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GeneBe

7-130322526-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_016352.4(CPA4):​c.1116C>A​(p.Asp372Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000322 in 1,614,112 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00032 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00032 ( 1 hom. )

Consequence

CPA4
NM_016352.4 missense

Scores

14

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -1.62
Variant links:
Genes affected
CPA4 (HGNC:15740): (carboxypeptidase A4) This gene is a member of the carboxypeptidase A/B subfamily, and it is located in a cluster with three other family members on chromosome 7. Carboxypeptidases are zinc-containing exopeptidases that catalyze the release of carboxy-terminal amino acids, and are synthesized as zymogens that are activated by proteolytic cleavage. This gene could be involved in the histone hyperacetylation pathway. It is imprinted and may be a strong candidate gene for prostate cancer aggressiveness. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0049965978).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CPA4NM_016352.4 linkuse as main transcriptc.1116C>A p.Asp372Glu missense_variant 11/11 ENST00000222482.10
LOC105375503XR_001745362.2 linkuse as main transcriptn.104-1761G>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CPA4ENST00000222482.10 linkuse as main transcriptc.1116C>A p.Asp372Glu missense_variant 11/111 NM_016352.4 P1Q9UI42-1
CPA4ENST00000445470.6 linkuse as main transcriptc.1017C>A p.Asp339Glu missense_variant 10/102 Q9UI42-2
CPA4ENST00000493259.5 linkuse as main transcriptc.804C>A p.Asp268Glu missense_variant 9/92

Frequencies

GnomAD3 genomes
AF:
0.000315
AC:
48
AN:
152168
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00432
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000397
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000450
AC:
113
AN:
251228
Hom.:
0
AF XY:
0.000538
AC XY:
73
AN XY:
135766
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000318
Gnomad ASJ exome
AF:
0.00477
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000396
Gnomad OTH exome
AF:
0.00131
GnomAD4 exome
AF:
0.000323
AC:
472
AN:
1461826
Hom.:
1
Cov.:
34
AF XY:
0.000364
AC XY:
265
AN XY:
727226
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000313
Gnomad4 ASJ exome
AF:
0.00425
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000268
Gnomad4 OTH exome
AF:
0.000613
GnomAD4 genome
AF:
0.000315
AC:
48
AN:
152286
Hom.:
0
Cov.:
32
AF XY:
0.000363
AC XY:
27
AN XY:
74458
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00432
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000397
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.000659
Hom.:
0
Bravo
AF:
0.000366
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000814
AC:
7
ExAC
AF:
0.000362
AC:
44
EpiCase
AF:
0.000545
EpiControl
AF:
0.000771

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 GeneticsJul 14, 2021The c.1116C>A (p.D372E) alteration is located in exon 11 (coding exon 11) of the CPA4 gene. This alteration results from a C to A substitution at nucleotide position 1116, causing the aspartic acid (D) at amino acid position 372 to be replaced by a glutamic acid (E). 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
Benign
0.17
BayesDel_addAF
Benign
-0.58
T
BayesDel_noAF
Benign
-0.75
CADD
Benign
2.1
DANN
Benign
0.81
DEOGEN2
Benign
0.037
T;.;T;T
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.093
N
M_CAP
Benign
0.0049
T
MetaRNN
Benign
0.0050
T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.76
N;.;.;N
MutationTaster
Benign
0.97
N;N;N
PrimateAI
Benign
0.37
T
Polyphen
0.0030
B;.;.;B
Vest4
0.065, 0.058, 0.054
MutPred
0.57
Loss of ubiquitination at K376 (P = 0.298);.;.;Loss of ubiquitination at K376 (P = 0.298);
MVP
0.40
MPC
0.11
ClinPred
0.018
T
GERP RS
-7.3
Varity_R
0.33
gMVP
0.67

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs143094036; hg19: chr7-129962366; COSMIC: COSV55982793; API