7-117592541-C-G
Variant summary
Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP2
The NM_000492.4(CFTR):c.2374C>G(p.Arg792Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000263 in 1,521,040 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R792L) has been classified as Uncertain significance.
Frequency
Consequence
NM_000492.4 missense
Scores
Clinical Significance
Conservation
Publications
- cystic fibrosisInheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, Labcorp Genetics (formerly Invitae), Myriad Women’s Health, Orphanet
- congenital bilateral absence of vas deferensInheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- hereditary chronic pancreatitisInheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)
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ACMG classification
Our verdict: Uncertain_significance. The variant received 1 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| CFTR | NM_000492.4 | c.2374C>G | p.Arg792Gly | missense_variant | Exon 14 of 27 | ENST00000003084.11 | NP_000483.3 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000460 AC: 7AN: 152146Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000127 AC: 23AN: 181308 AF XY: 0.000157 show subpopulations
GnomAD4 exome AF: 0.0000241 AC: 33AN: 1368778Hom.: 0 Cov.: 32 AF XY: 0.0000268 AC XY: 18AN XY: 671288 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.0000460 AC: 7AN: 152262Hom.: 0 Cov.: 32 AF XY: 0.0000403 AC XY: 3AN XY: 74436 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
Cystic fibrosis Uncertain:4
The p.R792G variant (also known as c.2374C>G), located in coding exon 14 of the CFTR gene, results from a C to G substitution at nucleotide position 2374. The arginine at codon 792 is replaced by glycine, an amino acid with dissimilar properties. In a study of 42 men with congenital bilateral absence of the vas deferens, this variant was detected in one individual with another missense variant, p.R766M, on the other allele (Ravnik-Glavac M et al. Hum. Hered.;50:318-9). In vitro studies demonstrated that the variant significantly reduces chloride current and open probabilities of the channel, but still retains approximately 50% of channel activity (Vankeerberghen A et al. Hum. Mol. Genet., 1998 Oct;7:1761-9). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
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This sequence change replaces arginine, which is basic and polar, with glycine, which is neutral and non-polar, at codon 792 of the CFTR protein (p.Arg792Gly). This variant is present in population databases (rs145449046, gnomAD 0.09%). This missense change has been observed in individual(s) with CFTR-related conditions (PMID: 9736778). ClinVar contains an entry for this variant (Variation ID: 35840). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt CFTR protein function. Experimental studies have shown that this missense change affects CFTR function (PMID: 9736778). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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not provided Uncertain:4
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PM2 -
In silico analysis, which includes protein predictors and evolutionary conservation, supports a deleterious effect; This variant is associated with the following publications: (PMID: 29216686, 20932301, 9736778, 12940920, 26277102, 10878476) -
not specified Uncertain:2
The CFTR c.2374C>G; p.Arg792Gly variant (rs145449046) has been described in the compound heterozygous state in one individual with congenital bilateral absence of the vas deferens (Ravnik-Glavac 2000). It is reported as a variant of uncertain significance in ClinVar (Variation ID: 35840) and observed in the Latino population at an overall frequency of 0.095% (21/22002 alleles) in the Genome Aggregation Database. The arginine at codon 792 is highly conserved, and computational algorithms (SIFT, PolyPhen-2) predict that this variant is deleterious. In vitro functional studies of the variant protein demonstrate reduced chloride current and disruption of a consensus recognition site used for CFTR activation (Vankeerberghen 1998). However, due to limited clinical information regarding this variant, its clinical significance cannot be determined with certainty. References: Ravnik-Glavac M et al. Two novel missense mutations (R766M and R792G) in exon 13 of the CFTR gene in a patient with congenital bilateral absence of the vas deferens. Hum Hered. 2000 Sep-Oct;50(5):318-9. Vankeerberghen A et al. Characterization of 19 disease-associated missense mutations in the regulatory domain of the cystic fibrosis transmembrane conductance regulator. Hum Mol Genet. 1998 Oct;7(11):1761-9. -
Variant summary: CFTR c.2374C>G (p.Arg792Gly) results in a non-conservative amino acid change located in the CFTR regulator domain (IPR025837) of the encoded protein sequence. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change. The variant allele was found at a frequency of 0.00013 in 181538 control chromosomes. This frequency is not significantly higher than estimated for a pathogenic variant in CFTR causing Congenital Bilateral Absence Of The Vas Deferens (0.00013 vs 0.013), allowing no conclusion about variant significance. c.2374C>G has been observed in individual(s) affected with Congenital Bilateral Absence Of The Vas Deferens, Cystic Fibrosis, or identified as having CFTR-related metabolic syndrome/CF screen positive, inconclusive diagnosis based on newborn screening programs (e.g. Vankeerberghen_1998, Dorfman_2010, Green_2010, Salinas_2023, Sadeghi_2025). However, these data do not allow any conclusion about variant significance. At least two publications report experimental evidence evaluating an impact on protein function (Vankeerberghen_1998, Bihler_2024). The most pronounced variant effect resulted in approximately 20% of normal chloride channel conductance relative to wild type (Bihler_2024). The following publications have been ascertained in the context of this evaluation (PMID: 38388235, 20059485, 20932301, 38695616, 25735457, 10878476, 12940920, 36409994, 9736778, 26277102, 29216686, 39532587). ClinVar contains an entry for this variant (Variation ID: 35840). Based on the evidence outlined above, the variant was classified as VUS-possibly pathogenic. -
CFTR-related disorder Uncertain:1
The CFTR c.2374C>G variant is predicted to result in the amino acid substitution p.Arg792Gly. This p.Arg792Gly change has been reported in a compound heterozygous individual with congenital bilateral absence of the vas deferens and functional studies suggest it may affect CFTR chloride channel function (Ravnik-Glavac et al. 2000. PubMed ID: 10878476; Vankeerberghen et al 1998. PubMed ID: 9736778). This variant is reported in 0.095% of alleles in individuals of Latino descent in gnomAD. This variant has an interpretation of uncertain significance in ClinVar (https://www.ncbi.nlm.nih.gov/clinvar/variation/35840/). At this time, its clinical significance is uncertain due to the absence of conclusive functional and genetic evidence. -
Hereditary pancreatitis Uncertain:1
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Cystic fibrosis;C0238339:Hereditary pancreatitis;C0403814:Congenital bilateral aplasia of vas deferens from CFTR mutation;C2749757:Bronchiectasis with or without elevated sweat chloride 1 Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at