chr21-44333087-A-G

Variant summary

Our verdict is Likely pathogenic. The variant received 8 ACMG points: 8P and 0B. PM5PP3_StrongPP5_Moderate

The NM_004928.3(CFAP410):​c.319T>C​(p.Tyr107His) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000686 in 1,457,668 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 Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Y107C) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0000069 ( 0 hom. )

Consequence

CFAP410
NM_004928.3 missense

Scores

8
6
2

Clinical Significance

Pathogenic criteria provided, single submitter P:3

Conservation

PhyloP100: 8.51

Publications

6 publications found
Variant links:
Genes affected
CFAP410 (HGNC:1260): (cilia and flagella associated protein 410) Four alternatively spliced transcript variants encoding four different isoforms have been found for this nuclear gene. All isoforms contain leucine-rich repeats. Three of these isoforms are mitochondrial proteins and one of them lacks the target peptide, so is not located in mitochondrion. This gene is down-regulated in Down syndrome (DS) brain, which may represent mitochondrial dysfunction in DS patients. [provided by RefSeq, Sep 2012]
CFAP410 Gene-Disease associations (from GenCC):
  • axial spondylometaphyseal dysplasia
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • amyotrophic lateral sclerosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 8 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr21-44333086-T-C is described in ClinVar as Pathogenic. ClinVar VariationId is 428583.Status of the report is no_assertion_criteria_provided, 0 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.947
PP5
Variant 21-44333087-A-G is Pathogenic according to our data. Variant chr21-44333087-A-G is described in ClinVar as Pathogenic. ClinVar VariationId is 428580.Status of the report is criteria_provided_single_submitter, 1 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_004928.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFAP410
NM_004928.3
MANE Select
c.319T>Cp.Tyr107His
missense
Exon 4 of 7NP_004919.1
CFAP410
NM_001271441.2
c.319T>Cp.Tyr107His
missense
Exon 4 of 7NP_001258370.1
CFAP410
NM_001271440.2
c.319T>Cp.Tyr107His
missense
Exon 4 of 7NP_001258369.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFAP410
ENST00000339818.9
TSL:1 MANE Select
c.319T>Cp.Tyr107His
missense
Exon 4 of 7ENSP00000344566.4
CFAP410
ENST00000397956.7
TSL:1
c.319T>Cp.Tyr107His
missense
Exon 4 of 7ENSP00000381047.3
CFAP410
ENST00000325223.7
TSL:1
c.319T>Cp.Tyr107His
missense
Exon 4 of 7ENSP00000317302.7

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD2 exomes
AF:
0.0000168
AC:
4
AN:
237838
AF XY:
0.0000153
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000226
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000686
AC:
10
AN:
1457668
Hom.:
0
Cov.:
31
AF XY:
0.00000828
AC XY:
6
AN XY:
724864
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33442
American (AMR)
AF:
0.00
AC:
0
AN:
44522
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26058
East Asian (EAS)
AF:
0.000253
AC:
10
AN:
39564
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85918
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51744
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5754
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1110570
Other (OTH)
AF:
0.00
AC:
0
AN:
60096
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.465
Heterozygous variant carriers
0
1
2
2
3
4
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.:
34
Alfa
AF:
0.00
Hom.:
0
ExAC
AF:
0.0000166
AC:
2

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Retinal dystrophy with or without macular staphyloma Pathogenic:2
Henan Ocular Pharmacology and Therapeutics International Laboratory, Henan Eye Hospital
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:research

Jul 01, 2024
3billion
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The variant is observed at an extremely low frequency in the gnomAD v4.0.0 dataset (total allele frequency: <0.001%). Predicted Consequence/Location: Missense variant In silico tool predictions suggest damaging effect of the variant on gene or gene product [REVEL: 0.74 (>=0.6, sensitivity 0.68 and specificity 0.92); 3Cnet: 0.50 (>=0.6, sensitivity 0.72 and precision 0.9)]. The same nucleotide change resulting in the same amino acid change has been previously reported as pathogenic/likely pathogenic with strong evidence (ClinVar ID: VCV000428580 /PMID: 26974433, VCV000428580 /3billion dataset). The variant has been reported to be in trans with a pathogenic variant as either compound heterozygous or homozygous in at least one similarly affected unrelated individual (PMID: 27548899 /3billion dataset). A different missense change at the same codon (p.Tyr107Cys) has been reported to be associated with CFAP410 related disorder (ClinVar ID: VCV000428583). Therefore, this variant is classified as Pathogenic according to the recommendation of ACMG/AMP guideline.

Axial spondylometaphyseal dysplasia Pathogenic:1
Jul 17, 2018
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Pathogenic
0.21
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T
Eigen
Pathogenic
0.83
Eigen_PC
Pathogenic
0.73
FATHMM_MKL
Uncertain
0.97
D
LIST_S2
Uncertain
0.92
D
M_CAP
Uncertain
0.086
D
MetaRNN
Pathogenic
0.95
D
MetaSVM
Benign
-0.40
T
PhyloP100
8.5
PROVEAN
Pathogenic
-5.0
D
REVEL
Pathogenic
0.74
Sift
Pathogenic
0.0
D
Sift4G
Uncertain
0.0030
D
Polyphen
1.0
D
Vest4
0.97
MutPred
0.84
Gain of disorder (P = 0.0198)
MVP
0.47
MPC
0.45
ClinPred
0.99
D
GERP RS
5.0
Varity_R
0.86
gMVP
0.67
Mutation Taster
=13/87
disease causing (ClinVar)

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: rs763623409; hg19: chr21-45752970; API