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GeneBe

4-48986440-T-G

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_025087.3(CWH43):c.11T>G(p.Leu4Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000497 in 1,549,508 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000046 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000050 ( 1 hom. )

Consequence

CWH43
NM_025087.3 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.455
Variant links:
Genes affected
CWH43 (HGNC:26133): (cell wall biogenesis 43 C-terminal homolog) Predicted to be involved in GPI anchor biosynthetic process. Predicted to be integral component of membrane. Predicted to be active in endoplasmic reticulum. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.026655108).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CWH43NM_025087.3 linkuse as main transcriptc.11T>G p.Leu4Arg missense_variant 1/16 ENST00000226432.9
CWH43XM_011513755.2 linkuse as main transcriptc.11T>G p.Leu4Arg missense_variant 1/16
CWH43XM_011513758.2 linkuse as main transcriptc.11T>G p.Leu4Arg missense_variant 1/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CWH43ENST00000226432.9 linkuse as main transcriptc.11T>G p.Leu4Arg missense_variant 1/161 NM_025087.3 P1
CWH43ENST00000514053.6 linkuse as main transcriptc.11T>G p.Leu4Arg missense_variant, NMD_transcript_variant 1/145

Frequencies

GnomAD3 genomes
AF:
0.0000460
AC:
7
AN:
152154
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
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
GnomAD3 exomes
AF:
0.000370
AC:
59
AN:
159364
Hom.:
1
AF XY:
0.000224
AC XY:
19
AN XY:
84766
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00239
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000501
AC:
70
AN:
1397354
Hom.:
1
Cov.:
32
AF XY:
0.0000377
AC XY:
26
AN XY:
689730
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00190
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:
0.00
Gnomad4 OTH exome
AF:
0.0000345
GnomAD4 genome
AF:
0.0000460
AC:
7
AN:
152154
Hom.:
0
Cov.:
33
AF XY:
0.0000269
AC XY:
2
AN XY:
74322
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000458
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000207
Hom.:
0
Bravo
AF:
0.000117
ExAC
AF:
0.0000838
AC:
9
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 GeneticsJul 13, 2022The c.11T>G (p.L4R) alteration is located in exon 1 (coding exon 1) of the CWH43 gene. This alteration results from a T to G substitution at nucleotide position 11, causing the leucine (L) at amino acid position 4 to be replaced by an arginine (R). 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
0.079
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.41
Cadd
Benign
18
Dann
Benign
0.97
DEOGEN2
Benign
0.0047
T
Eigen
Benign
-0.74
Eigen_PC
Benign
-0.86
FATHMM_MKL
Benign
0.44
N
LIST_S2
Benign
0.41
T
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.027
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.5
L
MutationTaster
Benign
0.88
N
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-1.8
N
REVEL
Benign
0.094
Sift
Uncertain
0.010
D
Sift4G
Uncertain
0.016
D
Polyphen
0.73
P
Vest4
0.20
MutPred
0.37
Gain of solvent accessibility (P = 0.0171);
MVP
0.19
MPC
0.077
ClinPred
0.034
T
GERP RS
-0.77
Varity_R
0.36
gMVP
0.21

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: rs750687657; hg19: chr4-48988457; API