21-43169232-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM1

The NM_000394.4(CRYAA):ā€‹c.133A>Gā€‹(p.Ser45Gly) variant causes a missense change involving the alteration of a conserved nucleotide. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 10)
Exomes š‘“: 0.000047 ( 8 hom. )
Failed GnomAD Quality Control

Consequence

CRYAA
NM_000394.4 missense

Scores

1
10
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 8.46
Variant links:
Genes affected
CRYAA (HGNC:2388): (crystallin alpha A) Mammalian lens crystallins are divided into alpha, beta, and gamma families. Alpha crystallins are composed of two gene products: alpha-A and alpha-B, for acidic and basic, respectively. Alpha crystallins can be induced by heat shock and are members of the small heat shock protein (HSP20) family. They act as molecular chaperones although they do not renature proteins and release them in the fashion of a true chaperone; instead they hold them in large soluble aggregates. Post-translational modifications decrease the ability to chaperone. These heterogeneous aggregates consist of 30-40 subunits; the alpha-A and alpha-B subunits have a 3:1 ratio, respectively. Two additional functions of alpha crystallins are an autokinase activity and participation in the intracellular architecture. The encoded protein has been identified as a moonlighting protein based on its ability to perform mechanistically distinct functions. Alpha-A and alpha-B gene products are differentially expressed; alpha-A is preferentially restricted to the lens and alpha-B is expressed widely in many tissues and organs. Defects in this gene cause autosomal dominant congenital cataract (ADCC). [provided by RefSeq, Jan 2014]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM1
In a modified_residue Phosphoserine (size 0) in uniprot entity CRYAA_HUMAN

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CRYAANM_000394.4 linkuse as main transcriptc.133A>G p.Ser45Gly missense_variant 1/3 ENST00000291554.6 NP_000385.1 P02489
LOC107987300XR_007067885.1 linkuse as main transcriptn.546+1805T>C intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CRYAAENST00000291554.6 linkuse as main transcriptc.133A>G p.Ser45Gly missense_variant 1/31 NM_000394.4 ENSP00000291554.2 P02489
CRYAAENST00000482775.1 linkuse as main transcriptn.146A>G non_coding_transcript_exon_variant 1/45

Frequencies

GnomAD3 genomes
Cov.:
10
GnomAD3 exomes
AF:
0.0000481
AC:
12
AN:
249344
Hom.:
0
AF XY:
0.0000445
AC XY:
6
AN XY:
134966
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000392
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000473
AC:
37
AN:
781590
Hom.:
8
Cov.:
10
AF XY:
0.0000543
AC XY:
22
AN XY:
404814
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000462
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000807
GnomAD4 genome
Cov.:
10
ExAC
AF:
0.0000577
AC:
7
Asia WGS
AF:
0.000289
AC:
1
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 17, 2022The c.133A>G (p.S45G) alteration is located in exon 1 (coding exon 1) of the CRYAA gene. This alteration results from a A to G substitution at nucleotide position 133, causing the serine (S) at amino acid position 45 to be replaced by a glycine (G). 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
0.31
BayesDel_addAF
Benign
0.0029
T
BayesDel_noAF
Pathogenic
0.14
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.64
D
Eigen
Benign
0.13
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Benign
0.84
T
M_CAP
Uncertain
0.11
D
MetaRNN
Uncertain
0.65
D
MetaSVM
Uncertain
0.19
D
MutationAssessor
Benign
2.0
M
PrimateAI
Uncertain
0.65
T
PROVEAN
Uncertain
-2.7
D
REVEL
Uncertain
0.62
Sift
Benign
0.050
D
Sift4G
Benign
0.14
T
Polyphen
0.031
B
Vest4
0.80
MutPred
0.59
Gain of glycosylation at S42 (P = 0.0954);
MVP
0.93
MPC
0.39
ClinPred
0.77
D
GERP RS
4.9
Varity_R
0.85
gMVP
0.75

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: rs765952577; hg19: chr21-44589342; API