78310-5
CXADRENST00000400165.5 linkuse as main transcriptc.565G>A p.Ala189Thr missense_variant 4/41 P78310-4
CXADRENST00000400169.1 linkuse as main transcriptc.983G>A p.Arg328His missense_variant 7/85 A1P78310-6

Frequencies

GnomAD3 genomes
AF:
0.000803
AC:
122
AN:
151976
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000218
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000853
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00193
Gnomad SAS
AF:
0.000827
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00110
Gnomad OTH
AF:
0.00384
GnomAD3 exomes
AF:
0.000968
AC:
243
AN:
251134
Hom.:
1
AF XY:
0.00111
AC XY:
151
AN XY:
135718
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000665
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.00245
Gnomad SAS exome
AF:
0.00144
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.00106
Gnomad OTH exome
AF:
0.00131
GnomAD4 exome
AF:
0.00132
AC:
1934
AN:
1461358
Hom.:
2
Cov.:
33
AF XY:
0.00139
AC XY:
1012
AN XY:
727004
show subpopulations
Gnomad4 AFR exome
AF:
0.000239
Gnomad4 AMR exome
AF:
0.000626
Gnomad4 ASJ exome
AF:
0.0000765
Gnomad4 EAS exome
AF:
0.00123
Gnomad4 SAS exome
AF:
0.00151
Gnomad4 FIN exome
AF:
0.0000749
Gnomad4 NFE exome
AF:
0.00145
Gnomad4 OTH exome
AF:
0.00144
GnomAD4 genome
AF:
0.000802
AC:
122
AN:
152094
Hom.:
0
Cov.:
31
AF XY:
0.000928
AC XY:
69
AN XY:
74364
show subpopulations
Gnomad4 AFR
AF:
0.000217
Gnomad4 AMR
AF:
0.000852
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00194
Gnomad4 SAS
AF:
0.000828
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.00110
Gnomad4 OTH
AF:
0.00380
Alfa
AF:
0.00141
Hom.:
0
Bravo
AF:
0.000876
TwinsUK
AF:
0.00216
AC:
8
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00140
AC:
12
ExAC
AF:
0.00101
AC:
123
Asia WGS
AF:
0.00144
AC:
5
AN:
3478

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 GeneticsFeb 10, 2023The c.983G>A (p.R328H) alteration is located in exon 7 (coding exon 7) of the CXADR gene. This alteration results from a G to A substitution at nucleotide position 983, causing the arginine (R) at amino acid position 328 to be replaced by a histidine (H). 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
0.084
BayesDel_addAF
Benign
-0.046
T
BayesDel_noAF
Benign
-0.37
CADD
Benign
23
DANN
Benign
0.97
Eigen
Benign
-0.58
Eigen_PC
Benign
-0.52
FATHMM_MKL
Benign
0.74
D
LIST_S2
Benign
0.40
T;T
M_CAP
Benign
0.039
D
MetaRNN
Benign
0.0077
T;T
MetaSVM
Benign
-0.55
T
MutationTaster
Benign
0.98
D;D;D;N;N
PROVEAN
Benign
-0.080
N;N
REVEL
Benign
0.18
Sift
Benign
0.040
D;D
Sift4G
Pathogenic
0.0
.;D
Polyphen
0.0080
B;B
Vest4
0.13
MVP
0.92
ClinPred
0.012
T
GERP RS
0.80

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: rs143764073; hg19: chr21-18937895; COSMIC: COSV99514937; COSMIC: COSV99514937; API