NM_004928.3:c.218G>C

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 8P and 2B. PP5_Very_StrongBP4BS1_Supporting

The NM_004928.3(CFAP410):​c.218G>C​(p.Arg73Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000502 in 1,612,638 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R73G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00036 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00052 ( 0 hom. )

Consequence

CFAP410
NM_004928.3 missense

Scores

1
3
12

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:17

Conservation

PhyloP100: -0.0310

Publications

10 publications found
Variant links:
Genes affected
CFAP410 (HGNC:1260): (cilia and flagella associated protein 410) Four alternatively spliced transcript variants encoding four different isoforms have been found for this nuclear gene. All isoforms contain leucine-rich repeats. Three of these isoforms are mitochondrial proteins and one of them lacks the target peptide, so is not located in mitochondrion. This gene is down-regulated in Down syndrome (DS) brain, which may represent mitochondrial dysfunction in DS patients. [provided by RefSeq, Sep 2012]
CFAP410 Gene-Disease associations (from GenCC):
  • axial spondylometaphyseal dysplasia
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • amyotrophic lateral sclerosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PP5
Variant 21-44333188-C-G is Pathogenic according to our data. Variant chr21-44333188-C-G is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 428573.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP4
Computational evidence support a benign effect (MetaRNN=0.13023537). . Strength limited to SUPPORTING due to the PP5.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000361 (55/152248) while in subpopulation NFE AF = 0.000706 (48/68034). AF 95% confidence interval is 0.000547. There are 0 homozygotes in GnomAd4. There are 24 alleles in the male GnomAd4 subpopulation. Median coverage is 34. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004928.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFAP410
NM_004928.3
MANE Select
c.218G>Cp.Arg73Pro
missense
Exon 4 of 7NP_004919.1
CFAP410
NM_001271441.2
c.218G>Cp.Arg73Pro
missense
Exon 4 of 7NP_001258370.1
CFAP410
NM_001271440.2
c.218G>Cp.Arg73Pro
missense
Exon 4 of 7NP_001258369.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFAP410
ENST00000339818.9
TSL:1 MANE Select
c.218G>Cp.Arg73Pro
missense
Exon 4 of 7ENSP00000344566.4
CFAP410
ENST00000397956.7
TSL:1
c.218G>Cp.Arg73Pro
missense
Exon 4 of 7ENSP00000381047.3
CFAP410
ENST00000325223.7
TSL:1
c.218G>Cp.Arg73Pro
missense
Exon 4 of 7ENSP00000317302.7

Frequencies

GnomAD3 genomes
AF:
0.000361
AC:
55
AN:
152248
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.000706
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000306
AC:
75
AN:
245166
AF XY:
0.000368
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000291
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000942
Gnomad NFE exome
AF:
0.000633
Gnomad OTH exome
AF:
0.000500
GnomAD4 exome
AF:
0.000517
AC:
755
AN:
1460390
Hom.:
0
Cov.:
31
AF XY:
0.000535
AC XY:
389
AN XY:
726460
show subpopulations
African (AFR)
AF:
0.0000299
AC:
1
AN:
33474
American (AMR)
AF:
0.0000224
AC:
1
AN:
44688
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26120
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39690
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86204
European-Finnish (FIN)
AF:
0.0000574
AC:
3
AN:
52252
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.000651
AC:
724
AN:
1111850
Other (OTH)
AF:
0.000431
AC:
26
AN:
60346
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
43
87
130
174
217
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
28
56
84
112
140
<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:
0.000361
AC:
55
AN:
152248
Hom.:
0
Cov.:
34
AF XY:
0.000323
AC XY:
24
AN XY:
74380
show subpopulations
African (AFR)
AF:
0.000121
AC:
5
AN:
41464
American (AMR)
AF:
0.0000654
AC:
1
AN:
15294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5200
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000706
AC:
48
AN:
68034
Other (OTH)
AF:
0.000478
AC:
1
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000305
Hom.:
0
Bravo
AF:
0.000253
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000313
AC:
38
EpiCase
AF:
0.000600
EpiControl
AF:
0.000237

ClinVar

ClinVar submissions as Germline
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
4
-
-
not provided (4)
4
-
-
Retinal dystrophy with or without macular staphyloma (4)
2
-
-
Axial spondylometaphyseal dysplasia;C4479651:Retinal dystrophy with or without macular staphyloma (2)
2
-
-
Retinal dystrophy (2)
2
-
-
Retinitis pigmentosa (2)
1
-
-
Axial spondylometaphyseal dysplasia (1)
1
-
-
CFAP410-related disorder (1)
1
-
-
Cone dystrophy (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.82
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.032
T
Eigen
Benign
-0.27
Eigen_PC
Benign
-0.31
FATHMM_MKL
Benign
0.13
N
LIST_S2
Uncertain
0.94
D
M_CAP
Benign
0.015
T
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-1.1
T
PhyloP100
-0.031
PROVEAN
Uncertain
-2.8
D
REVEL
Benign
0.094
Sift
Benign
0.24
T
Sift4G
Benign
0.29
T
Polyphen
0.94
P
Vest4
0.64
MVP
0.20
MPC
0.46
ClinPred
0.11
T
GERP RS
2.0
Varity_R
0.41
gMVP
0.58
Mutation Taster
=24/76
disease causing (ClinVar)

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: rs140451304; hg19: chr21-45753071; COSMIC: COSV100297217; COSMIC: COSV100297217; API