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GeneBe

5-19544003-T-A

Variant summary

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

The NM_004934.5(CDH18):c.1256A>T(p.Tyr419Phe) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000823 in 1,531,016 control chromosomes in the GnomAD database, including 1 homozygotes. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000085 ( 1 hom. )

Consequence

CDH18
NM_004934.5 missense, splice_region

Scores

1
7
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.70
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 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
CDH18NM_004934.5 linkuse as main transcriptc.1256A>T p.Tyr419Phe missense_variant, splice_region_variant 9/13 ENST00000382275.6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CDH18ENST00000382275.6 linkuse as main transcriptc.1256A>T p.Tyr419Phe missense_variant, splice_region_variant 9/131 NM_004934.5 P1Q13634-1

Frequencies

GnomAD3 genomes
AF:
0.0000592
AC:
9
AN:
152138
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000395
AC:
9
AN:
228008
Hom.:
0
AF XY:
0.0000484
AC XY:
6
AN XY:
123998
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000359
Gnomad ASJ exome
AF:
0.000233
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000560
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000849
AC:
117
AN:
1378878
Hom.:
1
Cov.:
23
AF XY:
0.0000846
AC XY:
58
AN XY:
685832
show subpopulations
Gnomad4 AFR exome
AF:
0.0000321
Gnomad4 AMR exome
AF:
0.0000268
Gnomad4 ASJ exome
AF:
0.000170
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000103
Gnomad4 OTH exome
AF:
0.0000354
GnomAD4 genome
AF:
0.0000592
AC:
9
AN:
152138
Hom.:
0
Cov.:
32
AF XY:
0.0000404
AC XY:
3
AN XY:
74316
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000568
Hom.:
0
Bravo
AF:
0.0000491
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000519
AC:
2
ExAC
AF:
0.00000824
AC:
1

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 GeneticsSep 06, 2022The c.1256A>T (p.Y419F) alteration is located in exon 9 (coding exon 7) of the CDH18 gene. This alteration results from a A to T substitution at nucleotide position 1256, causing the tyrosine (Y) at amino acid position 419 to be replaced by a phenylalanine (F). 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
0.16
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.22
Cadd
Uncertain
24
Dann
Uncertain
0.98
DEOGEN2
Benign
0.31
T;T;T;T;.;.;.
Eigen
Uncertain
0.58
Eigen_PC
Uncertain
0.59
FATHMM_MKL
Pathogenic
0.98
D
M_CAP
Benign
0.046
D
MetaRNN
Uncertain
0.63
D;D;D;D;D;D;D
MetaSVM
Benign
-0.35
T
MutationAssessor
Uncertain
2.1
M;M;M;.;M;.;.
MutationTaster
Benign
1.0
D;D;D;D;D;D;D
PrimateAI
Uncertain
0.64
T
PROVEAN
Uncertain
-3.5
D;D;D;D;D;D;D
REVEL
Benign
0.28
Sift
Benign
0.14
T;T;T;T;T;T;T
Sift4G
Benign
0.18
T;T;T;T;T;T;T
Polyphen
0.70
P;P;P;.;.;.;.
Vest4
0.62
MutPred
0.64
Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);.;Loss of sheet (P = 0.0817);
MVP
0.75
MPC
0.54
ClinPred
0.83
D
GERP RS
5.4
Varity_R
0.38
gMVP
0.63

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: rs776813973; hg19: chr5-19544112; API