7-117592412-C-T
Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6BP7
The NM_000492.4(CFTR):c.2245C>T(p.Leu749Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000743 in 1,613,358 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).
Frequency
Consequence
NM_000492.4 synonymous
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -4 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
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CFTR | NM_000492.4 | c.2245C>T | p.Leu749Leu | synonymous_variant | Exon 14 of 27 | ENST00000003084.11 | NP_000483.3 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000572 AC: 87AN: 152190Hom.: 0 Cov.: 33
GnomAD3 exomes AF: 0.000611 AC: 153AN: 250314Hom.: 0 AF XY: 0.000643 AC XY: 87AN XY: 135324
GnomAD4 exome AF: 0.000760 AC: 1111AN: 1461050Hom.: 1 Cov.: 32 AF XY: 0.000776 AC XY: 564AN XY: 726814
GnomAD4 genome AF: 0.000571 AC: 87AN: 152308Hom.: 0 Cov.: 33 AF XY: 0.000470 AC XY: 35AN XY: 74472
ClinVar
Submissions by phenotype
not provided Uncertain:2Benign:5
Variant summary: The variant affects a conserved nucleotide and results in a synonymous mutation. 5/5 in silico tools predict the variant not to have an impact on splicing while mutation taster predicts the variant to be disease causing. It was predominantly observed in the Non-Finnish European subcohort of the ExAC project at an allele frequency of 0.096% which does not exceed the maximal expected allele frequency of a disease causing CFTR allele (1.3%). It has been reported in patients with wide spectrum of CFTR-related disorders (CF, CBAVD, asthma and COPD) as well as in healthy population and often reported as polymorphism. In one CBAVD patient, this variant was found in cis with R764X (Pallares-Ruiz_1999). In addition, according to Bombieri, it does not lead to exon skipping, suggesting it is indeed not pathogenic. Considering all evidence, the variant was classified as Likely Benign. -
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CFTR: BP4, BP7 -
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In the published literature, the variant has been reported in individuals with cystic fibrosis (CF) (PMIDs: 24782259 (2021) and 7689013 (1993)), emphysema (PMID: 9921909 (1998)), and congenital bilateral absence of the vas deferens (CBAVD) and oligoasthenoteratozoospermia (OAT) (PMID: 10601093 (1999)). Analysis of this variant using software algorithms for the prediction of the effect of nucleotide changes on splicing yielded predictions that this variant does not affect CFTR mRNA splicing . Based on the available information, we are unable to determine the clinical significance of this variant. -
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Cystic fibrosis Benign:5
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This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
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CFTR-related disorder Uncertain:1
This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
not specified Benign:1
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Obstructive azoospermia Benign:1
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Hereditary pancreatitis Benign:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at