NM_017950.4:c.1138G>A

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_017950.4(CCDC40):​c.1138G>A​(p.Ala380Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000566 in 1,573,424 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000030 ( 0 hom. )

Consequence

CCDC40
NM_017950.4 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 2.38

Publications

3 publications found
Variant links:
Genes affected
CCDC40 (HGNC:26090): (coiled-coil domain 40 molecular ruler complex subunit) This gene encodes a protein that is necessary for motile cilia function. It functions in correct left-right axis formation by regulating the assembly of the inner dynein arm and the dynein regulatory complexes, which control ciliary beat. Mutations in this gene cause ciliary dyskinesia type 15, a disorder due to defects in cilia motility. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2011]
CCDC40 Gene-Disease associations (from GenCC):
  • primary ciliary dyskinesia 15
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P, Ambry Genetics, Laboratory for Molecular Medicine
  • primary ciliary dyskinesia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autoimmune disease
    Inheritance: AR Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01526463).
BP6
Variant 17-80050262-G-A is Benign according to our data. Variant chr17-80050262-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 241231.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_017950.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CCDC40
NM_017950.4
MANE Select
c.1138G>Ap.Ala380Thr
missense
Exon 7 of 20NP_060420.2
CCDC40
NM_001243342.2
c.1138G>Ap.Ala380Thr
missense
Exon 7 of 18NP_001230271.1Q4G0X9-2
CCDC40
NM_001330508.2
c.1138G>Ap.Ala380Thr
missense
Exon 7 of 11NP_001317437.1Q4G0X9-4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CCDC40
ENST00000397545.9
TSL:5 MANE Select
c.1138G>Ap.Ala380Thr
missense
Exon 7 of 20ENSP00000380679.4Q4G0X9-1
CCDC40
ENST00000374876.4
TSL:1
c.1138G>Ap.Ala380Thr
missense
Exon 7 of 9ENSP00000364010.4Q4G0X9-5
CCDC40
ENST00000574799.5
TSL:1
n.675G>A
non_coding_transcript_exon
Exon 3 of 16

Frequencies

GnomAD3 genomes
AF:
0.000302
AC:
46
AN:
152182
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00104
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000884
AC:
16
AN:
181070
AF XY:
0.0000610
show subpopulations
Gnomad AFR exome
AF:
0.00113
Gnomad AMR exome
AF:
0.000148
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000132
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000303
AC:
43
AN:
1421124
Hom.:
0
Cov.:
34
AF XY:
0.0000298
AC XY:
21
AN XY:
703922
show subpopulations
African (AFR)
AF:
0.000495
AC:
16
AN:
32328
American (AMR)
AF:
0.000104
AC:
4
AN:
38294
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25458
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37216
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81882
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50118
Middle Eastern (MID)
AF:
0.000244
AC:
1
AN:
4100
European-Non Finnish (NFE)
AF:
0.0000137
AC:
15
AN:
1092898
Other (OTH)
AF:
0.000119
AC:
7
AN:
58830
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.000302
AC:
46
AN:
152300
Hom.:
0
Cov.:
32
AF XY:
0.000269
AC XY:
20
AN XY:
74468
show subpopulations
African (AFR)
AF:
0.00103
AC:
43
AN:
41570
American (AMR)
AF:
0.000131
AC:
2
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5166
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68020
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
3
6
9
12
15
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:
0.0000705
Hom.:
0
Bravo
AF:
0.000310
ESP6500AA
AF:
0.000972
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000762
AC:
9
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
1
Primary ciliary dyskinesia (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.085
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
12
DANN
Benign
0.31
DEOGEN2
Benign
0.049
T
Eigen
Benign
-0.34
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.73
T
M_CAP
Benign
0.026
D
MetaRNN
Benign
0.015
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.6
L
PhyloP100
2.4
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-0.90
N
REVEL
Benign
0.043
Sift
Benign
0.38
T
Sift4G
Benign
0.58
T
Polyphen
0.089
B
Vest4
0.17
MVP
0.32
MPC
0.18
ClinPred
0.045
T
GERP RS
4.7
Varity_R
0.055
gMVP
0.074
Mutation Taster
=90/10
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: rs199564182; hg19: chr17-78024061; COSMIC: COSV53898383; COSMIC: COSV53898383; API