9-39078770-G-A

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_033655.5(CNTNAP3):​c.3593C>T​(p.Ala1198Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000293 in 1,365,406 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 (★).

Frequency

Genomes: not found (cov: 40)
Exomes 𝑓: 0.0000029 ( 0 hom. )

Consequence

CNTNAP3
NM_033655.5 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.54

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: Likely_benign. The variant received -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.06234601).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CNTNAP3NM_033655.5 linkc.3593C>T p.Ala1198Val missense_variant Exon 22 of 24 ENST00000297668.11 NP_387504.2 Q9BZ76-1
CNTNAP3NM_001393379.1 linkc.3350C>T p.Ala1117Val 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.3593C>T p.Ala1198Val missense_variant Exon 22 of 24 1 NM_033655.5 ENSP00000297668.6 Q9BZ76-1
CNTNAP3ENST00000377656.6 linkc.3350C>T p.Ala1117Val missense_variant Exon 21 of 23 1 ENSP00000366884.2 A6NC89
CNTNAP3ENST00000493965.5 linkn.274-314C>T intron_variant Intron 3 of 4 5
CNTNAP3ENST00000477002.1 linkn.*48C>T downstream_gene_variant 5

Frequencies

GnomAD3 genomes
Cov.:
40
GnomAD4 exome
AF:
0.00000293
AC:
4
AN:
1365406
Hom.:
0
Cov.:
92
AF XY:
0.00000297
AC XY:
2
AN XY:
673140
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:
30086
American (AMR)
AF:
0.00
AC:
0
AN:
32834
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
23892
East Asian (EAS)
AF:
0.00
AC:
0
AN:
34968
South Asian (SAS)
AF:
0.00
AC:
0
AN:
76536
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34418
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3980
European-Non Finnish (NFE)
AF:
0.00000373
AC:
4
AN:
1071744
Other (OTH)
AF:
0.00
AC:
0
AN:
56948
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.000173), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.400
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

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
Cov.:
40

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Mar 21, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.3593C>T (p.A1198V) alteration is located in exon 22 (coding exon 22) of the CNTNAP3 gene. This alteration results from a C to T substitution at nucleotide position 3593, causing the alanine (A) at amino acid position 1198 to be replaced by a valine (V). 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
0.095
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
8.6
DANN
Benign
0.79
DEOGEN2
Benign
0.00031
T;.
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.3
FATHMM_MKL
Benign
0.035
N
LIST_S2
Benign
0.65
T;T
M_CAP
Uncertain
0.12
D
MetaRNN
Benign
0.062
T;T
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
0.64
N;.
PhyloP100
1.5
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
0.17
N;N
REVEL
Benign
0.14
Sift
Benign
0.92
T;T
Sift4G
Benign
0.69
T;T
Polyphen
0.0040
B;B
Vest4
0.057
MutPred
0.27
Gain of sheet (P = 0.0827);.;
MVP
0.38
ClinPred
0.031
T
GERP RS
1.7
Varity_R
0.021
gMVP
0.22
Mutation Taster
=92/8
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

hg19: chr9-39078767; API