chr2-210591913-A-T

Variant summary

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

The ENST00000233072.10(CPS1):​c.1030A>T​(p.Thr344Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00273 in 1,611,196 control chromosomes in the GnomAD database, including 105 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Benignin ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T344A) has been classified as Benign.

Frequency

Genomes: 𝑓 0.014 ( 46 hom., cov: 32)
Exomes 𝑓: 0.0016 ( 59 hom. )

Consequence

CPS1
ENST00000233072.10 missense

Scores

2
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.266
Variant links:
Genes affected
CPS1 (HGNC:2323): (carbamoyl-phosphate synthase 1) The mitochondrial enzyme encoded by this gene catalyzes synthesis of carbamoyl phosphate from ammonia and bicarbonate. This reaction is the first committed step of the urea cycle, which is important in the removal of excess urea from cells. The encoded protein may also represent a core mitochondrial nucleoid protein. Three transcript variants encoding different isoforms have been found for this gene. The shortest isoform may not be localized to the mitochondrion. Mutations in this gene have been associated with carbamoyl phosphate synthetase deficiency, susceptibility to persistent pulmonary hypertension, and susceptibility to venoocclusive disease after bone marrow transplantation.[provided by RefSeq, May 2010]

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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=0.0035771728).
BP6
Variant 2-210591913-A-T is Benign according to our data. Variant chr2-210591913-A-T is described in ClinVar as [Benign]. Clinvar id is 281331.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-210591913-A-T is described in Lovd as [Benign].
BA1
GnomAdExome4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0523 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CPS1NM_001875.5 linkuse as main transcriptc.1030A>T p.Thr344Ser missense_variant 10/38 ENST00000233072.10 NP_001866.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CPS1ENST00000233072.10 linkuse as main transcriptc.1030A>T p.Thr344Ser missense_variant 10/381 NM_001875.5 ENSP00000233072 P1P31327-1

Frequencies

GnomAD3 genomes
AF:
0.0139
AC:
2108
AN:
151268
Hom.:
46
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0482
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00534
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00318
Gnomad NFE
AF:
0.000310
Gnomad OTH
AF:
0.00861
GnomAD3 exomes
AF:
0.00372
AC:
929
AN:
249584
Hom.:
23
AF XY:
0.00293
AC XY:
395
AN XY:
134908
show subpopulations
Gnomad AFR exome
AF:
0.0503
Gnomad AMR exome
AF:
0.00213
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000164
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000257
Gnomad OTH exome
AF:
0.00115
GnomAD4 exome
AF:
0.00156
AC:
2281
AN:
1459812
Hom.:
59
Cov.:
43
AF XY:
0.00133
AC XY:
966
AN XY:
726220
show subpopulations
Gnomad4 AFR exome
AF:
0.0544
Gnomad4 AMR exome
AF:
0.00251
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000174
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000909
Gnomad4 OTH exome
AF:
0.00349
GnomAD4 genome
AF:
0.0139
AC:
2111
AN:
151384
Hom.:
46
Cov.:
32
AF XY:
0.0139
AC XY:
1026
AN XY:
73926
show subpopulations
Gnomad4 AFR
AF:
0.0482
Gnomad4 AMR
AF:
0.00533
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000310
Gnomad4 OTH
AF:
0.00852
Alfa
AF:
0.0000669
Hom.:
41143
ExAC
AF:
0.00438
AC:
531
EpiCase
AF:
0.000382
EpiControl
AF:
0.000535

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Congenital hyperammonemia, type I Benign:3
Benign, no assertion criteria providedclinical testingNatera, Inc.Sep 16, 2020- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
not specified Benign:2
Benign, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Jun 10, 2015- -
Benign, criteria provided, single submitterclinical testingGeneDxFeb 12, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
not provided Benign:1
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.076
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
0.052
DANN
Benign
0.74
DEOGEN2
Uncertain
0.58
.;D;T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.46
N
LIST_S2
Benign
0.080
T;T;T
MetaRNN
Benign
0.0036
T;T;T
MetaSVM
Benign
-0.75
T
MutationAssessor
Benign
-0.33
.;N;.
MutationTaster
Benign
1.0
P;P
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-1.4
N;N;.
REVEL
Uncertain
0.30
Sift
Benign
0.59
T;T;.
Sift4G
Benign
0.69
T;T;T
Polyphen
0.0010
.;B;.
Vest4
0.16
MutPred
0.23
.;Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);
MVP
0.65
MPC
0.20
ClinPred
0.0021
T
GERP RS
-0.92
Varity_R
0.17
gMVP
0.22

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: rs1047883; hg19: chr2-211456637; API