X-37803898-A-G

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PM5PP3

The NM_000397.4(CYBB):ā€‹c.919A>Gā€‹(p.Thr307Ala) variant causes a missense change. The variant allele was found at a frequency of 0.000000912 in 1,096,928 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T307P) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 22)
Exomes š‘“: 9.1e-7 ( 0 hom. 1 hem. )

Consequence

CYBB
NM_000397.4 missense

Scores

3
9
5

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 3.86
Variant links:
Genes affected
CYBB (HGNC:2578): (cytochrome b-245 beta chain) Cytochrome b (-245) is composed of cytochrome b alpha (CYBA) and beta (CYBB) chain. It has been proposed as a primary component of the microbicidal oxidase system of phagocytes. CYBB deficiency is one of five described biochemical defects associated with chronic granulomatous disease (CGD). In this disorder, there is decreased activity of phagocyte NADPH oxidase; neutrophils are able to phagocytize bacteria but cannot kill them in the phagocytic vacuoles. The cause of the killing defect is an inability to increase the cell's respiration and consequent failure to deliver activated oxygen into the phagocytic vacuole. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a topological_domain Cytoplasmic (size 287) in uniprot entity CY24B_HUMAN there are 20 pathogenic changes around while only 0 benign (100%) in NM_000397.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chrnull-null-null-null is described in UniProt as null.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.833

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYBBNM_000397.4 linkuse as main transcriptc.919A>G p.Thr307Ala missense_variant 9/13 ENST00000378588.5 NP_000388.2 P04839A0A0S2Z3S6
CYBBXM_047441855.1 linkuse as main transcriptc.613A>G p.Thr205Ala missense_variant 8/12 XP_047297811.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYBBENST00000378588.5 linkuse as main transcriptc.919A>G p.Thr307Ala missense_variant 9/131 NM_000397.4 ENSP00000367851.4 P04839
ENSG00000250349ENST00000465127.1 linkuse as main transcriptc.171+377898A>G intron_variant 5 ENSP00000417050.1 B4E171

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.00000549
AC:
1
AN:
182180
Hom.:
0
AF XY:
0.0000149
AC XY:
1
AN XY:
67022
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000367
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:
9.12e-7
AC:
1
AN:
1096928
Hom.:
0
Cov.:
30
AF XY:
0.00000276
AC XY:
1
AN XY:
362564
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000285
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
Cov.:
22

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
BayesDel_addAF
Pathogenic
0.20
D
BayesDel_noAF
Uncertain
0.050
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.44
T
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.84
T
M_CAP
Pathogenic
0.65
D
MetaRNN
Pathogenic
0.83
D
MetaSVM
Uncertain
0.55
D
MutationAssessor
Benign
0.94
L
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-0.98
N
REVEL
Uncertain
0.59
Sift
Uncertain
0.0070
D
Sift4G
Uncertain
0.0090
D
Polyphen
0.97
D
Vest4
0.54
MutPred
0.49
Gain of MoRF binding (P = 0.1319);
MVP
0.97
MPC
0.78
ClinPred
0.45
T
GERP RS
5.7
Varity_R
0.52
gMVP
0.95

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs151344489; hg19: chrX-37663151; API