X-16617186-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_175859.3(CTPS2):​c.1510G>A​(p.Val504Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000365 in 1,096,779 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000036 ( 0 hom. 4 hem. )

Consequence

CTPS2
NM_175859.3 missense

Scores

1
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.383
Variant links:
Genes affected
CTPS2 (HGNC:2520): (CTP synthase 2) The protein encoded by this gene catalyzes the formation of CTP from UTP with the concomitant deamination of glutamine to glutamate. This protein is the rate-limiting enzyme in the synthesis of cytosine nucleotides, which play an important role in various metabolic processes and provide the precursors necessary for the synthesis of RNA and DNA. Cancer cells that exhibit increased cell proliferation also exhibit an increased activity of this encoded protein. Thus, this protein is an attractive target for selective chemotherapy. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10496575).
BS2
High Hemizygotes in GnomAdExome4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CTPS2NM_175859.3 linkuse as main transcriptc.1510G>A p.Val504Ile missense_variant 16/19 ENST00000359276.9 NP_787055.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CTPS2ENST00000359276.9 linkuse as main transcriptc.1510G>A p.Val504Ile missense_variant 16/191 NM_175859.3 ENSP00000352222 P1
CTPS2ENST00000380241.7 linkuse as main transcriptc.1510G>A p.Val504Ile missense_variant 16/191 ENSP00000369590 P1
CTPS2ENST00000443824.5 linkuse as main transcriptc.1510G>A p.Val504Ile missense_variant 16/192 ENSP00000401264 P1

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.0000110
AC:
2
AN:
182288
Hom.:
0
AF XY:
0.0000300
AC XY:
2
AN XY:
66758
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000107
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000365
AC:
4
AN:
1096779
Hom.:
0
Cov.:
28
AF XY:
0.0000110
AC XY:
4
AN XY:
362175
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000371
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000434
GnomAD4 genome
Cov.:
23
ExAC
AF:
0.0000330
AC:
4

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 15, 2021The c.1510G>A (p.V504I) alteration is located in exon 16 (coding exon 15) of the CTPS2 gene. This alteration results from a G to A substitution at nucleotide position 1510, causing the valine (V) at amino acid position 504 to be replaced by an isoleucine (I). 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
0.075
BayesDel_addAF
Benign
-0.44
T
BayesDel_noAF
Benign
-0.65
CADD
Benign
8.0
DANN
Benign
0.88
DEOGEN2
Uncertain
0.46
T;T;T
FATHMM_MKL
Benign
0.21
N
LIST_S2
Benign
0.85
D;.;.
M_CAP
Benign
0.066
D
MetaRNN
Benign
0.10
T;T;T
MetaSVM
Benign
-0.49
T
MutationAssessor
Benign
1.0
L;L;L
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.26
T
PROVEAN
Benign
-0.57
N;N;N
REVEL
Benign
0.15
Sift
Benign
0.12
T;T;T
Sift4G
Benign
0.14
T;T;T
Polyphen
0.0
B;B;B
Vest4
0.028
MutPred
0.34
Loss of disorder (P = 0.2905);Loss of disorder (P = 0.2905);Loss of disorder (P = 0.2905);
MVP
0.51
MPC
0.66
ClinPred
0.036
T
GERP RS
3.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.078
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: rs772498309; hg19: chrX-16635309; COSMIC: COSV63722364; API