9-39078764-A-C

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_033655.5(CNTNAP3):​c.3599T>G​(p.Met1200Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000132 in 151,660 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. 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. M1200L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000013 ( 0 hom., cov: 40)
Exomes 𝑓: 0.0000044 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CNTNAP3
NM_033655.5 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.334

Publications

0 publications found
Variant links:
Genes affected
CNTNAP3 (HGNC:13834): (contactin associated protein family member 3) The protein encoded by this gene belongs to the NCP family of cell-recognition molecules. This family represents a distinct subgroup of the neurexins. NCP proteins mediate neuron-glial interactions in vertebrates and glial-glial contact in invertebrates. The protein encoded by this gene may play a role in cell recognition within the nervous system. Alternatively spliced transcript variants encoding different isoforms have been described but their biological nature has not been determined. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.08709404).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CNTNAP3NM_033655.5 linkc.3599T>G p.Met1200Arg missense_variant Exon 22 of 24 ENST00000297668.11 NP_387504.2 Q9BZ76-1
CNTNAP3NM_001393379.1 linkc.3356T>G p.Met1119Arg missense_variant Exon 21 of 23 NP_001380308.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CNTNAP3ENST00000297668.11 linkc.3599T>G p.Met1200Arg missense_variant Exon 22 of 24 1 NM_033655.5 ENSP00000297668.6 Q9BZ76-1
CNTNAP3ENST00000377656.6 linkc.3356T>G p.Met1119Arg missense_variant Exon 21 of 23 1 ENSP00000366884.2 A6NC89
CNTNAP3ENST00000493965.5 linkn.274-308T>G intron_variant Intron 3 of 4 5
CNTNAP3ENST00000477002.1 linkn.*54T>G downstream_gene_variant 5

Frequencies

GnomAD3 genomes
AF:
0.0000132
AC:
2
AN:
151552
Hom.:
0
Cov.:
40
show subpopulations
Gnomad AFR
AF:
0.0000243
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000441
AC:
6
AN:
1361790
Hom.:
0
Cov.:
91
AF XY:
0.00000596
AC XY:
4
AN XY:
671400
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
30324
American (AMR)
AF:
0.0000323
AC:
1
AN:
30992
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23588
East Asian (EAS)
AF:
0.00
AC:
0
AN:
35316
South Asian (SAS)
AF:
0.00
AC:
0
AN:
75838
European-Finnish (FIN)
AF:
0.0000581
AC:
2
AN:
34424
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3954
European-Non Finnish (NFE)
AF:
0.00000187
AC:
2
AN:
1070588
Other (OTH)
AF:
0.0000176
AC:
1
AN:
56766
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.233
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000132
AC:
2
AN:
151660
Hom.:
0
Cov.:
40
AF XY:
0.0000135
AC XY:
1
AN XY:
74160
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000242
AC:
1
AN:
41290
American (AMR)
AF:
0.00
AC:
0
AN:
15266
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5106
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4788
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10558
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000147
AC:
1
AN:
67868
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.250
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Jan 22, 2024
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.3599T>G (p.M1200R) alteration is located in exon 22 (coding exon 22) of the CNTNAP3 gene. This alteration results from a T to G substitution at nucleotide position 3599, causing the methionine (M) at amino acid position 1200 to be replaced by an arginine (R). 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
0.067
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.38
CADD
Benign
0.13
DANN
Benign
0.26
DEOGEN2
Benign
0.00024
T;.
Eigen
Benign
-1.6
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.027
N
LIST_S2
Benign
0.57
T;T
M_CAP
Pathogenic
0.31
D
MetaRNN
Benign
0.087
T;T
MetaSVM
Benign
-0.72
T
MutationAssessor
Benign
0.0
N;.
PhyloP100
0.33
PrimateAI
Pathogenic
0.84
D
PROVEAN
Benign
0.11
N;N
REVEL
Benign
0.24
Sift
Benign
0.38
T;T
Sift4G
Benign
0.14
T;T
Polyphen
0.0010
B;B
Vest4
0.12
MutPred
0.23
Gain of sheet (P = 0.0477);.;
MVP
0.33
ClinPred
0.049
T
GERP RS
-2.5
Varity_R
0.095
gMVP
0.45
Mutation Taster
=93/7
polymorphism

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

Other links and lift over

dbSNP: rs1825853173; hg19: chr9-39078761; API