NM_000103.4:c.602C>T

Variant names:

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000103.4(CYP19A1):c.602C>T(p.Thr201Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0305 in 1,614,100 control chromosomes in the GnomAD database, including 870 homozygotes. 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 Benign (★★). Synonymous variant affecting the same amino acid position (i.e. T201T) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.036 ( 120 hom., cov: 32)

Exomes 𝑓: 0.030 ( 750 hom. )

Consequence

CYP19A1
NM_000103.4 missense

Scores

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: -0.0770

Publications

45 publications found

Variant links:

Genes affected

CYP19A1 (HGNC:2594): (cytochrome P450 family 19 subfamily A member 1) 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. This protein localizes to the endoplasmic reticulum and catalyzes the last steps of estrogen biosynthesis. Mutations in this gene can result in either increased or decreased aromatase activity; the associated phenotypes suggest that estrogen functions both as a sex steroid hormone and in growth or differentiation. Alternative promoter use and alternative splicing results in multiple transcript variants that have different tissue specificities. [provided by RefSeq, Dec 2016]

CYP19A1 links:

MIR4713HG (HGNC:53124): (MIR4713 host gene)

MIR4713HG links:

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4

Computational evidence support a benign effect (MetaRNN=0.0063601136).

BP6

Variant 15-51222375-G-A is Benign according to our data. Variant chr15-51222375-G-A is described in ClinVar as Benign. ClinVar VariationId is 316476.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

BA1

GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0558 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000103.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
CYP19A1	NM_000103.4	MANE Select	c.602C>T	p.Thr201Met	missense	Exon 5 of 10	NP_000094.2
CYP19A1	NM_001347248.1		c.602C>T	p.Thr201Met	missense	Exon 5 of 10	NP_001334177.1	P11511-1
CYP19A1	NM_001347249.2		c.602C>T	p.Thr201Met	missense	Exon 5 of 10	NP_001334178.1	P11511-1

Ensembl Transcripts

Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
CYP19A1	ENST00000396402.6	TSL:1 MANE Select	c.602C>T	p.Thr201Met	missense	Exon 5 of 10	ENSP00000379683.1	P11511-1
CYP19A1	ENST00000559878.5	TSL:1	c.602C>T	p.Thr201Met	missense	Exon 4 of 9	ENSP00000453149.1	P11511-1
CYP19A1	ENST00000405913.7	TSL:1	c.602C>T	p.Thr201Met	missense	Exon 4 of 4	ENSP00000383930.3	P11511-2

Frequencies

GnomAD3 genomes

AF:

0.0360

AC:

5469

AN:

152110

Hom.:

121

Cov.:

show subpopulations

Gnomad AFR

AF:

0.0577

Gnomad AMI

AF:

0.00768

Gnomad AMR

AF:

0.0256

Gnomad ASJ

AF:

0.0254

Gnomad EAS

AF:

0.00

Gnomad SAS

AF:

0.00539

Gnomad FIN

AF:

0.0128

Gnomad MID

AF:

0.0285

Gnomad NFE

AF:

0.0344

Gnomad OTH

AF:

0.0392

GnomAD2 exomes

AF:

0.0236

AC:

5943

AN:

251336

AF XY:

0.0226

show subpopulations

Gnomad AFR exome

AF:

0.0559

Gnomad AMR exome

AF:

0.0187

Gnomad ASJ exome

AF:

0.0276

Gnomad EAS exome

AF:

0.0000544

Gnomad FIN exome

AF:

0.0132

Gnomad NFE exome

AF:

0.0310

Gnomad OTH exome

AF:

0.0257

GnomAD4 exome

AF:

0.0299

AC:

43718

AN:

1461872

Hom.:

750

Cov.:

AF XY:

0.0290

AC XY:

21106

AN XY:

727238

show subpopulations

African (AFR)

AF:

0.0585

AC:

1960

AN:

33480

American (AMR)

AF:

0.0200

AC:

894

AN:

44724

Ashkenazi Jewish (ASJ)

AF:

0.0266

AC:

695

AN:

26136

East Asian (EAS)

AF:

0.000101

AC:

AN:

39694

South Asian (SAS)

AF:

0.00492

AC:

