chr15-42731206-C-T
Variant summary
Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PP3_Strong
The NM_138477.4(CDAN1):c.1860+5G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000156 in 1,614,176 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_138477.4 splice_region, intron
Scores
Clinical Significance
Conservation
Publications
- anemia, congenital dyserythropoietic, type 1aInheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
- congenital dyserythropoietic anemia type 1Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
- congenital dyserythropoietic anemiaInheritance: AR Classification: LIMITED Submitted by: Genomics England PanelApp
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ACMG classification
Our verdict: Uncertain_significance. The variant received 4 ACMG points.
Transcripts
RefSeq
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| CDAN1 | ENST00000356231.4 | c.1860+5G>A | splice_region_variant, intron_variant | Intron 12 of 27 | 1 | NM_138477.4 | ENSP00000348564.3 | |||
| CDAN1 | ENST00000643434.1 | n.*1038+5G>A | splice_region_variant, intron_variant | Intron 10 of 24 | ENSP00000494699.1 |
Frequencies
GnomAD3 genomes AF: 0.000499 AC: 76AN: 152170Hom.: 0 Cov.: 33 show subpopulations
GnomAD2 exomes AF: 0.000211 AC: 53AN: 251476 AF XY: 0.000177 show subpopulations
GnomAD4 exome AF: 0.000118 AC: 172AN: 1461888Hom.: 1 Cov.: 35 AF XY: 0.000124 AC XY: 90AN XY: 727248 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000525 AC: 80AN: 152288Hom.: 0 Cov.: 33 AF XY: 0.000564 AC XY: 42AN XY: 74460 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Uncertain:2
In-silico analysis is inconclusive as to whether the variant alters gene splicing. In the absence of RNA/functional studies, the actual effect of this sequence change is unknown.; This variant is associated with the following publications: (PMID: 31589614, 26147798, 16098079) -
This sequence change falls in intron 12 of the CDAN1 gene. It does not directly change the encoded amino acid sequence of the CDAN1 protein. RNA analysis indicates that this variant induces altered splicing and may result in an absent or disrupted protein product. This variant is present in population databases (rs113313967, gnomAD 0.2%). This variant has been observed in individual(s) with dyserythropoietic anemia type 1 (PMID: 16098079). This variant is also known as IVS-12+5G > A. ClinVar contains an entry for this variant (Variation ID: 3181). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Studies have shown that this variant results in inclusion of intron 12 and introduces a premature termination codon (PMID: 16098079). The resulting mRNA is expected to undergo nonsense-mediated decay. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Congenital dyserythropoietic anemia, type I Pathogenic:1
- -
not specified Uncertain:1
Variant summary: CDAN1 c.1860+5G>A alters a nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. Several computational tools predict a significant impact on normal splicing: Two predict the variant abolishes a 5' splicing donor site. At least one paper showed this mutation leads to a stop codon 12 bases downstream in intron 12 and revealed a reduced presence of codanin-1 signals (Tamary_2005). The variant allele was found at a frequency of 0.00021 in 251476 control chromosomes (gnomAD). This frequency is not significantly higher than estimated for a pathogenic variant in CDAN1 causing Congenital dyserythropoietic anemia, type I, allowing no conclusion about variant significance. c.1860+5G>A has been reported in the literature in at least one individual affected with Congenital dyserythropoietic anemia, type I (Tamary_2005). These data indicate that the variant may be associated with disease. The following publications have been ascertained in the context of this evaluation (PMID: 16098079, 34493867). ClinVar contains an entry for this variant (Variation ID: 3181). Based on the evidence outlined above, the variant was classified as VUS-possibly pathogenic. -
Anemia, congenital dyserythropoietic, type 1a Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at