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GeneBe

4-165467692-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001873.4(CPE):c.509G>T(p.Gly170Val) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 7.0e-7 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CPE
NM_001873.4 missense

Scores

4
7
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.34
Variant links:
Genes affected
CPE (HGNC:2303): (carboxypeptidase E) This gene encodes a member of the M14 family of metallocarboxypeptidases. The encoded preproprotein is proteolytically processed to generate the mature peptidase. This peripheral membrane protein cleaves C-terminal amino acid residues and is involved in the biosynthesis of peptide hormones and neurotransmitters, including insulin. This protein may also function independently of its peptidase activity, as a neurotrophic factor that promotes neuronal survival, and as a sorting receptor that binds to regulated secretory pathway proteins, including prohormones. Mutations in this gene are implicated in type 2 diabetes. [provided by RefSeq, Nov 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CPENM_001873.4 linkuse as main transcriptc.509G>T p.Gly170Val missense_variant 3/9 ENST00000402744.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CPEENST00000402744.9 linkuse as main transcriptc.509G>T p.Gly170Val missense_variant 3/91 NM_001873.4 P1P16870-1
CPEENST00000511992.1 linkuse as main transcriptc.173G>T p.Gly58Val missense_variant 3/55
CPEENST00000431967.5 linkuse as main transcriptc.173G>T p.Gly58Val missense_variant 3/44
CPEENST00000513982.5 linkuse as main transcriptc.173G>T p.Gly58Val missense_variant 3/44

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
7.05e-7
AC:
1
AN:
1419250
Hom.:
0
Cov.:
33
AF XY:
0.00000142
AC XY:
1
AN XY:
705010
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.12e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 06, 2021The c.509G>T (p.G170V) alteration is located in exon 3 (coding exon 3) of the CPE gene. This alteration results from a G to T substitution at nucleotide position 509, causing the glycine (G) at amino acid position 170 to be replaced by a valine (V). 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
Uncertain
0.41
BayesDel_addAF
Pathogenic
0.19
D
BayesDel_noAF
Uncertain
0.040
Cadd
Uncertain
24
Dann
Uncertain
1.0
DEOGEN2
Benign
0.022
T;T;T;T
Eigen
Uncertain
0.64
Eigen_PC
Pathogenic
0.68
FATHMM_MKL
Pathogenic
1.0
D
LIST_S2
Benign
0.77
T;T;T;T
M_CAP
Benign
0.031
D
MetaRNN
Uncertain
0.67
D;D;D;D
MetaSVM
Benign
-1.1
T
MutationTaster
Benign
1.0
D
PrimateAI
Pathogenic
0.82
D
PROVEAN
Uncertain
-3.8
D;D;D;D
REVEL
Uncertain
0.51
Sift
Benign
0.090
T;D;T;T
Sift4G
Benign
0.13
T;T;T;T
Polyphen
0.91
.;P;.;.
Vest4
0.63
MutPred
0.55
.;Loss of disorder (P = 0.0283);.;.;
MVP
0.55
MPC
1.7
ClinPred
0.99
D
GERP RS
5.3
Varity_R
0.74
gMVP
0.87

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr4-166388844; API