6-25097070-C-G

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NR_002174.2(CMAHP):​n.1141G>C variant causes a non coding transcript exon change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0794 in 468,096 control chromosomes in the GnomAD database, including 1,965 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.10 ( 1060 hom., cov: 32)
Exomes 𝑓: 0.068 ( 905 hom. )

Consequence

CMAHP
NR_002174.2 non_coding_transcript_exon

Scores

2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 3.17
Variant links:
Genes affected
CMAHP (HGNC:2098): (cytidine monophospho-N-acetylneuraminic acid hydroxylase, pseudogene) Sialic acids are terminal components of the carbohydrate chains of glycoconjugates involved in ligand-receptor, cell-cell, and cell-pathogen interactions. The two most common forms of sialic acid found in mammalian cells are N-acetylneuraminic acid (Neu5Ac) and its hydroxylated derivative, N-glycolylneuraminic acid (Neu5Gc). Studies of sialic acid distribution show that Neu5Gc is not detectable in normal human tissues although it was an abundant sialic acid in other mammals. Neu5Gc is, in actuality, immunogenic in humans. The absense of Neu5Gc in humans is due to a deletion within the human gene CMAH encoding cytidine monophosphate-N-acetylneuraminic acid hydroxylase, an enzyme responsible for Neu5Gc biosynthesis. Sequences encoding the mouse, pig, and chimpanzee hydroxylase enzymes were obtained by cDNA cloning and found to be highly homologous. However, the homologous human cDNA differs from these cDNAs by a 92-bp deletion in the 5' region. This deletion, corresponding to exon 6 of the mouse hydroxylase gene, causes a frameshift mutation and premature termination of the polypeptide chain in human. It seems unlikely that the truncated human hydroxylase mRNA encodes for an active enzyme explaining why Neu5Gc is undetectable in normal human tissues. Human genomic DNA also shows evidence of this deletion which does not occur in the genomes of African great apes. Nonetheless, the CMAH gene maps to 6p21.32 in humans and great apes indicating that mutation of the CMAH gene occurred following human divergence from chimpanzees and bonobos. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.5).
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.193 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CMAHPNR_002174.2 linkuse as main transcriptn.1141G>C non_coding_transcript_exon_variant 8/13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CMAHPENST00000377993.8 linkuse as main transcriptn.1149G>C non_coding_transcript_exon_variant 9/141
ENST00000643807.1 linkuse as main transcriptn.1505G>C non_coding_transcript_exon_variant 11/16
ENST00000648291.1 linkuse as main transcriptn.392+18359C>G intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.104
AC:
15765
AN:
152086
Hom.:
1053
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.196
Gnomad AMI
AF:
0.0559
Gnomad AMR
AF:
0.0624
Gnomad ASJ
AF:
0.113
Gnomad EAS
AF:
0.0283
Gnomad SAS
AF:
0.0476
Gnomad FIN
AF:
0.0879
Gnomad MID
AF:
0.0823
Gnomad NFE
AF:
0.0692
Gnomad OTH
AF:
0.0989
GnomAD3 exomes
AF:
0.0688
AC:
10279
AN:
149444
Hom.:
485
AF XY:
0.0678
AC XY:
5433
AN XY:
80184
show subpopulations
Gnomad AFR exome
AF:
0.196
Gnomad AMR exome
AF:
0.0397
Gnomad ASJ exome
AF:
0.109
Gnomad EAS exome
AF:
0.0287
Gnomad SAS exome
AF:
0.0545
Gnomad FIN exome
AF:
0.0828
Gnomad NFE exome
AF:
0.0689
Gnomad OTH exome
AF:
0.0674
GnomAD4 exome
AF:
0.0677
AC:
21379
AN:
315892
Hom.:
905
Cov.:
0
AF XY:
0.0665
AC XY:
11878
AN XY:
178566
show subpopulations
Gnomad4 AFR exome
AF:
0.190
Gnomad4 AMR exome
AF:
0.0402
Gnomad4 ASJ exome
AF:
0.110
Gnomad4 EAS exome
AF:
0.0293
Gnomad4 SAS exome
AF:
0.0531
Gnomad4 FIN exome
AF:
0.0816
Gnomad4 NFE exome
AF:
0.0677
Gnomad4 OTH exome
AF:
0.0757
GnomAD4 genome
AF:
0.104
AC:
15796
AN:
152204
Hom.:
1060
Cov.:
32
AF XY:
0.102
AC XY:
7572
AN XY:
74430
show subpopulations
Gnomad4 AFR
AF:
0.197
Gnomad4 AMR
AF:
0.0624
Gnomad4 ASJ
AF:
0.113
Gnomad4 EAS
AF:
0.0283
Gnomad4 SAS
AF:
0.0472
Gnomad4 FIN
AF:
0.0879
Gnomad4 NFE
AF:
0.0692
Gnomad4 OTH
AF:
0.0974
Alfa
AF:
0.0640
Hom.:
121
Bravo
AF:
0.106
Asia WGS
AF:
0.0420
AC:
147
AN:
3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.50
CADD
Benign
18
DANN
Benign
0.24

Splicing

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: rs1128827; hg19: chr6-25097298; API