chr10-94683950-A-T

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_000772.3(CYP2C18):​c.131A>T​(p.Gln44Leu) variant causes a missense change. The variant allele was found at a frequency of 0.0000048 in 1,457,990 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

CYP2C18
NM_000772.3 missense

Scores

2
4
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.63

Publications

1 publications found
Variant links:
Genes affected
CYP2C18 (HGNC:2620): (cytochrome P450 family 2 subfamily C member 18) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum but its specific substrate has not yet been determined. The gene is located within a cluster of cytochrome P450 genes on chromosome 10q24. An additional gene, CYP2C17, was once thought to exist; however, CYP2C17 is now considered an artefact based on a chimera of CYP2C18 and CYP2C19. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.883

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CYP2C18NM_000772.3 linkc.131A>T p.Gln44Leu missense_variant Exon 1 of 9 ENST00000285979.11 NP_000763.1 P33260-1Q7Z348
CYP2C18NM_001128925.2 linkc.131A>T p.Gln44Leu missense_variant Exon 1 of 8 NP_001122397.1 P33260-2Q7Z348

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CYP2C18ENST00000285979.11 linkc.131A>T p.Gln44Leu missense_variant Exon 1 of 9 1 NM_000772.3 ENSP00000285979.6 P33260-1
CYP2C18ENST00000339022.6 linkc.131A>T p.Gln44Leu missense_variant Exon 1 of 8 1 ENSP00000341293.5 P33260-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.0000282
AC:
7
AN:
248256
AF XY:
0.0000373
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000383
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000480
AC:
7
AN:
1457990
Hom.:
0
Cov.:
30
AF XY:
0.00000552
AC XY:
4
AN XY:
725048
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33428
American (AMR)
AF:
0.00
AC:
0
AN:
44162
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26100
East Asian (EAS)
AF:
0.000151
AC:
6
AN:
39616
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85066
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53372
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5718
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1110270
Other (OTH)
AF:
0.0000166
AC:
1
AN:
60258
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1
1
2
2
3
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
Cov.:
32
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000247
AC:
3

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Aug 22, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.131A>T (p.Q44L) alteration is located in exon 1 (coding exon 1) of the CYP2C18 gene. This alteration results from a A to T substitution at nucleotide position 131, causing the glutamine (Q) at amino acid position 44 to be replaced by a leucine (L). 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
0.29
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
21
DANN
Uncertain
0.99
DEOGEN2
Benign
0.25
T;.
Eigen
Benign
-0.078
Eigen_PC
Benign
-0.086
FATHMM_MKL
Benign
0.40
N
LIST_S2
Benign
0.78
T;T
M_CAP
Benign
0.011
T
MetaRNN
Pathogenic
0.88
D;D
MetaSVM
Benign
-0.76
T
MutationAssessor
Uncertain
2.1
M;M
PhyloP100
4.6
PROVEAN
Pathogenic
-5.6
D;D
REVEL
Benign
0.25
Sift
Uncertain
0.021
D;D
Sift4G
Uncertain
0.034
D;T
Polyphen
0.28
B;.
Vest4
0.60
MutPred
0.73
Gain of catalytic residue at Q44 (P = 0.0649);Gain of catalytic residue at Q44 (P = 0.0649);
MVP
0.70
MPC
0.018
ClinPred
0.72
D
GERP RS
2.9
PromoterAI
0.047
Neutral
Varity_R
0.26
gMVP
0.64
Mutation Taster
=87/13
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: rs780078851; hg19: chr10-96443707; COSMIC: COSV53674670; API