chr20-58997674-C-T
Variant names: 
Variant summary
Our verdict is Benign. The variant received -11 ACMG points: 0P and 11B. BP4_StrongBP6_ModerateBP7BS2
The NM_001336.4(CTSZ):c.567G>A(p.Arg189Arg) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00794 in 1,609,850 control chromosomes in the GnomAD database, including 68 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).
Frequency
 Genomes: 𝑓 0.0065   (  6   hom.,  cov: 32) 
 Exomes 𝑓:  0.0081   (  62   hom.  ) 
Consequence
 CTSZ
NM_001336.4 synonymous
NM_001336.4 synonymous
Scores
 2
Clinical Significance
Conservation
 PhyloP100:  -0.263  
Publications
5 publications found 
Genes affected
 CTSZ  (HGNC:2547):  (cathepsin Z) The protein encoded by this gene is a lysosomal cysteine proteinase and member of the peptidase C1 family. It exhibits both carboxy-monopeptidase and carboxy-dipeptidase activities. The encoded protein has also been known as cathepsin X and cathepsin P. This gene is expressed ubiquitously in cancer cell lines and primary tumors and, like other members of this family, may be involved in tumorigenesis. [provided by RefSeq, Oct 2008] 
Genome browser will be placed here
ACMG classification
Classification was made for transcript
Our verdict: Benign. The variant received -11 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.66). 
BP6
Variant 20-58997674-C-T is Benign according to our data. Variant chr20-58997674-C-T is described in ClinVar as Likely_benign. ClinVar VariationId is 2652451.Status of the report is criteria_provided_single_submitter, 1 stars. 
BP7
Synonymous conserved (PhyloP=-0.263 with no splicing effect.
BS2
High Homozygotes in GnomAd4 at 6  gene
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes  0.00650  AC: 989AN: 152212Hom.:  6  Cov.: 32 show subpopulations 
GnomAD3 genomes 
 AF: 
AC: 
989
AN: 
152212
Hom.: 
Cov.: 
32
Gnomad AFR 
 AF: 
Gnomad AMI 
 AF: 
Gnomad AMR 
 AF: 
Gnomad ASJ 
 AF: 
Gnomad EAS 
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Gnomad SAS 
 AF: 
Gnomad FIN 
 AF: 
Gnomad MID 
 AF: 
Gnomad NFE 
 AF: 
Gnomad OTH 
 AF: 
GnomAD2 exomes  AF:  0.00649  AC: 1604AN: 247168 AF XY:  0.00643   show subpopulations 
GnomAD2 exomes 
 AF: 
AC: 
1604
AN: 
247168
 AF XY: 
Gnomad AFR exome 
 AF: 
Gnomad AMR exome 
 AF: 
Gnomad ASJ exome 
 AF: 
Gnomad EAS exome 
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Gnomad FIN exome 
 AF: 
Gnomad NFE exome 
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Gnomad OTH exome 
 AF: 
GnomAD4 exome  AF:  0.00809  AC: 11796AN: 1457520Hom.:  62  Cov.: 34 AF XY:  0.00795  AC XY: 5763AN XY: 724832 show subpopulations 
GnomAD4 exome 
 AF: 
AC: 
11796
AN: 
1457520
Hom.: 
Cov.: 
34
 AF XY: 
AC XY: 
5763
AN XY: 
724832
show subpopulations 
African (AFR) 
 AF: 
AC: 
47
AN: 
33386
American (AMR) 
 AF: 
AC: 
123
AN: 
43996
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
673
AN: 
26098
East Asian (EAS) 
 AF: 
AC: 
4
AN: 
39522
South Asian (SAS) 
 AF: 
AC: 
92
AN: 
85028
European-Finnish (FIN) 
 AF: 
AC: 
62
AN: 
53396
Middle Eastern (MID) 
 AF: 
AC: 
28
AN: 
5756
European-Non Finnish (NFE) 
 AF: 
AC: 
10275
AN: 
1110098
Other (OTH) 
 AF: 
AC: 
492
AN: 
60240
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.485 
Heterozygous variant carriers
 0 
 601 
 1202 
 1803 
 2404 
 3005 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Exome Het
Exome Hom
Variant carriers
 0 
 390 
 780 
 1170 
 1560 
 1950 
 <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  0.00649  AC: 989AN: 152330Hom.:  6  Cov.: 32 AF XY:  0.00618  AC XY: 460AN XY: 74480 show subpopulations 
GnomAD4 genome 
 AF: 
AC: 
989
AN: 
152330
Hom.: 
Cov.: 
32
 AF XY: 
AC XY: 
460
AN XY: 
74480
show subpopulations 
African (AFR) 
 AF: 
AC: 
80
AN: 
41586
American (AMR) 
 AF: 
AC: 
80
AN: 
15294
Ashkenazi Jewish (ASJ) 
 AF: 
AC: 
88
AN: 
3472
East Asian (EAS) 
 AF: 
AC: 
0
AN: 
5182
South Asian (SAS) 
 AF: 
AC: 
5
AN: 
4826
European-Finnish (FIN) 
 AF: 
AC: 
14
AN: 
10622
Middle Eastern (MID) 
 AF: 
AC: 
1
AN: 
294
European-Non Finnish (NFE) 
 AF: 
AC: 
658
AN: 
68034
Other (OTH) 
 AF: 
AC: 
15
AN: 
2110
 Allele Balance Distribution 
 Red line indicates average allele balance 
 Average allele balance: 0.492 
Heterozygous variant carriers
 0 
 45 
 89 
 134 
 178 
 223 
 0.00 
 0.20 
 0.40 
 0.60 
 0.80 
 0.95 
Allele balance
Age Distribution
Genome Het
Variant carriers
 0 
 20 
 40 
 60 
 80 
 100 
 <30 
 30-35 
 35-40 
 40-45 
 45-50 
 50-55 
 55-60 
 60-65 
 65-70 
 70-75 
 75-80 
 >80 
Age
Alfa 
 AF: 
Hom.: 
Bravo 
 AF: 
Asia WGS 
 AF: 
AC: 
7
AN: 
3478
ClinVar
Significance: Likely benign 
Submissions summary: Benign:1 
Revision: criteria provided, single submitter
LINK: link 
Submissions by phenotype
not provided    Benign:1 
Jul 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
CTSZ: BP4, BP7 -
Computational scores
Source: 
Name
Calibrated prediction
Score
Prediction
 BayesDel_noAF 
 Benign 
 DANN 
 Benign 
 PhyloP100 
 RBP_binding_hub_radar 
 RBP_regulation_power_radar 
Splicing
Name
Calibrated prediction
Score
Prediction
 SpliceAI score (max) 
Details are displayed if max score is > 0.2
 Find out detailed SpliceAI scores and Pangolin per-transcript scores at 
Publications
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