NM_000394.4:c.-62G>A

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BP4_StrongBP6_ModerateBS1BS2

The NM_000394.4(CRYAA):​c.-62G>A variant causes a 5 prime UTR change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: 𝑓 0.0085 ( 227 hom., cov: 9)
Exomes 𝑓: 0.0013 ( 238 hom. )
Failed GnomAD Quality Control

Consequence

CRYAA
NM_000394.4 5_prime_UTR

Scores

2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 0.0290
Variant links:
Genes affected
CRYAA (HGNC:2388): (crystallin alpha A) Mammalian lens crystallins are divided into alpha, beta, and gamma families. Alpha crystallins are composed of two gene products: alpha-A and alpha-B, for acidic and basic, respectively. Alpha crystallins can be induced by heat shock and are members of the small heat shock protein (HSP20) family. They act as molecular chaperones although they do not renature proteins and release them in the fashion of a true chaperone; instead they hold them in large soluble aggregates. Post-translational modifications decrease the ability to chaperone. These heterogeneous aggregates consist of 30-40 subunits; the alpha-A and alpha-B subunits have a 3:1 ratio, respectively. Two additional functions of alpha crystallins are an autokinase activity and participation in the intracellular architecture. The encoded protein has been identified as a moonlighting protein based on its ability to perform mechanistically distinct functions. Alpha-A and alpha-B gene products are differentially expressed; alpha-A is preferentially restricted to the lens and alpha-B is expressed widely in many tissues and organs. Defects in this gene cause autosomal dominant congenital cataract (ADCC). [provided by RefSeq, Jan 2014]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.72).
BP6
Variant 21-43169038-G-A is Benign according to our data. Variant chr21-43169038-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 1703391.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00854 (649/76028) while in subpopulation AFR AF = 0.0446 (598/13404). AF 95% confidence interval is 0.0417. There are 227 homozygotes in GnomAd4. There are 307 alleles in the male GnomAd4 subpopulation. Median coverage is 9. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 227 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CRYAANM_000394.4 linkc.-62G>A 5_prime_UTR_variant Exon 1 of 3 ENST00000291554.6 NP_000385.1 P02489
LOC107987300XR_007067885.1 linkn.546+1999C>T intron_variant Intron 1 of 2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CRYAAENST00000291554.6 linkc.-62G>A 5_prime_UTR_variant Exon 1 of 3 1 NM_000394.4 ENSP00000291554.2 P02489
CRYAAENST00000482775.1 linkn.-49G>A upstream_gene_variant 5

Frequencies

GnomAD3 genomes
AF:
0.00849
AC:
645
AN:
75984
Hom.:
226
Cov.:
9
show subpopulations
Gnomad AFR
AF:
0.0445
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00435
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:
0.0000536
Gnomad OTH
AF:
0.0132
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00135
AC:
647
AN:
480432
Hom.:
238
Cov.:
5
AF XY:
0.00109
AC XY:
280
AN XY:
257566
show subpopulations
African (AFR)
AF:
0.0538
AC:
465
AN:
8650
American (AMR)
AF:
0.00241
AC:
69
AN:
28586
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
14100
East Asian (EAS)
AF:
0.00
AC:
0
AN:
34154
South Asian (SAS)
AF:
0.000101
AC:
6
AN:
59640
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
26458
Middle Eastern (MID)
AF:
0.000787
AC:
2
AN:
2540
European-Non Finnish (NFE)
AF:
0.0000354
AC:
10
AN:
282434
Other (OTH)
AF:
0.00398
AC:
95
AN:
23870
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.534
Heterozygous variant carriers
0
10
19
29
38
48
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00854
AC:
649
AN:
76028
Hom.:
227
Cov.:
9
AF XY:
0.00831
AC XY:
307
AN XY:
36936
show subpopulations
African (AFR)
AF:
0.0446
AC:
598
AN:
13404
American (AMR)
AF:
0.00434
AC:
36
AN:
8302
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2098
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4468
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3340
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5306
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
152
European-Non Finnish (NFE)
AF:
0.0000536
AC:
2
AN:
37318
Other (OTH)
AF:
0.0129
AC:
13
AN:
1008
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.541
Heterozygous variant carriers
0
7
13
20
26
33
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
4
8
12
16
20
<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:
0.00204
Hom.:
2
Asia WGS
AF:
0.00260
AC:
9
AN:
3478

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Benign:1
Oct 01, 2018
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

See Variant Classification Assertion Criteria. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.72
CADD
Benign
1.1
DANN
Benign
0.87
PhyloP100
0.029
PromoterAI
-0.030
Neutral
Mutation Taster
=296/4
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: rs151103202; hg19: chr21-44589148; API