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GeneBe

5-19473681-T-C

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_004934.5(CDH18):c.1918A>G(p.Lys640Glu) variant causes a missense change. The variant allele was found at a frequency of 0.000187 in 1,613,128 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00021 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00018 ( 2 hom. )

Consequence

CDH18
NM_004934.5 missense

Scores

3
9
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.16
Variant links:
Genes affected
CDH18 (HGNC:1757): (cadherin 18) This gene encodes a type II classical cadherin from the cadherin superfamily of integral membrane proteins that mediate calcium-dependent cell-cell adhesion. Mature cadherin proteins are composed of a large N-terminal extracellular domain, a single membrane-spanning domain, and a small, highly conserved C-terminal cytoplasmic domain. Type II (atypical) cadherins are defined based on their lack of a HAV cell adhesion recognition sequence specific to type I cadherins. This particular cadherin is expressed specifically in the central nervous system and is putatively involved in synaptic adhesion, axon outgrowth and guidance. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.017687201).
BS2
High Homozygotes in GnomAdExome at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CDH18NM_004934.5 linkuse as main transcriptc.1918A>G p.Lys640Glu missense_variant 13/13 ENST00000382275.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CDH18ENST00000382275.6 linkuse as main transcriptc.1918A>G p.Lys640Glu missense_variant 13/131 NM_004934.5 P1Q13634-1

Frequencies

GnomAD3 genomes
AF:
0.000210
AC:
32
AN:
152140
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00807
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000396
AC:
99
AN:
250188
Hom.:
2
AF XY:
0.000510
AC XY:
69
AN XY:
135276
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000290
Gnomad ASJ exome
AF:
0.00818
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000124
Gnomad OTH exome
AF:
0.000328
GnomAD4 exome
AF:
0.000184
AC:
269
AN:
1460988
Hom.:
2
Cov.:
32
AF XY:
0.000211
AC XY:
153
AN XY:
726838
show subpopulations
Gnomad4 AFR exome
AF:
0.0000598
Gnomad4 AMR exome
AF:
0.0000224
Gnomad4 ASJ exome
AF:
0.00774
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000342
Gnomad4 OTH exome
AF:
0.000431
GnomAD4 genome
AF:
0.000210
AC:
32
AN:
152140
Hom.:
0
Cov.:
31
AF XY:
0.000188
AC XY:
14
AN XY:
74326
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00807
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.000478
Alfa
AF:
0.000661
Hom.:
0
Bravo
AF:
0.000227
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000272
AC:
33
EpiCase
AF:
0.000218
EpiControl
AF:
0.0000593

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 GeneticsNov 05, 2021The c.1918A>G (p.K640E) alteration is located in exon 13 (coding exon 11) of the CDH18 gene. This alteration results from a A to G substitution at nucleotide position 1918, causing the lysine (K) at amino acid position 640 to be replaced by a glutamic acid (E). 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
0.38
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Pathogenic
0.16
Cadd
Uncertain
24
Dann
Uncertain
1.0
DEOGEN2
Benign
0.19
T;T;T
Eigen
Benign
0.15
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Pathogenic
0.97
D
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.018
T;T;T
MetaSVM
Benign
-0.56
T
MutationAssessor
Benign
1.8
L;L;L
MutationTaster
Benign
1.0
D;D;D;D;D;D
PrimateAI
Pathogenic
0.86
D
PROVEAN
Uncertain
-3.1
D;D;D
REVEL
Uncertain
0.48
Sift
Uncertain
0.0090
D;D;D
Sift4G
Uncertain
0.010
D;D;D
Polyphen
0.099
B;B;B
Vest4
0.70
MVP
0.82
MPC
0.66
ClinPred
0.11
T
GERP RS
6.2
Varity_R
0.55
gMVP
0.75

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: rs200080046; hg19: chr5-19473790; COSMIC: COSV99932301; API