NM_033655.5:c.3658C>G

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_033655.5(CNTNAP3):​c.3658C>G​(p.Leu1220Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000124 in 1,533,192 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 49)
Exomes 𝑓: 0.0000065 ( 0 hom. )

Consequence

CNTNAP3
NM_033655.5 missense

Scores

1
2
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.752

Publications

0 publications found
Variant links:
Genes affected
CNTNAP3 (HGNC:13834): (contactin associated protein family member 3) The protein encoded by this gene belongs to the NCP family of cell-recognition molecules. This family represents a distinct subgroup of the neurexins. NCP proteins mediate neuron-glial interactions in vertebrates and glial-glial contact in invertebrates. The protein encoded by this gene may play a role in cell recognition within the nervous system. Alternatively spliced transcript variants encoding different isoforms have been described but their biological nature has not been determined. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.042993724).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CNTNAP3NM_033655.5 linkc.3658C>G p.Leu1220Val missense_variant Exon 22 of 24 ENST00000297668.11 NP_387504.2 Q9BZ76-1
CNTNAP3NM_001393379.1 linkc.3415C>G p.Leu1139Val missense_variant Exon 21 of 23 NP_001380308.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CNTNAP3ENST00000297668.11 linkc.3658C>G p.Leu1220Val missense_variant Exon 22 of 24 1 NM_033655.5 ENSP00000297668.6 Q9BZ76-1
CNTNAP3ENST00000377656.6 linkc.3415C>G p.Leu1139Val missense_variant Exon 21 of 23 1 ENSP00000366884.2 A6NC89
CNTNAP3ENST00000493965.5 linkn.274-249C>G intron_variant Intron 3 of 4 5
CNTNAP3ENST00000477002.1 linkn.*113C>G downstream_gene_variant 5

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152260
Hom.:
0
Cov.:
49
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000385
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
GnomAD2 exomes
AF:
0.0000667
AC:
4
AN:
59954
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.000565
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000140
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000652
AC:
9
AN:
1380816
Hom.:
0
Cov.:
64
AF XY:
0.00000441
AC XY:
3
AN XY:
680732
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.000228
AC:
7
AN:
30660
American (AMR)
AF:
0.00
AC:
0
AN:
30826
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24696
East Asian (EAS)
AF:
0.0000281
AC:
1
AN:
35604
South Asian (SAS)
AF:
0.00
AC:
0
AN:
76646
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46202
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3988
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1075044
Other (OTH)
AF:
0.0000175
AC:
1
AN:
57150
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.001384), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.397
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.0000656
AC:
10
AN:
152376
Hom.:
0
Cov.:
49
AF XY:
0.0000805
AC XY:
6
AN XY:
74512
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.000192
AC:
8
AN:
41598
American (AMR)
AF:
0.00
AC:
0
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.000386
AC:
2
AN:
5178
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10628
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68032
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.345
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.00
Hom.:
0

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Oct 06, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.3658C>G (p.L1220V) alteration is located in exon 22 (coding exon 22) of the CNTNAP3 gene. This alteration results from a C to G substitution at nucleotide position 3658, causing the leucine (L) at amino acid position 1220 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.078
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
7.1
DANN
Benign
0.84
DEOGEN2
Benign
0.00023
T;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.083
N
LIST_S2
Benign
0.57
T;T
M_CAP
Uncertain
0.24
D
MetaRNN
Benign
0.043
T;T
MetaSVM
Benign
-0.70
T
MutationAssessor
Uncertain
2.1
M;.
PhyloP100
0.75
PrimateAI
Pathogenic
0.83
D
PROVEAN
Benign
-0.15
N;N
REVEL
Benign
0.10
Sift
Benign
0.73
T;T
Sift4G
Benign
0.73
T;T
Polyphen
0.029
B;B
Vest4
0.066
MutPred
0.24
Gain of MoRF binding (P = 0.0776);.;
MVP
0.48
ClinPred
0.010
T
GERP RS
0.70
Varity_R
0.042
gMVP
0.14
Mutation Taster
=96/4
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: rs564609927; hg19: chr9-39078702; API