7-99856854-C-A

Variant summary

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

The NM_057095.3(CYP3A43):​c.820C>A​(p.Gln274Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000479 in 1,461,680 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

CYP3A43
NM_057095.3 missense

Scores

2
2
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.152
Variant links:
Genes affected
CYP3A43 (HGNC:17450): (cytochrome P450 family 3 subfamily A member 43) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. The encoded protein has a low level of testosterone hydroxylase activity, and may play a role in aging mechanisms and cancer progression. This gene is part of a cluster of cytochrome P450 genes on chromosome 7q21.1. Alternate splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Jul 2013]

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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=0.32621497).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CYP3A43NM_057095.3 linkuse as main transcriptc.820C>A p.Gln274Lys missense_variant 9/13 ENST00000354829.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CYP3A43ENST00000354829.7 linkuse as main transcriptc.820C>A p.Gln274Lys missense_variant 9/131 NM_057095.3 A1Q9HB55-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000399
AC:
1
AN:
250856
Hom.:
0
AF XY:
0.00000738
AC XY:
1
AN XY:
135584
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000882
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000479
AC:
7
AN:
1461680
Hom.:
0
Cov.:
30
AF XY:
0.00000275
AC XY:
2
AN XY:
727138
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000630
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000756

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 GeneticsJan 08, 2024The c.820C>A (p.Q274K) alteration is located in exon 9 (coding exon 9) of the CYP3A43 gene. This alteration results from a C to A substitution at nucleotide position 820, causing the glutamine (Q) at amino acid position 274 to be replaced by a lysine (K). 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
0.12
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
16
DANN
Benign
0.90
DEOGEN2
Benign
0.014
T;.;.;.;.;.
Eigen
Benign
-0.61
Eigen_PC
Benign
-0.62
FATHMM_MKL
Uncertain
0.77
D
LIST_S2
Uncertain
0.95
D;D;D;D;D;D
M_CAP
Benign
0.027
D
MetaRNN
Benign
0.33
T;T;T;T;T;T
MetaSVM
Benign
-0.88
T
MutationAssessor
Benign
1.6
L;.;.;.;L;L
MutationTaster
Benign
1.0
N;N;N;N;N;N;N
PrimateAI
Benign
0.46
T
PROVEAN
Benign
-0.29
N;N;N;N;N;N
REVEL
Benign
0.059
Sift
Pathogenic
0.0
D;D;D;D;D;D
Sift4G
Pathogenic
0.0010
D;D;T;T;D;D
Polyphen
0.012
B;.;.;.;B;.
Vest4
0.19
MutPred
0.55
Gain of ubiquitination at Q274 (P = 0.0258);.;.;.;Gain of ubiquitination at Q274 (P = 0.0258);Gain of ubiquitination at Q274 (P = 0.0258);
MVP
0.70
MPC
0.027
ClinPred
0.32
T
GERP RS
0.94
Varity_R
0.32
gMVP
0.61

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: rs1301705611; hg19: chr7-99454477; COSMIC: COSV55935433; API