chr12-6816128-T-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000616.5(CD4):ā€‹c.680T>Cā€‹(p.Phe227Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00402 in 1,614,104 control chromosomes in the GnomAD database, including 185 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: š‘“ 0.021 ( 96 hom., cov: 32)
Exomes š‘“: 0.0023 ( 89 hom. )

Consequence

CD4
NM_000616.5 missense

Scores

2
3
13

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 1.49
Variant links:
Genes affected
CD4 (HGNC:1678): (CD4 molecule) This gene encodes the CD4 membrane glycoprotein of T lymphocytes. The CD4 antigen acts as a coreceptor with the T-cell receptor on the T lymphocyte to recognize antigens displayed by an antigen presenting cell in the context of class II MHC molecules. The CD4 antigen is also a primary receptor for entry of the human immunodeficiency virus through interactions with the HIV Env gp120 subunit. This gene is expressed not only in T lymphocytes, but also in B cells, macrophages, granulocytes, as well as in various regions of the brain. The protein functions to initiate or augment the early phase of T-cell activation, and may function as an important mediator of indirect neuronal damage in infectious and immune-mediated diseases of the central nervous system. Multiple alternatively spliced transcript variants encoding different isoforms have been identified in this gene. [provided by RefSeq, May 2020]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0030532777).
BP6
Variant 12-6816128-T-C is Benign according to our data. Variant chr12-6816128-T-C is described in ClinVar as [Benign]. Clinvar id is 789804.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0682 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CD4NM_000616.5 linkuse as main transcriptc.680T>C p.Phe227Ser missense_variant 6/10 ENST00000011653.9 NP_000607.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CD4ENST00000011653.9 linkuse as main transcriptc.680T>C p.Phe227Ser missense_variant 6/101 NM_000616.5 ENSP00000011653 P1

Frequencies

GnomAD3 genomes
AF:
0.0206
AC:
3130
AN:
152108
Hom.:
96
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0703
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0103
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:
0.000426
Gnomad OTH
AF:
0.0148
GnomAD3 exomes
AF:
0.00526
AC:
1322
AN:
251478
Hom.:
40
AF XY:
0.00363
AC XY:
493
AN XY:
135912
show subpopulations
Gnomad AFR exome
AF:
0.0714
Gnomad AMR exome
AF:
0.00289
Gnomad ASJ exome
AF:
0.0000992
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000457
Gnomad OTH exome
AF:
0.00130
GnomAD4 exome
AF:
0.00229
AC:
3354
AN:
1461878
Hom.:
89
Cov.:
34
AF XY:
0.00197
AC XY:
1435
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.0723
Gnomad4 AMR exome
AF:
0.00418
Gnomad4 ASJ exome
AF:
0.000115
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000409
Gnomad4 OTH exome
AF:
0.00439
GnomAD4 genome
AF:
0.0206
AC:
3139
AN:
152226
Hom.:
96
Cov.:
32
AF XY:
0.0200
AC XY:
1490
AN XY:
74420
show subpopulations
Gnomad4 AFR
AF:
0.0703
Gnomad4 AMR
AF:
0.0103
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000426
Gnomad4 OTH
AF:
0.0147
Alfa
AF:
0.00409
Hom.:
24
Bravo
AF:
0.0243
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.0638
AC:
281
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00680
AC:
826
Asia WGS
AF:
0.00346
AC:
12
AN:
3478
EpiCase
AF:
0.000818
EpiControl
AF:
0.000652

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJul 06, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.34
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T
Eigen
Benign
0.061
Eigen_PC
Benign
-0.14
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.84
T
MetaRNN
Benign
0.0031
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.9
L
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.42
T
PROVEAN
Pathogenic
-5.3
D
REVEL
Benign
0.11
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0030
D
Polyphen
1.0
D
Vest4
0.23
MVP
0.83
MPC
1.0
ClinPred
0.085
T
GERP RS
4.0
Varity_R
0.77
gMVP
0.74

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: rs11064419; hg19: chr12-6925294; API