22-23181415-C-T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_004327.4(BCR):​c.455C>T​(p.Ala152Val) variant causes a missense change. The variant allele was found at a frequency of 0.0021 in 1,575,312 control chromosomes in the GnomAD database, including 16 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A152T) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0020 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0021 ( 15 hom. )

Consequence

BCR
NM_004327.4 missense

Scores

2
6
9

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 5.47

Publications

4 publications found
Variant links:
Genes affected
BCR (HGNC:1014): (BCR activator of RhoGEF and GTPase) A reciprocal translocation between chromosomes 22 and 9 produces the Philadelphia chromosome, which is often found in patients with chronic myelogenous leukemia. The chromosome 22 breakpoint for this translocation is located within the BCR gene. The translocation produces a fusion protein which is encoded by sequence from both BCR and ABL, the gene at the chromosome 9 breakpoint. Although the BCR-ABL fusion protein has been extensively studied, the function of the normal BCR gene product is not clear. The unregulated tyrosine kinase activity of BCR-ABL1 contributes to the immortality of leukaemic cells. The BCR protein has serine/threonine kinase activity and is a GTPase-activating protein for p21rac and other kinases. Two transcript variants encoding different isoforms have been found for this gene.[provided by RefSeq, Jan 2020]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009052664).
BP6
Variant 22-23181415-C-T is Benign according to our data. Variant chr22-23181415-C-T is described in ClinVar as Benign. ClinVar VariationId is 708500.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 311 AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004327.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BCR
NM_004327.4
MANE Select
c.455C>Tp.Ala152Val
missense
Exon 1 of 23NP_004318.3
BCR
NM_021574.3
c.455C>Tp.Ala152Val
missense
Exon 1 of 22NP_067585.2P11274-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
BCR
ENST00000305877.13
TSL:1 MANE Select
c.455C>Tp.Ala152Val
missense
Exon 1 of 23ENSP00000303507.8P11274-1
BCR
ENST00000359540.7
TSL:1
c.455C>Tp.Ala152Val
missense
Exon 1 of 22ENSP00000352535.3P11274-2
BCR
ENST00000928588.1
c.455C>Tp.Ala152Val
missense
Exon 1 of 23ENSP00000598647.1

Frequencies

GnomAD3 genomes
AF:
0.00205
AC:
311
AN:
152056
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0143
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00215
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.00272
AC:
589
AN:
216466
AF XY:
0.00276
show subpopulations
Gnomad AFR exome
AF:
0.000219
Gnomad AMR exome
AF:
0.0000332
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0150
Gnomad NFE exome
AF:
0.00303
Gnomad OTH exome
AF:
0.00326
GnomAD4 exome
AF:
0.00211
AC:
3005
AN:
1423140
Hom.:
15
Cov.:
31
AF XY:
0.00211
AC XY:
1483
AN XY:
703880
show subpopulations
African (AFR)
AF:
0.000217
AC:
7
AN:
32248
American (AMR)
AF:
0.000123
AC:
5
AN:
40496
Ashkenazi Jewish (ASJ)
AF:
0.0000412
AC:
1
AN:
24280
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38930
South Asian (SAS)
AF:
0.0000121
AC:
1
AN:
82842
European-Finnish (FIN)
AF:
0.0153
AC:
747
AN:
48806
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5586
European-Non Finnish (NFE)
AF:
0.00197
AC:
2154
AN:
1091448
Other (OTH)
AF:
0.00154
AC:
90
AN:
58504
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
190
380
570
760
950
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
72
144
216
288
360
<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
AF:
0.00204
AC:
311
AN:
152172
Hom.:
1
Cov.:
32
AF XY:
0.00238
AC XY:
177
AN XY:
74394
show subpopulations
African (AFR)
AF:
0.000241
AC:
10
AN:
41552
American (AMR)
AF:
0.000196
AC:
3
AN:
15296
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5150
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.0143
AC:
151
AN:
10582
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00215
AC:
146
AN:
67974
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.513
Heterozygous variant carriers
0
16
33
49
66
82
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.00174
Hom.:
1
Bravo
AF:
0.000926
TwinsUK
AF:
0.00216
AC:
8
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000983
AC:
8
ExAC
AF:
0.00305
AC:
364

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.73
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.29
CADD
Pathogenic
28
DANN
Uncertain
1.0
DEOGEN2
Benign
0.32
T
Eigen
Uncertain
0.28
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.97
D
MetaRNN
Benign
0.0091
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
2.0
M
PhyloP100
5.5
PrimateAI
Pathogenic
0.90
D
PROVEAN
Benign
-0.97
N
REVEL
Benign
0.15
Sift
Benign
0.072
T
Sift4G
Uncertain
0.0090
D
Polyphen
1.0
D
Vest4
0.60
MVP
0.56
MPC
0.73
ClinPred
0.043
T
GERP RS
4.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.16
gMVP
0.46
Mutation Taster
=86/14
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: rs149933313; hg19: chr22-23523602; API