6-139373337-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 0P and 2B. BP4BS2_Supporting

The NM_006079.5(CITED2):​c.608C>T​(p.Ala203Val) variant causes a missense change. The variant allele was found at a frequency of 0.00000685 in 1,605,570 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000062 ( 0 hom. )

Consequence

CITED2
NM_006079.5 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.50
Variant links:
Genes affected
CITED2 (HGNC:1987): (Cbp/p300 interacting transactivator with Glu/Asp rich carboxy-terminal domain 2) The protein encoded by this gene inhibits transactivation of HIF1A-induced genes by competing with binding of hypoxia-inducible factor 1-alpha to p300-CH1. Mutations in this gene are a cause of cardiac septal defects. Alternatively spliced transcript variants encoding multiple isoforms have been observed for this gene. [provided by RefSeq, May 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.34148476).
BS2
High AC in GnomAdExome4 at 9 AD gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CITED2NM_006079.5 linkuse as main transcriptc.608C>T p.Ala203Val missense_variant 2/2 ENST00000367651.4 NP_006070.2
CITED2NM_001168389.3 linkuse as main transcriptc.623C>T p.Ala208Val missense_variant 2/2 NP_001161861.2
CITED2NM_001168388.3 linkuse as main transcriptc.608C>T p.Ala203Val missense_variant 2/2 NP_001161860.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CITED2ENST00000367651.4 linkuse as main transcriptc.608C>T p.Ala203Val missense_variant 2/21 NM_006079.5 ENSP00000356623 P1Q99967-1
ENST00000650173.1 linkuse as main transcriptn.510-55744G>A intron_variant, non_coding_transcript_variant
CITED2ENST00000537332.2 linkuse as main transcriptc.623C>T p.Ala208Val missense_variant 2/23 ENSP00000444198
CITED2ENST00000536159.2 linkuse as main transcriptc.608C>T p.Ala203Val missense_variant 2/23 ENSP00000442831 P1Q99967-1

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152136
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000216
AC:
5
AN:
231582
Hom.:
0
AF XY:
0.0000156
AC XY:
2
AN XY:
127938
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000601
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000294
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000619
AC:
9
AN:
1453434
Hom.:
0
Cov.:
31
AF XY:
0.00000691
AC XY:
5
AN XY:
723148
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000453
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000631
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152136
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74332
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000294
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000574
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000166
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsApr 07, 2023The c.608C>T (p.A203V) alteration is located in exon 2 (coding exon 1) of the CITED2 gene. This alteration results from a C to T substitution at nucleotide position 608, causing the alanine (A) at amino acid position 203 to be replaced by a valine (V). 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
0.13
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.20
T;T;T
Eigen
Benign
0.11
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Uncertain
0.87
D
LIST_S2
Benign
0.72
.;T;T
M_CAP
Uncertain
0.22
D
MetaRNN
Benign
0.34
T;T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.0
L;.;L
MutationTaster
Benign
0.98
D;D;D
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-0.99
N;.;N
REVEL
Benign
0.13
Sift
Uncertain
0.029
D;.;D
Sift4G
Benign
0.30
T;T;T
Polyphen
0.19
B;.;B
Vest4
0.30
MutPred
0.72
Gain of catalytic residue at A203 (P = 0.0718);.;Gain of catalytic residue at A203 (P = 0.0718);
MVP
0.36
MPC
0.33
ClinPred
0.57
D
GERP RS
5.4
Varity_R
0.31
gMVP
0.54

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: rs768243056; hg19: chr6-139694474; API