chr22-19480191-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_003504.5(CDC45):​c.85G>A​(p.Ala29Thr) variant causes a missense change. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)

Consequence

CDC45
NM_003504.5 missense

Scores

7
8
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.94
Variant links:
Genes affected
CDC45 (HGNC:1739): (cell division cycle 45) The protein encoded by this gene was identified by its strong similarity with Saccharomyces cerevisiae Cdc45, an essential protein required to the initiation of DNA replication. Cdc45 is a member of the highly conserved multiprotein complex including Cdc6/Cdc18, the minichromosome maintenance proteins (MCMs) and DNA polymerase, which is important for early steps of DNA replication in eukaryotes. This protein has been shown to interact with MCM7 and DNA polymerase alpha. Studies of the similar gene in Xenopus suggested that this protein play a pivotal role in the loading of DNA polymerase alpha onto chromatin. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.965

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CDC45NM_003504.5 linkc.85G>A p.Ala29Thr missense_variant 2/19 ENST00000263201.7 NP_003495.1 O75419-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CDC45ENST00000263201.7 linkc.85G>A p.Ala29Thr missense_variant 2/191 NM_003504.5 ENSP00000263201.2 O75419-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
34
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 14, 2024The c.85G>A (p.A29T) alteration is located in exon 2 (coding exon 2) of the CDC45 gene. This alteration results from a G to A substitution at nucleotide position 85, causing the alanine (A) at amino acid position 29 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.81
BayesDel_addAF
Pathogenic
0.26
D
BayesDel_noAF
Uncertain
0.13
CADD
Pathogenic
31
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.34
T;.;.;T;.;.
Eigen
Pathogenic
0.92
Eigen_PC
Pathogenic
0.89
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Uncertain
0.97
.;D;D;D;D;D
M_CAP
Benign
0.058
D
MetaRNN
Pathogenic
0.96
D;D;D;D;D;D
MetaSVM
Benign
-0.36
T
MutationAssessor
Pathogenic
2.9
M;.;.;M;M;M
PrimateAI
Uncertain
0.74
T
PROVEAN
Uncertain
-3.1
D;D;D;D;D;D
REVEL
Uncertain
0.51
Sift
Uncertain
0.0020
D;D;D;D;D;D
Sift4G
Uncertain
0.0090
D;D;D;D;D;D
Polyphen
1.0
D;.;.;D;.;.
Vest4
0.48
MutPred
0.90
Gain of methylation at K34 (P = 0.0619);.;Gain of methylation at K34 (P = 0.0619);Gain of methylation at K34 (P = 0.0619);Gain of methylation at K34 (P = 0.0619);Gain of methylation at K34 (P = 0.0619);
MVP
0.67
MPC
1.0
ClinPred
0.97
D
GERP RS
6.0
RBP_binding_hub_radar
0.97
RBP_regulation_power_radar
2.7
Varity_R
0.74
gMVP
0.66

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr22-19467714; API