NM_004364.5:c.308_313delGCGGCG

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP3BS2

The NM_004364.5(CEBPA):​c.308_313delGCGGCG​(p.Gly103_Gly104del) variant causes a disruptive inframe deletion change. The variant allele was found at a frequency of 0.0000136 in 1,322,276 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000014 ( 0 hom. )

Consequence

CEBPA
NM_004364.5 disruptive_inframe_deletion

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 3.82
Variant links:
Genes affected
CEBPA (HGNC:1833): (CCAAT enhancer binding protein alpha) This intronless gene encodes a transcription factor that contains a basic leucine zipper (bZIP) domain and recognizes the CCAAT motif in the promoters of target genes. The encoded protein functions in homodimers and also heterodimers with CCAAT/enhancer-binding proteins beta and gamma. Activity of this protein can modulate the expression of genes involved in cell cycle regulation as well as in body weight homeostasis. Mutation of this gene is associated with acute myeloid leukemia. The use of alternative in-frame non-AUG (GUG) and AUG start codons results in protein isoforms with different lengths. Differential translation initiation is mediated by an out-of-frame, upstream open reading frame which is located between the GUG and the first AUG start codons. [provided by RefSeq, Dec 2013]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP3
Nonframeshift variant in repetitive region in NM_004364.5
BS2
High AC in GnomAdExome4 at 16 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CEBPANM_004364.5 linkc.308_313delGCGGCG p.Gly103_Gly104del disruptive_inframe_deletion Exon 1 of 1 ENST00000498907.3 NP_004355.2 P49715-1
CEBPANM_001287424.2 linkc.413_418delGCGGCG p.Gly138_Gly139del disruptive_inframe_deletion Exon 1 of 1 NP_001274353.1 P49715-4
CEBPANM_001287435.2 linkc.266_271delGCGGCG p.Gly89_Gly90del disruptive_inframe_deletion Exon 1 of 1 NP_001274364.1 P49715-2
CEBPANM_001285829.2 linkc.-50_-45delGCGGCG 5_prime_UTR_variant Exon 1 of 1 NP_001272758.1 P49715-3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CEBPAENST00000498907.3 linkc.308_313delGCGGCG p.Gly103_Gly104del disruptive_inframe_deletion Exon 1 of 1 6 NM_004364.5 ENSP00000427514.1 P49715-1
ENSG00000267727ENST00000587312.1 linkn.*162_*167delCGCCGC downstream_gene_variant 3

Frequencies

GnomAD3 genomes
AF:
0.0000140
AC:
2
AN:
142988
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000506
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000182
AC:
1
AN:
54968
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
32314
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000169
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000136
AC:
16
AN:
1179140
Hom.:
0
AF XY:
0.0000140
AC XY:
8
AN XY:
572100
show subpopulations
Gnomad4 AFR exome
AF:
0.000207
Gnomad4 AMR exome
AF:
0.0000641
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000238
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000727
Gnomad4 OTH exome
AF:
0.0000429
GnomAD4 genome
AF:
0.0000140
AC:
2
AN:
143136
Hom.:
0
Cov.:
32
AF XY:
0.0000286
AC XY:
2
AN XY:
69834
show subpopulations
Gnomad4 AFR
AF:
0.0000505
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000491

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Dec 01, 2020
Genetic Services Laboratory, University of Chicago
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

DNA sequence analysis of the CEBPA gene demonstrated a 6 base pair deletion in exon 1, c.308_313del. This in-frame deletion is predicted to result in the deletion of 2 amino acid residues, p.Gly103_Gly104del. This sequence change has been described in the gnomAD database in one individual with an overall population frequency of 0.0018% (dbSNP rs780345232), and does not appear to have been previously described in patients with CEBPA-related disorders. The functional significance of this sequence change is not known at present and its contribution to a disease phenotype cannot definitively be determined. -

Inborn genetic diseases Uncertain:1
Feb 13, 2025
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.308_313delGCGGCG variant (also known as p.G103_G104del) is located in coding exon 1 of the CEBPA gene. This variant results from an in-frame GCGGCG deletion at nucleotide positions 308 to 313. This results in the in-frame deletion of two glycine residues at codons 103 to 104. This amino acid region is well conserved in available vertebrate species. In addition, this alteration is predicted to be neutral by in silico analysis (Choi Y et al. PLoS ONE. 2012; 7(10):e46688). Based on the available evidence, the clinical significance of this variant remains unclear. -

not provided Uncertain:1
Jul 28, 2022
GeneDx
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

In-frame deletion of 2 amino acids in a repetitive region with no known function; Not observed at significant frequency in large population cohorts (gnomAD); Has not been previously published as pathogenic or benign to our knowledge -

Acute myeloid leukemia Uncertain:1
Aug 27, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant, c.308_313del, results in the deletion of 2 amino acid(s) of the CEBPA protein (p.Gly103_Gly104del), but otherwise preserves the integrity of the reading frame. This variant is present in population databases (no rsID available, gnomAD 0.02%). This variant has not been reported in the literature in individuals affected with CEBPA-related conditions. ClinVar contains an entry for this variant (Variation ID: 456679). Experimental studies and prediction algorithms are not available or were not evaluated, and the functional significance of this variant is currently unknown. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

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: rs780345232; hg19: chr19-33793007; API