NM_001378615.1:c.1978G>C

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001378615.1(CC2D2A):​c.1978G>C​(p.Val660Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00237 in 1,595,412 control chromosomes in the GnomAD database, including 8 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 Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. V660I) has been classified as Benign.

Frequency

Genomes: š‘“ 0.0018 ( 0 hom., cov: 32)
Exomes š‘“: 0.0024 ( 8 hom. )

Consequence

CC2D2A
NM_001378615.1 missense

Scores

1
18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:8

Conservation

PhyloP100: 0.309
Variant links:
Genes affected
CC2D2A (HGNC:29253): (coiled-coil and C2 domain containing 2A) This gene encodes a coiled-coil and calcium binding domain protein that appears to play a critical role in cilia formation. Mutations in this gene cause Meckel syndrome type 6, as well as Joubert syndrome type 9. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.009012312).
BP6
Variant 4-15538112-G-C is Benign according to our data. Variant chr4-15538112-G-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 194716.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=4, Benign=2, Uncertain_significance=3}.
BS2
High Homozygotes in GnomAdExome4 at 8 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CC2D2ANM_001378615.1 linkc.1978G>C p.Val660Leu missense_variant Exon 16 of 37 ENST00000424120.6 NP_001365544.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CC2D2AENST00000424120.6 linkc.1978G>C p.Val660Leu missense_variant Exon 16 of 37 5 NM_001378615.1 ENSP00000403465.1 Q9P2K1-4

Frequencies

GnomAD3 genomes
AF:
0.00176
AC:
268
AN:
152104
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00288
Gnomad ASJ
AF:
0.00346
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00269
Gnomad FIN
AF:
0.000566
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00243
Gnomad OTH
AF:
0.00335
GnomAD3 exomes
AF:
0.00196
AC:
435
AN:
221472
Hom.:
2
AF XY:
0.00200
AC XY:
239
AN XY:
119286
show subpopulations
Gnomad AFR exome
AF:
0.000377
Gnomad AMR exome
AF:
0.00211
Gnomad ASJ exome
AF:
0.00554
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00174
Gnomad FIN exome
AF:
0.000208
Gnomad NFE exome
AF:
0.00245
Gnomad OTH exome
AF:
0.00328
GnomAD4 exome
AF:
0.00243
AC:
3510
AN:
1443190
Hom.:
8
Cov.:
33
AF XY:
0.00242
AC XY:
1728
AN XY:
715450
show subpopulations
Gnomad4 AFR exome
AF:
0.000302
Gnomad4 AMR exome
AF:
0.00208
Gnomad4 ASJ exome
AF:
0.00443
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00236
Gnomad4 FIN exome
AF:
0.000210
Gnomad4 NFE exome
AF:
0.00266
Gnomad4 OTH exome
AF:
0.00250
GnomAD4 genome
AF:
0.00175
AC:
267
AN:
152222
Hom.:
0
Cov.:
32
AF XY:
0.00163
AC XY:
121
AN XY:
74416
show subpopulations
Gnomad4 AFR
AF:
0.000481
Gnomad4 AMR
AF:
0.00288
Gnomad4 ASJ
AF:
0.00346
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00249
Gnomad4 FIN
AF:
0.000566
Gnomad4 NFE
AF:
0.00243
Gnomad4 OTH
AF:
0.00331
Alfa
AF:
0.000227
Hom.:
2
Bravo
AF:
0.00180
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00234
AC:
9
ExAC
AF:
0.00172
AC:
208

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:8
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:4
-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Likely benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mar 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

CC2D2A: BP4, BS2 -

May 12, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 05, 2020
GeneDx
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 25133751) -

not specified Benign:3
Apr 12, 2017
Eurofins Ntd Llc (ga)
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Mar 26, 2019
Genetic Services Laboratory, University of Chicago
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Meckel syndrome, type 6 Uncertain:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Joubert syndrome 9 Uncertain:1
Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Meckel-Gruber syndrome;C0431399:Familial aplasia of the vermis Benign:1
Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
5.4
DANN
Benign
0.32
DEOGEN2
Benign
0.095
T;T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.67
T;.
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.0090
T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.9
L;L
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.98
N;N
REVEL
Benign
0.068
Sift
Benign
0.32
T;T
Sift4G
Uncertain
0.015
D;D
Polyphen
0.31
B;B
Vest4
0.18
MutPred
0.12
Gain of glycosylation at T661 (P = 0.0271);Gain of glycosylation at T661 (P = 0.0271);
MVP
0.26
MPC
0.045
ClinPred
0.0051
T
GERP RS
1.5
Varity_R
0.052
gMVP
0.29

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs16892134; hg19: chr4-15539735; API