424

AN:

86258

European-Finnish (FIN)

AF:

0.0138

AC:

735

AN:

53418

Middle Eastern (MID)

AF:

0.0232

AC:

134

AN:

5768

European-Non Finnish (NFE)

AF:

0.0335

AC:

37238

AN:

1111998

Other (OTH)

AF:

0.0271

AC:

1634

AN:

60396

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.479

Heterozygous variant carriers

2770

5539

8309

11078

13848

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Exome Het

Exome Hom

Variant carriers

1432

2864

4296

5728

7160

<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:

0.0359

AC:

5472

AN:

152228

Hom.:

120

Cov.:

AF XY:

0.0339

AC XY:

2526

AN XY:

74424

show subpopulations

African (AFR)

AF:

0.0577

AC:

2397

AN:

41516

American (AMR)

AF:

0.0256

AC:

392

AN:

15302

Ashkenazi Jewish (ASJ)

AF:

0.0254

AC:

AN:

3468

East Asian (EAS)

AF:

0.00

AC:

AN:

5178

South Asian (SAS)

AF:

0.00519

AC:

AN:

4818

European-Finnish (FIN)

AF:

0.0128

AC:

136

AN:

10602

Middle Eastern (MID)

AF:

0.0170

AC:

AN:

294

European-Non Finnish (NFE)

AF:

0.0344

AC:

2340

AN:

68026

Other (OTH)

AF:

0.0388

AC:

AN:

2112

Allele Balance Distribution

Red line indicates average allele balance

Average allele balance: 0.500

Heterozygous variant carriers

271

541

812

1082

1353

0.00

0.20

0.40

0.60

0.80

0.95

Allele balance

Age Distribution

Genome Het

Genome Hom

Variant carriers

112

168

224

280

<30

30-35

35-40

40-45

45-50

50-55

55-60

60-65

65-70

70-75

75-80

>80

Age

Alfa

AF:

0.0331

Hom.:

443

Bravo

AF:

0.0385

TwinsUK

AF:

0.0329

AC:

122

ALSPAC

AF:

0.0332

AC:

128

ESP6500AA

AF:

0.0617

AC:

271

ESP6500EA

AF:

0.0356

AC:

306

ExAC

AF:

0.0242

AC:

2943

Asia WGS

AF:

0.00808

AC:

AN:

3478

EpiCase

AF:

0.0322

EpiControl

AF:

0.0331

ClinVar

ClinVar submissions

Significance:Benign

Revision:criteria provided, multiple submitters, no conflicts

View on ClinVar

Pathogenic

VUS

Benign

Condition

not provided (3)

not specified (3)

Aromatase deficiency (2)

Computational scores

Source: dbNSFP v4.9

Name

Calibrated prediction

Score

Prediction

AlphaMissense

Benign

0.070

BayesDel_addAF

Benign

-0.45

BayesDel_noAF

Benign

-0.38

CADD

Benign

0.18

(source)

DANN

Benign

0.95

DEOGEN2

Benign

0.30

Eigen

Benign

-1.2

Eigen_PC

Benign

-1.3

FATHMM_MKL

Benign

0.018

LIST_S2

Benign

0.67

MetaRNN

Benign

0.0064

MetaSVM

Benign

-1.0

MutationAssessor

Benign

0.14

PhyloP100

-0.077

PrimateAI

Benign

0.19

PROVEAN

Benign

-0.78

REVEL

Benign

0.15

Sift

Benign

0.064

Sift4G

Uncertain

0.037

Polyphen

0.0090

Vest4

0.073

MPC

0.13

ClinPred

0.0016

GERP RS

-3.7

Varity_R

0.029

gMVP

0.49

Mutation Taster

=99/1

polymorphism (auto)

(source)

Splicing

Name

Calibrated prediction

Score

Prediction

SpliceAI score (max)

0.020

Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

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Variant summary

Frequency

Consequence

Scores

Clinical Significance

Conservation

Publications

ACMG classification

Variant Effect in Transcripts

RefSeq Transcripts

Ensembl Transcripts

Frequencies

Age Distribution

Age Distribution

ClinVar

Computational scores

Splicing

Publications

Other links and lift over