21-43169258-C-T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_ModerateBP6_ModerateBP7

The NM_000394.4(CRYAA):​c.159C>T​(p.Phe53Phe) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 9)
Exomes 𝑓: 0.000039 ( 4 hom. )
Failed GnomAD Quality Control

Consequence

CRYAA
NM_000394.4 synonymous

Scores

2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 1.25

Publications

0 publications found
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]
CRYAA Gene-Disease associations (from GenCC):
  • cataract 9 multiple types
    Inheritance: AR, AD Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • cataract - microcornea syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • early-onset anterior polar cataract
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • early-onset lamellar cataract
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • early-onset nuclear cataract
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • total early-onset cataract
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.36).
BP6
Variant 21-43169258-C-T is Benign according to our data. Variant chr21-43169258-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 2066629.Status of the report is criteria_provided_single_submitter, 1 stars.
BP7
Synonymous conserved (PhyloP=1.25 with no splicing effect.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CRYAANM_000394.4 linkc.159C>T p.Phe53Phe synonymous_variant Exon 1 of 3 ENST00000291554.6 NP_000385.1 P02489
LOC107987300XR_007067885.1 linkn.546+1779G>A intron_variant Intron 1 of 2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CRYAAENST00000291554.6 linkc.159C>T p.Phe53Phe synonymous_variant Exon 1 of 3 1 NM_000394.4 ENSP00000291554.2 P02489
CRYAAENST00000482775.1 linkn.172C>T non_coding_transcript_exon_variant Exon 1 of 4 5

Frequencies

GnomAD3 genomes
AF:
0.0000130
AC:
1
AN:
76964
Hom.:
0
Cov.:
9
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000121
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000117
AC:
29
AN:
248628
AF XY:
0.0000817
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000810
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:
0.000163
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000394
AC:
29
AN:
735624
Hom.:
4
Cov.:
10
AF XY:
0.0000288
AC XY:
11
AN XY:
381650
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
16822
American (AMR)
AF:
0.000790
AC:
28
AN:
35424
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18028
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37328
South Asian (SAS)
AF:
0.00
AC:
0
AN:
71314
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
29820
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2900
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
488530
Other (OTH)
AF:
0.0000282
AC:
1
AN:
35458
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.568
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.0000130
AC:
1
AN:
76964
Hom.:
0
Cov.:
9
AF XY:
0.0000270
AC XY:
1
AN XY:
37044
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
18934
American (AMR)
AF:
0.000121
AC:
1
AN:
8264
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
1966
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3984
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2686
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5202
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
170
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
34226
Other (OTH)
AF:
0.00
AC:
0
AN:
910
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.375
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

Genome 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
Alfa
AF:
0.000144
Hom.:
0

ClinVar

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

Submissions by phenotype

Cataract 9 multiple types Benign:1
Mar 24, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.36
CADD
Benign
11
DANN
Benign
0.78
PhyloP100
1.2
PromoterAI
-0.036
Neutral

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: rs758292459; hg19: chr21-44589368; API