7-117665466-C-T
Variant summary
Our verdict is Pathogenic. The variant received 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong
The NM_000492.4(CFTR):c.4144C>T(p.Gln1382*) variant causes a stop gained change. The variant allele was found at a frequency of 0.00000208 in 1,442,244 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★★). Variant results in nonsense mediated mRNA decay.
Frequency
Consequence
NM_000492.4 stop_gained
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: Pathogenic. The variant received 18 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| CFTR | NM_000492.4 | c.4144C>T | p.Gln1382* | stop_gained | Exon 26 of 27 | ENST00000003084.11 | NP_000483.3 |
Ensembl
Frequencies
GnomAD3 genomes Cov.: 33
GnomAD4 exome AF: 0.00000208 AC: 3AN: 1442244Hom.: 0 Cov.: 27 AF XY: 0.00000278 AC XY: 2AN XY: 718964 show subpopulations
Age Distribution
GnomAD4 genome Cov.: 33
ClinVar
Submissions by phenotype
Cystic fibrosis Pathogenic:7
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Variant summary: The c.4144C>T variant results in a premature termination codon, predicted to cause a truncated or absent CFTR protein, which is a commonly known mechanism for disease. Mutation taster predicts the variant to be disease causing. The variant is absent from the large and broad cohorts of the ExAC project while it was observed in several CF patients indicating pathogenicity. In two of the reported patient, the variant was found in compound heterozygosity with other pathogenic CFTR mutations Ser1196X and F508del respectively, further supporting a deleterious impact. Moreover, reputable databases lists variant as pathogenic. Considering all evidence, the variant was classified as Pathogenic. -
The p.Q1382* pathogenic mutation (also known as c.4144C>T), located in coding exon 26 of the CFTR gene, results from a C to T substitution at nucleotide position 4144. This changes the amino acid from a glutamine to a stop codon within coding exon 26. This mutation has been reported in cystic fibrosis cohorts, including cases with additional CFTR mutations confirmed in trans (Claustres M et al. Hum. Mutat., 2000;16:143-56; Krzyanowska P et al. Sci Rep, 2015 Jul;5:12000; Zitkiewicz E et al. PLoS ONE, 2014 Feb;9:e89094). In one study, functional studies demonstrated significantly reduced protein function (Sharma N et al. PLoS Genet., 2018 11;14:e1007723). In addition to the clinical data presented in the literature, this alteration is expected to result in loss of function by premature protein truncation or nonsense-mediated mRNA decay. As such, this alteration is interpreted as a disease-causing mutation. -
This sequence change creates a premature translational stop signal (p.Gln1382*) in the CFTR gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in CFTR are known to be pathogenic (PMID: 1695717, 7691345, 9725922). This variant is not present in population databases (gnomAD no frequency). This premature translational stop signal has been observed in individual(s) with cystic fibrosis (PMID: 24586523). ClinVar contains an entry for this variant (Variation ID: 53902). For these reasons, this variant has been classified as Pathogenic. -
This variant was identified in 1 patient with a clinically confirmed diagnosis of cystic fibrosis. The variant was classified in the context of a project re-classifying variants in the German Cystic Fibrosis Registry (Muko.e.V.). Link: https://www.muko.info/angebote/qualitaetsmanagement/register/cf-einrichtungen/mukoweb. Criteria applied: PVS1, PS3_SUP, PM2_SUP, PM3_STR, PP4 -
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This submission and the accompanying classification are no longer maintained by the submitter. For more information on current observations and classification, please contact variantquestions@myriad.com. -
CFTR-related disorder Pathogenic:1
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not provided Pathogenic:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at