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5-39342112-G-T

Variant summary

Our verdict is Pathogenic. Variant got 16 ACMG points: 16P and 0B. PVS1PP5_Very_Strong

The NM_001737.5(C9):​c.162C>A​(p.Cys54Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00119 in 1,591,052 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. C54C) has been classified as Likely benign. Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.00093 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0012 ( 2 hom. )

Consequence

C9
NM_001737.5 stop_gained

Scores

2
2
3

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:6

Conservation

PhyloP100: 0.969
Variant links:
Genes affected
C9 (HGNC:1358): (complement C9) This gene encodes the final component of the complement system. It participates in the formation of the Membrane Attack Complex (MAC). The MAC assembles on bacterial membranes to form a pore, permitting disruption of bacterial membrane organization. Mutations in this gene cause component C9 deficiency. [provided by RefSeq, Feb 2009]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 16 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PP5
Variant 5-39342112-G-T is Pathogenic according to our data. Variant chr5-39342112-G-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 17041.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
C9NM_001737.5 linkuse as main transcriptc.162C>A p.Cys54Ter stop_gained 2/11 ENST00000263408.5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
C9ENST00000263408.5 linkuse as main transcriptc.162C>A p.Cys54Ter stop_gained 2/111 NM_001737.5 P2

Frequencies

GnomAD3 genomes
AF:
0.000927
AC:
141
AN:
152144
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000314
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000720
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00207
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00135
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.000891
AC:
224
AN:
251468
Hom.:
0
AF XY:
0.000846
AC XY:
115
AN XY:
135906
show subpopulations
Gnomad AFR exome
AF:
0.000369
Gnomad AMR exome
AF:
0.000231
Gnomad ASJ exome
AF:
0.000496
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00152
Gnomad NFE exome
AF:
0.00147
Gnomad OTH exome
AF:
0.000814
GnomAD4 exome
AF:
0.00122
AC:
1752
AN:
1438790
Hom.:
2
Cov.:
28
AF XY:
0.00125
AC XY:
895
AN XY:
717426
show subpopulations
Gnomad4 AFR exome
AF:
0.000212
Gnomad4 AMR exome
AF:
0.000246
Gnomad4 ASJ exome
AF:
0.000846
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000233
Gnomad4 FIN exome
AF:
0.00131
Gnomad4 NFE exome
AF:
0.00145
Gnomad4 OTH exome
AF:
0.000872
GnomAD4 genome
AF:
0.000926
AC:
141
AN:
152262
Hom.:
0
Cov.:
32
AF XY:
0.00101
AC XY:
75
AN XY:
74460
show subpopulations
Gnomad4 AFR
AF:
0.000313
Gnomad4 AMR
AF:
0.000719
Gnomad4 ASJ
AF:
0.000288
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00207
Gnomad4 NFE
AF:
0.00135
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.000936
Hom.:
0
Bravo
AF:
0.000933
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.00113
AC:
5
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.000988
AC:
120
EpiCase
AF:
0.00142
EpiControl
AF:
0.00124

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Complement component 9 deficiency Pathogenic:3
Likely pathogenic, criteria provided, single submitterresearchITMIFeb 28, 2017- -
Pathogenic, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineJul 28, 2023The p.Cys54X variant in C9 has been reported in at least 2 compound heterozygous individuals with C9 deficiency and segregated with disease at least 1 affected family member (selected publications: Hobart 1997 PMID: 9182899, Witzel-Schlomp 1997 PMID: 9144525, Witzel-Schlömp 1998 PMID: 9634479). It has been identified in 0.2% (22/10620) of Finnish chromosomes by gnomAD v3.1.2 (https://gnomad.broadinstitute.org/) and has also been reported in ClinVar (Variation ID 17041). This nonsense variant leads to a premature termination codon at position 54, which is predicted to lead to a truncated or absent protein. Loss of function of the C9 gene is an established disease mechanism in autosomal recessive C9 deficiency. In summary, this variant meets criteria to be classified as pathogenic for autosomal recessive C9 deficiency. ACMG/AMP criteria applied: PVS1, PM3, PP1 -
Pathogenic, no assertion criteria providedliterature onlyOMIMJul 01, 1998- -
not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingGeneDxApr 14, 2015The C54X variant in the C9 gene has been reported previously in association with complement 9 deficiency (Witzel-Schlomp et al., 1997). This variant is predicted to cause loss of normal protein function either through protein truncation or nonsense-mediated mRNA decay. The NHLBI ESP Exome Sequencing Project reports C54X was observed at a frequency of 0.24%, 21/8600 alleles from individuals of European ancestry, and at a frequency of 0.11%, 5/4406 alleles from individuals of African American ancestry indicating it may be a rare variant in this population. We interpret C54X as a pathogenic variant. -
Pathogenic, criteria provided, single submitterclinical testingInvitaeJan 18, 2024This sequence change creates a premature translational stop signal (p.Cys54*) in the C9 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in C9 are known to be pathogenic (PMID: 9144525, 9570574). This variant is present in population databases (rs34000044, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This premature translational stop signal has been observed in individual(s) with C9-deficiency (PMID: 9144525, 9634479). ClinVar contains an entry for this variant (Variation ID: 17041). For these reasons, this variant has been classified as Pathogenic. -
Complement component 9 deficiency;C3810042:Age related macular degeneration 15 Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsApr 07, 2022- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.54
CADD
Pathogenic
35
DANN
Uncertain
0.99
Eigen
Uncertain
0.28
Eigen_PC
Benign
0.095
FATHMM_MKL
Benign
0.59
D
MutationTaster
Benign
1.0
A
Vest4
0.65
GERP RS
2.9

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs34000044; hg19: chr5-39342214; API