4-55953113-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4BS1_SupportingBS2

The NM_025009.5(CEP135):​c.142C>T​(p.Arg48Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00045 in 1,593,488 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R48Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00047 ( 3 hom. )

Consequence

CEP135
NM_025009.5 missense

Scores

3
8
8

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 3.07
Variant links:
Genes affected
CEP135 (HGNC:29086): (centrosomal protein 135) This gene encodes a centrosomal protein, which acts as a scaffolding protein during early centriole biogenesis, and is also required for centriole-centriole cohesion during interphase. Mutations in this gene are associated with autosomal recessive primary microcephaly-8. [provided by RefSeq, Jun 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.36521778).
BS1
Variant frequency is greater than expected in population sas. gnomad4_exome allele frequency = 0.00047 (678/1441372) while in subpopulation SAS AF= 0.00135 (110/81748). AF 95% confidence interval is 0.00114. There are 3 homozygotes in gnomad4_exome. There are 375 alleles in male gnomad4_exome subpopulation. Median coverage is 30. This position pass quality control queck. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CEP135NM_025009.5 linkuse as main transcriptc.142C>T p.Arg48Trp missense_variant 3/26 ENST00000257287.5
LOC124900705XR_007058124.1 linkuse as main transcriptn.198-642G>A intron_variant, non_coding_transcript_variant
CEP135XM_006714055.4 linkuse as main transcriptc.142C>T p.Arg48Trp missense_variant 3/26

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CEP135ENST00000257287.5 linkuse as main transcriptc.142C>T p.Arg48Trp missense_variant 3/261 NM_025009.5 P1Q66GS9-1
CEP135ENST00000422247.6 linkuse as main transcriptc.142C>T p.Arg48Trp missense_variant 3/62 Q66GS9-2
CEP135ENST00000706800.1 linkuse as main transcriptn.315C>T non_coding_transcript_exon_variant 3/5

Frequencies

GnomAD3 genomes
AF:
0.000256
AC:
39
AN:
152116
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000412
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000350
AC:
81
AN:
231390
Hom.:
0
AF XY:
0.000383
AC XY:
48
AN XY:
125256
show subpopulations
Gnomad AFR exome
AF:
0.0000651
Gnomad AMR exome
AF:
0.000172
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00149
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000315
Gnomad OTH exome
AF:
0.000358
GnomAD4 exome
AF:
0.000470
AC:
678
AN:
1441372
Hom.:
3
Cov.:
30
AF XY:
0.000523
AC XY:
375
AN XY:
716486
show subpopulations
Gnomad4 AFR exome
AF:
0.0000937
Gnomad4 AMR exome
AF:
0.000330
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00135
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000480
Gnomad4 OTH exome
AF:
0.000353
GnomAD4 genome
AF:
0.000256
AC:
39
AN:
152116
Hom.:
0
Cov.:
33
AF XY:
0.000188
AC XY:
14
AN XY:
74290
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000196
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000192
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.000479
Alfa
AF:
0.000459
Hom.:
0
Bravo
AF:
0.000295
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000313
AC:
38
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:2Benign:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxFeb 16, 2021In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJan 01, 2021- -
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 18, 2024This sequence change replaces arginine, which is basic and polar, with tryptophan, which is neutral and slightly polar, at codon 48 of the CEP135 protein (p.Arg48Trp). This variant is present in population databases (rs202084972, gnomAD 0.1%). This variant has not been reported in the literature in individuals affected with CEP135-related conditions. ClinVar contains an entry for this variant (Variation ID: 434720). An algorithm developed to predict the effect of missense changes on protein structure and function (PolyPhen-2) suggests that this variant is likely to be disruptive. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoFeb 20, 2017- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.46
BayesDel_addAF
Benign
-0.28
T
BayesDel_noAF
Benign
-0.21
CADD
Pathogenic
28
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.25
.;T
Eigen
Uncertain
0.63
Eigen_PC
Uncertain
0.57
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Pathogenic
0.97
D;D
M_CAP
Benign
0.047
D
MetaRNN
Benign
0.37
T;T
MetaSVM
Benign
-0.35
T
MutationAssessor
Uncertain
2.6
M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.66
T
PROVEAN
Pathogenic
-6.5
D;D
REVEL
Benign
0.22
Sift
Uncertain
0.0010
D;D
Sift4G
Uncertain
0.0020
D;D
Polyphen
1.0
D;D
Vest4
0.81
MVP
0.68
MPC
0.37
ClinPred
0.22
T
GERP RS
4.6
Varity_R
0.43
gMVP
0.55

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs202084972; hg19: chr4-56819279; COSMIC: COSV104566291; COSMIC: COSV104566291; API