X-136659171-G-C

Variant summary

Our verdict is Benign. Variant got -11 ACMG points: 2P and 13B. PM1BP4_StrongBP6BS1BS2

The NM_000074.3(CD40LG):ā€‹c.542G>Cā€‹(p.Arg181Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000686 in 1,209,725 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 19 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.00039 ( 0 hom., 14 hem., cov: 22)
Exomes š‘“: 0.000036 ( 0 hom. 5 hem. )

Consequence

CD40LG
NM_000074.3 missense

Scores

1
6
10

Clinical Significance

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

Conservation

PhyloP100: -0.340
Variant links:
Genes affected
CD40LG (HGNC:11935): (CD40 ligand) The protein encoded by this gene is expressed on the surface of T cells. It regulates B cell function by engaging CD40 on the B cell surface. A defect in this gene results in an inability to undergo immunoglobulin class switch and is associated with hyper-IgM syndrome. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -11 ACMG points.

PM1
In a chain CD40 ligand, membrane form (size 260) in uniprot entity CD40L_HUMAN there are 19 pathogenic changes around while only 0 benign (100%) in NM_000074.3
BP4
Computational evidence support a benign effect (MetaRNN=0.041614532).
BP6
Variant X-136659171-G-C is Benign according to our data. Variant chrX-136659171-G-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 439470.We mark this variant Likely_benign, oryginal submissions are: {Uncertain_significance=1, Benign=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.000393 (44/111870) while in subpopulation AFR AF= 0.00137 (42/30760). AF 95% confidence interval is 0.00104. There are 0 homozygotes in gnomad4. There are 14 alleles in male gnomad4 subpopulation. Median coverage is 22. This position pass quality control queck.
BS2
High Hemizygotes in GnomAd4 at 14 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CD40LGNM_000074.3 linkuse as main transcriptc.542G>C p.Arg181Pro missense_variant 5/5 ENST00000370629.7 NP_000065.1 P29965

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CD40LGENST00000370629.7 linkuse as main transcriptc.542G>C p.Arg181Pro missense_variant 5/51 NM_000074.3 ENSP00000359663.2 P29965

Frequencies

GnomAD3 genomes
AF:
0.000393
AC:
44
AN:
111870
Hom.:
0
Cov.:
22
AF XY:
0.000411
AC XY:
14
AN XY:
34024
show subpopulations
Gnomad AFR
AF:
0.00137
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000948
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000928
AC:
17
AN:
183179
Hom.:
0
AF XY:
0.0000443
AC XY:
3
AN XY:
67727
show subpopulations
Gnomad AFR exome
AF:
0.00122
Gnomad AMR exome
AF:
0.0000365
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:
0.0000355
AC:
39
AN:
1097855
Hom.:
0
Cov.:
30
AF XY:
0.0000138
AC XY:
5
AN XY:
363215
show subpopulations
Gnomad4 AFR exome
AF:
0.00125
Gnomad4 AMR exome
AF:
0.0000568
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000119
Gnomad4 OTH exome
AF:
0.0000651
GnomAD4 genome
AF:
0.000393
AC:
44
AN:
111870
Hom.:
0
Cov.:
22
AF XY:
0.000411
AC XY:
14
AN XY:
34024
show subpopulations
Gnomad4 AFR
AF:
0.00137
Gnomad4 AMR
AF:
0.0000948
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000188
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.000442
ESP6500AA
AF:
0.00104
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000140
AC:
17

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesJan 24, 2017- -
Hyper-IgM syndrome type 1 Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 11, 2024- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
16
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.72
D;T
FATHMM_MKL
Benign
0.042
N
LIST_S2
Benign
0.80
T;T
M_CAP
Pathogenic
0.66
D
MetaRNN
Benign
0.042
T;T
MetaSVM
Uncertain
0.064
D
MutationAssessor
Uncertain
2.4
M;.
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-1.4
N;N
REVEL
Uncertain
0.35
Sift
Uncertain
0.024
D;D
Sift4G
Benign
0.22
T;T
Polyphen
0.93
P;P
Vest4
0.065
MVP
0.68
MPC
0.73
ClinPred
0.028
T
GERP RS
1.9
Varity_R
0.74
gMVP
0.68

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs11575982; hg19: chrX-135741330; API