4-15480698-C-T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001378615.1(CC2D2A):​c.124-6C>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0713 in 1,606,312 control chromosomes in the GnomAD database, including 11,290 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.17 ( 4244 hom., cov: 31)
Exomes 𝑓: 0.061 ( 7046 hom. )

Consequence

CC2D2A
NM_001378615.1 splice_region, intron

Scores

2
Splicing: ADA: 0.00002531
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:11

Conservation

PhyloP100: 1.06

Publications

9 publications found
Variant links:
Genes affected
CC2D2A (HGNC:29253): (coiled-coil and C2 domain containing 2A) This gene encodes a coiled-coil and calcium binding domain protein that appears to play a critical role in cilia formation. Mutations in this gene cause Meckel syndrome type 6, as well as Joubert syndrome type 9. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]
CC2D2A Gene-Disease associations (from GenCC):
  • ciliopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Joubert syndrome 9
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, G2P
  • retinitis pigmentosa 93
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • COACH syndrome 1
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Joubert syndrome with oculorenal defect
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • Meckel syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 4-15480698-C-T is Benign according to our data. Variant chr4-15480698-C-T is described in ClinVar as Benign. ClinVar VariationId is 93531.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.41 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CC2D2ANM_001378615.1 linkc.124-6C>T splice_region_variant, intron_variant Intron 3 of 36 ENST00000424120.6 NP_001365544.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CC2D2AENST00000424120.6 linkc.124-6C>T splice_region_variant, intron_variant Intron 3 of 36 5 NM_001378615.1 ENSP00000403465.1

Frequencies

GnomAD3 genomes
AF:
0.167
AC:
25398
AN:
151832
Hom.:
4238
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.415
Gnomad AMI
AF:
0.0559
Gnomad AMR
AF:
0.216
Gnomad ASJ
AF:
0.0130
Gnomad EAS
AF:
0.158
Gnomad SAS
AF:
0.109
Gnomad FIN
AF:
0.0654
Gnomad MID
AF:
0.0411
Gnomad NFE
AF:
0.0375
Gnomad OTH
AF:
0.144
GnomAD2 exomes
AF:
0.110
AC:
26052
AN:
236020
AF XY:
0.0975
show subpopulations
Gnomad AFR exome
AF:
0.422
Gnomad AMR exome
AF:
0.273
Gnomad ASJ exome
AF:
0.00858
Gnomad EAS exome
AF:
0.151
Gnomad FIN exome
AF:
0.0545
Gnomad NFE exome
AF:
0.0367
Gnomad OTH exome
AF:
0.0815
GnomAD4 exome
AF:
0.0612
AC:
89070
AN:
1454362
Hom.:
7046
Cov.:
29
AF XY:
0.0600
AC XY:
43400
AN XY:
722902
show subpopulations
African (AFR)
AF:
0.436
AC:
14493
AN:
33260
American (AMR)
AF:
0.269
AC:
11622
AN:
43196
Ashkenazi Jewish (ASJ)
AF:
0.00933
AC:
242
AN:
25934
East Asian (EAS)
AF:
0.164
AC:
6464
AN:
39340
South Asian (SAS)
AF:
0.0976
AC:
8281
AN:
84806
European-Finnish (FIN)
AF:
0.0553
AC:
2934
AN:
53024
Middle Eastern (MID)
AF:
0.0578
AC:
332
AN:
5748
European-Non Finnish (NFE)
AF:
0.0361
AC:
40062
AN:
1108908
Other (OTH)
AF:
0.0771
AC:
4640
AN:
60146
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.449
Heterozygous variant carriers
0
3556
7112
10667
14223
17779
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1902
3804
5706
7608
9510
<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:
0.167
AC:
25427
AN:
151950
Hom.:
4244
Cov.:
31
AF XY:
0.169
AC XY:
12539
AN XY:
74302
show subpopulations
African (AFR)
AF:
0.415
AC:
17155
AN:
41340
American (AMR)
AF:
0.215
AC:
3282
AN:
15262
Ashkenazi Jewish (ASJ)
AF:
0.0130
AC:
45
AN:
3468
East Asian (EAS)
AF:
0.158
AC:
812
AN:
5144
South Asian (SAS)
AF:
0.108
AC:
520
AN:
4810
European-Finnish (FIN)
AF:
0.0654
AC:
694
AN:
10608
Middle Eastern (MID)
AF:
0.0374
AC:
11
AN:
294
European-Non Finnish (NFE)
AF:
0.0376
AC:
2554
AN:
68002
Other (OTH)
AF:
0.144
AC:
303
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
834
1669
2503
3338
4172
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
234
468
702
936
1170
<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:
0.0790
Hom.:
2130
Bravo
AF:
0.190
Asia WGS
AF:
0.164
AC:
571
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:11
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Sep 17, 2013
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

Oct 09, 2023
Athena Diagnostics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 03, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Meckel syndrome, type 6 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Meckel-Gruber syndrome;C0431399:Joubert syndrome Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Joubert syndrome 9 Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
7.5
DANN
Benign
0.31
PhyloP100
1.1
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000025
dbscSNV1_RF
Benign
0.0
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: rs1861049; hg19: chr4-15482322; COSMIC: COSV67503418; API