6-32039119-G-C

Variant summary

Our verdict is Benign. Variant got -15 ACMG points: 0P and 15B. BP4_StrongBP6_ModerateBP7BS1BS2

The NM_000500.9(CYP21A2):ā€‹c.318G>Cā€‹(p.Pro106=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0248 in 1,483,998 control chromosomes in the GnomAD database, including 1,046 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…). Synonymous variant affecting the same amino acid position (i.e. P106P) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.025 ( 141 hom., cov: 31)
Exomes š‘“: 0.025 ( 905 hom. )

Consequence

CYP21A2
NM_000500.9 synonymous

Scores

2

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -2.25
Variant links:
Genes affected
CYP21A2 (HGNC:2600): (cytochrome P450 family 21 subfamily A member 2) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and hydroxylates steroids at the 21 position. Its activity is required for the synthesis of steroid hormones including cortisol and aldosterone. Mutations in this gene cause congenital adrenal hyperplasia. A related pseudogene is located near this gene; gene conversion events involving the functional gene and the pseudogene are thought to account for many cases of steroid 21-hydroxylase deficiency. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -15 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.92).
BP6
Variant 6-32039119-G-C is Benign according to our data. Variant chr6-32039119-G-C is described in ClinVar as [Benign]. Clinvar id is 256293.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr6-32039119-G-C is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-2.26 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0254 (3630/143174) while in subpopulation NFE AF= 0.0254 (1664/65546). AF 95% confidence interval is 0.0244. There are 141 homozygotes in gnomad4. There are 2105 alleles in male gnomad4 subpopulation. Median coverage is 31. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 141 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CYP21A2NM_000500.9 linkuse as main transcriptc.318G>C p.Pro106= synonymous_variant 3/10 ENST00000644719.2
CYP21A2NM_001128590.4 linkuse as main transcriptc.228G>C p.Pro76= synonymous_variant 2/9
CYP21A2NM_001368143.2 linkuse as main transcriptc.-88G>C 5_prime_UTR_variant 3/10
CYP21A2NM_001368144.2 linkuse as main transcriptc.-88G>C 5_prime_UTR_variant 2/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CYP21A2ENST00000644719.2 linkuse as main transcriptc.318G>C p.Pro106= synonymous_variant 3/10 NM_000500.9 P1

Frequencies

GnomAD3 genomes
AF:
0.0254
AC:
3629
AN:
143064
Hom.:
141
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00432
Gnomad AMI
AF:
0.0850
Gnomad AMR
AF:
0.00865
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000689
Gnomad SAS
AF:
0.00957
Gnomad FIN
AF:
0.171
Gnomad MID
AF:
0.00338
Gnomad NFE
AF:
0.0254
Gnomad OTH
AF:
0.00907
GnomAD3 exomes
AF:
0.0229
AC:
5585
AN:
244218
Hom.:
211
AF XY:
0.0223
AC XY:
2936
AN XY:
131930
show subpopulations
Gnomad AFR exome
AF:
0.00316
Gnomad AMR exome
AF:
0.00474
Gnomad ASJ exome
AF:
0.000203
Gnomad EAS exome
AF:
0.000110
Gnomad SAS exome
AF:
0.00458
Gnomad FIN exome
AF:
0.130
Gnomad NFE exome
AF:
0.0219
Gnomad OTH exome
AF:
0.0175
GnomAD4 exome
AF:
0.0247
AC:
33124
AN:
1340824
Hom.:
905
Cov.:
75
AF XY:
0.0241
AC XY:
16010
AN XY:
665058
show subpopulations
Gnomad4 AFR exome
AF:
0.00311
Gnomad4 AMR exome
AF:
0.00519
Gnomad4 ASJ exome
AF:
0.000368
Gnomad4 EAS exome
AF:
0.000437
Gnomad4 SAS exome
AF:
0.00628
Gnomad4 FIN exome
AF:
0.155
Gnomad4 NFE exome
AF:
0.0238
Gnomad4 OTH exome
AF:
0.0182
GnomAD4 genome
AF:
0.0254
AC:
3630
AN:
143174
Hom.:
141
Cov.:
31
AF XY:
0.0304
AC XY:
2105
AN XY:
69312
show subpopulations
Gnomad4 AFR
AF:
0.00431
Gnomad4 AMR
AF:
0.00864
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000690
Gnomad4 SAS
AF:
0.00979
Gnomad4 FIN
AF:
0.171
Gnomad4 NFE
AF:
0.0254
Gnomad4 OTH
AF:
0.00899
Alfa
AF:
0.00660
Hom.:
3

ClinVar

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

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.92
CADD
Benign
0.63
DANN
Benign
0.58

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: rs6455; hg19: chr6-32006896; COSMIC: COSV64473697; COSMIC: COSV64473697; API