6-73425497-G-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_138441.3(CGAS):​c.1299C>A​(p.Phe433Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00026 in 1,613,340 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00016 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00027 ( 0 hom. )

Consequence

CGAS
NM_138441.3 missense

Scores

2
7
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.79
Variant links:
Genes affected
CGAS (HGNC:21367): (cyclic GMP-AMP synthase) Enables several functions, including 2',3'-cyclic GMP-AMP synthase activity; chromatin binding activity; and phosphatidylinositol-4,5-bisphosphate binding activity. Involved in several processes, including cellular response to exogenous dsRNA; positive regulation of intracellular signal transduction; and regulation of defense response. Located in several cellular components, including cytosol; nucleus; and site of double-strand break. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.4033187).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CGASNM_138441.3 linkuse as main transcriptc.1299C>A p.Phe433Leu missense_variant 5/5 ENST00000370315.4 NP_612450.2
CGASNM_001410911.1 linkuse as main transcriptc.1299C>A p.Phe433Leu missense_variant 5/6 NP_001397840.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CGASENST00000370315.4 linkuse as main transcriptc.1299C>A p.Phe433Leu missense_variant 5/51 NM_138441.3 ENSP00000359339 P1Q8N884-1
CGASENST00000370318.5 linkuse as main transcriptc.1299C>A p.Phe433Leu missense_variant 5/61 ENSP00000359342 Q8N884-2
CGASENST00000680833.1 linkuse as main transcriptc.1299C>A p.Phe433Leu missense_variant 5/6 ENSP00000506638

Frequencies

GnomAD3 genomes
AF:
0.000158
AC:
24
AN:
152082
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000724
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000394
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:
0.000221
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000231
AC:
58
AN:
250604
Hom.:
0
AF XY:
0.000214
AC XY:
29
AN XY:
135490
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000789
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000545
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000229
Gnomad OTH exome
AF:
0.000655
GnomAD4 exome
AF:
0.000271
AC:
396
AN:
1461140
Hom.:
0
Cov.:
32
AF XY:
0.000271
AC XY:
197
AN XY:
726898
show subpopulations
Gnomad4 AFR exome
AF:
0.000179
Gnomad4 AMR exome
AF:
0.000765
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000307
Gnomad4 OTH exome
AF:
0.000232
GnomAD4 genome
AF:
0.000158
AC:
24
AN:
152200
Hom.:
0
Cov.:
33
AF XY:
0.000161
AC XY:
12
AN XY:
74436
show subpopulations
Gnomad4 AFR
AF:
0.0000722
Gnomad4 AMR
AF:
0.000393
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000221
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000239
Hom.:
0
Bravo
AF:
0.000246
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000165
AC:
20
EpiCase
AF:
0.000218
EpiControl
AF:
0.000356

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 GeneticsDec 09, 2023The c.1299C>A (p.F433L) alteration is located in exon 5 (coding exon 5) of the MB21D1 gene. This alteration results from a C to A substitution at nucleotide position 1299, causing the phenylalanine (F) at amino acid position 433 to be replaced by a leucine (L). 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
Pathogenic
0.93
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.023
.;T
Eigen
Uncertain
0.32
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.77
T;T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.40
T;T
MetaSVM
Benign
-0.95
T
MutationAssessor
Uncertain
2.6
M;M
MutationTaster
Benign
0.83
D;D;D
PrimateAI
Uncertain
0.68
T
PROVEAN
Uncertain
-3.3
D;D
REVEL
Benign
0.19
Sift
Pathogenic
0.0
D;T
Sift4G
Benign
0.15
T;T
Polyphen
0.96
.;D
Vest4
0.64
MutPred
0.44
Loss of methylation at K432 (P = 0.0289);Loss of methylation at K432 (P = 0.0289);
MVP
0.32
MPC
0.89
ClinPred
0.53
D
GERP RS
4.0
Varity_R
0.86
gMVP
0.48

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: rs141390590; hg19: chr6-74135220; COSMIC: COSV100943647; API