X-16639224-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 1P and 0B. PP3

The NM_175859.3(CTPS2):ā€‹c.1316A>Gā€‹(p.His439Arg) variant causes a missense change. The variant allele was found at a frequency of 0.00000166 in 1,202,575 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.0000089 ( 0 hom., 1 hem., cov: 22)
Exomes š‘“: 9.2e-7 ( 0 hom. 1 hem. )

Consequence

CTPS2
NM_175859.3 missense

Scores

5
5
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.17
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 Uncertain_significance. Variant got 1 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.759

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CTPS2NM_175859.3 linkuse as main transcriptc.1316A>G p.His439Arg missense_variant 14/19 ENST00000359276.9 NP_787055.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CTPS2ENST00000359276.9 linkuse as main transcriptc.1316A>G p.His439Arg missense_variant 14/191 NM_175859.3 ENSP00000352222 P1
CTPS2ENST00000380241.7 linkuse as main transcriptc.1316A>G p.His439Arg missense_variant 14/191 ENSP00000369590 P1
CTPS2ENST00000443824.5 linkuse as main transcriptc.1316A>G p.His439Arg missense_variant 14/192 ENSP00000401264 P1
CTPS2ENST00000455276.1 linkuse as main transcriptc.182A>G p.His61Arg missense_variant 4/55 ENSP00000400431

Frequencies

GnomAD3 genomes
AF:
0.00000893
AC:
1
AN:
111970
Hom.:
0
Cov.:
22
AF XY:
0.0000293
AC XY:
1
AN XY:
34110
show subpopulations
Gnomad AFR
AF:
0.0000325
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
9.17e-7
AC:
1
AN:
1090605
Hom.:
0
Cov.:
28
AF XY:
0.00000281
AC XY:
1
AN XY:
356207
show subpopulations
Gnomad4 AFR exome
AF:
0.0000381
Gnomad4 AMR exome
AF:
0.00
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000893
AC:
1
AN:
111970
Hom.:
0
Cov.:
22
AF XY:
0.0000293
AC XY:
1
AN XY:
34110
show subpopulations
Gnomad4 AFR
AF:
0.0000325
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

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 GeneticsMay 06, 2024The c.1316A>G (p.H439R) alteration is located in exon 14 (coding exon 13) of the CTPS2 gene. This alteration results from a A to G substitution at nucleotide position 1316, causing the histidine (H) at amino acid position 439 to be replaced by an arginine (R). 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
Uncertain
0.36
BayesDel_addAF
Uncertain
0.10
D
BayesDel_noAF
Benign
-0.090
CADD
Benign
23
DANN
Benign
0.96
DEOGEN2
Pathogenic
0.88
D;D;D
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.97
D;.;.
M_CAP
Pathogenic
0.52
D
MetaRNN
Pathogenic
0.76
D;D;D
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
1.9
L;L;L
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.59
T
PROVEAN
Pathogenic
-6.0
D;D;D
REVEL
Pathogenic
0.69
Sift
Benign
0.35
T;T;T
Sift4G
Benign
0.35
T;T;T
Polyphen
0.99
D;D;D
Vest4
0.43
MutPred
0.56
Gain of disorder (P = 0.0677);Gain of disorder (P = 0.0677);Gain of disorder (P = 0.0677);
MVP
0.77
MPC
2.0
ClinPred
0.97
D
GERP RS
5.5
Varity_R
0.76
gMVP
0.89

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: rs1347192731; hg19: chrX-16657347; API