4-56020780-G-A
Variant summary
Our verdict is Uncertain significance. The variant received 3 ACMG points: 4P and 1B. PP3_StrongBP6
The NM_025009.5(CEP135):c.3320G>A(p.Arg1107Gln) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000149 in 1,607,034 control chromosomes in the GnomAD database, with no homozygous occurrence. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_025009.5 missense, splice_region
Scores
Clinical Significance
Conservation
Publications
- microcephaly 8, primary, autosomal recessiveInheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), G2P
- autosomal recessive primary microcephalyInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
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ACMG classification
Our verdict: Uncertain_significance. The variant received 3 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt | 
|---|---|---|---|---|---|---|---|---|
| CEP135 | NM_025009.5 | c.3320G>A | p.Arg1107Gln | missense_variant, splice_region_variant | Exon 24 of 26 | ENST00000257287.5 | NP_079285.2 | |
| CEP135 | XM_006714055.4 | c.3287G>A | p.Arg1096Gln | missense_variant, splice_region_variant | Exon 24 of 26 | XP_006714118.1 | ||
| CEP135 | XM_005265788.5 | c.2249G>A | p.Arg750Gln | missense_variant, splice_region_variant | Exon 17 of 19 | XP_005265845.1 | ||
| CEP135 | XM_011534412.2 | c.1790G>A | p.Arg597Gln | missense_variant, splice_region_variant | Exon 14 of 16 | XP_011532714.1 | 
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt | 
|---|---|---|---|---|---|---|---|---|---|---|
| CEP135 | ENST00000257287.5 | c.3320G>A | p.Arg1107Gln | missense_variant, splice_region_variant | Exon 24 of 26 | 1 | NM_025009.5 | ENSP00000257287.3 | ||
| CEP135 | ENST00000506202.1 | n.3270G>A | splice_region_variant, non_coding_transcript_exon_variant | Exon 17 of 19 | 1 | |||||
| CEP135 | ENST00000706801.1 | n.1385G>A | splice_region_variant, non_coding_transcript_exon_variant | Exon 8 of 10 | 
Frequencies
GnomAD3 genomes  0.0000789  AC: 12AN: 152014Hom.:  0  Cov.: 32 show subpopulations 
GnomAD2 exomes  AF:  0.00000808  AC: 2AN: 247592 AF XY:  0.00000748   show subpopulations 
GnomAD4 exome  AF:  0.00000825  AC: 12AN: 1455020Hom.:  0  Cov.: 28 AF XY:  0.00000829  AC XY: 6AN XY: 723676 show subpopulations 
Age Distribution
GnomAD4 genome  0.0000789  AC: 12AN: 152014Hom.:  0  Cov.: 32 AF XY:  0.0000943  AC XY: 7AN XY: 74224 show subpopulations 
Age Distribution
ClinVar
Submissions by phenotype
not specified    Uncertain:1 
- -
not provided    Uncertain:1 
This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 1107 of the CEP135 protein (p.Arg1107Gln). This variant also falls at the last nucleotide of exon 24, which is part of the consensus splice site for this exon. This variant is present in population databases (rs745603844, gnomAD 0.02%). 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: 210682). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). 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. -
See cases    Benign:1 
ACMG classification criteria: PM2, BP1, BP4 -
Computational scores
Source: 
Splicing
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at