chr6-31950377-A-G

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001710.6(CFB):​c.1598A>G​(p.Lys533Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0048 in 1,613,030 control chromosomes in the GnomAD database, including 259 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0061 ( 25 hom., cov: 32)
Exomes 𝑓: 0.0047 ( 234 hom. )

Consequence

CFB
NM_001710.6 missense

Scores

2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: 3.45

Publications

24 publications found
Variant links:
Genes affected
CFB (HGNC:1037): (complement factor B) This gene encodes complement factor B, a component of the alternative pathway of complement activation. Factor B circulates in the blood as a single chain polypeptide. Upon activation of the alternative pathway, it is cleaved by complement factor D yielding the noncatalytic chain Ba and the catalytic subunit Bb. The active subunit Bb is a serine protease which associates with C3b to form the alternative pathway C3 convertase. Bb is involved in the proliferation of preactivated B lymphocytes, while Ba inhibits their proliferation. This gene localizes to the major histocompatibility complex (MHC) class III region on chromosome 6. This cluster includes several genes involved in regulation of the immune reaction. Polymorphisms in this gene are associated with a reduced risk of age-related macular degeneration. The polyadenylation site of this gene is 421 bp from the 5' end of the gene for complement component 2. [provided by RefSeq, Jul 2008]
CFB Gene-Disease associations (from GenCC):
  • atypical hemolytic-uremic syndrome with B factor anomaly
    Inheritance: Unknown, AD Classification: STRONG, MODERATE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics, ClinGen
  • complement factor b deficiency
    Inheritance: AR Classification: MODERATE Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0019727945).
BP6
Variant 6-31950377-A-G is Benign according to our data. Variant chr6-31950377-A-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 225313.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0706 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001710.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFB
NM_001710.6
MANE Select
c.1598A>Gp.Lys533Arg
missense
Exon 12 of 18NP_001701.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFB
ENST00000425368.7
TSL:1 MANE Select
c.1598A>Gp.Lys533Arg
missense
Exon 12 of 18ENSP00000416561.2
ENSG00000244255
ENST00000456570.5
TSL:2
c.3104A>Gp.Lys1035Arg
missense
Exon 24 of 30ENSP00000410815.1
ENSG00000244255
ENST00000477310.1
TSL:5
c.2651A>Gp.Lys884Arg
missense
Exon 22 of 28ENSP00000418996.1

Frequencies

GnomAD3 genomes
AF:
0.00612
AC:
931
AN:
152192
Hom.:
25
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0102
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00255
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00693
Gnomad SAS
AF:
0.0774
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000720
Gnomad OTH
AF:
0.00383
GnomAD2 exomes
AF:
0.00908
AC:
2242
AN:
247020
AF XY:
0.0115
show subpopulations
Gnomad AFR exome
AF:
0.0111
Gnomad AMR exome
AF:
0.00171
Gnomad ASJ exome
AF:
0.000401
Gnomad EAS exome
AF:
0.0106
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000820
Gnomad OTH exome
AF:
0.00592
GnomAD4 exome
AF:
0.00467
AC:
6817
AN:
1460720
Hom.:
234
Cov.:
32
AF XY:
0.00630
AC XY:
4581
AN XY:
726676
show subpopulations
African (AFR)
AF:
0.0114
AC:
381
AN:
33478
American (AMR)
AF:
0.00152
AC:
68
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.000421
AC:
11
AN:
26136
East Asian (EAS)
AF:
0.00617
AC:
245
AN:
39700
South Asian (SAS)
AF:
0.0591
AC:
5102
AN:
86256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
52282
Middle Eastern (MID)
AF:
0.00555
AC:
32
AN:
5768
European-Non Finnish (NFE)
AF:
0.000494
AC:
549
AN:
1111992
Other (OTH)
AF:
0.00710
AC:
429
AN:
60384
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
492
984
1476
1968
2460
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
90
180
270
360
450
<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
AF:
0.00611
AC:
930
AN:
152310
Hom.:
25
Cov.:
32
AF XY:
0.00733
AC XY:
546
AN XY:
74478
show subpopulations
African (AFR)
AF:
0.0102
AC:
423
AN:
41548
American (AMR)
AF:
0.00255
AC:
39
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00714
AC:
37
AN:
5180
South Asian (SAS)
AF:
0.0770
AC:
372
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000720
AC:
49
AN:
68032
Other (OTH)
AF:
0.00379
AC:
8
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.506
Heterozygous variant carriers
0
47
93
140
186
233
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.00249
Hom.:
9
Bravo
AF:
0.00475
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.0119
AC:
36
ESP6500EA
AF:
0.000185
AC:
1
ExAC
AF:
0.0103
AC:
1229
Asia WGS
AF:
0.0330
AC:
113
AN:
3478
EpiCase
AF:
0.000654
EpiControl
AF:
0.00160

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Feb 09, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Mar 22, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 20108004, 26911616, 33213850, 28939980, 28710236, 24652797, 30046676, 33238263, 27884173, 20513133)

Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

Atypical hemolytic-uremic syndrome Benign:3
Jun 24, 2022
Genome Diagnostics Laboratory, The Hospital for Sick Children
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Sep 26, 2025
Genomenon, Inc, Genomenon, Inc
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:curation

CFB p.Lys533Arg (c.1598A>G) is a missense variant that changes the amino acid at residue 533 from Lysine to Arginine. This variant is present at high allele frequency in population databases. In conclusion, we classify CFB p.Lys533Arg (c.1598A>G) as a benign variant.

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Complement component 2 deficiency Benign:2
May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Macular degeneration Benign:2
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:1
Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: MAF 5.8% in South Asian chr in ExAC.

Complement factor b deficiency Benign:1
Mar 18, 2016
Soonchunhyang University Bucheon Hospital, Soonchunhyang University Medical Center
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:reference population

Atypical hemolytic-uremic syndrome with B factor anomaly;C3809653:Age related macular degeneration 14;C3809950:Complement factor b deficiency Benign:1
Apr 07, 2022
Fulgent Genetics, Fulgent Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Atypical hemolytic-uremic syndrome with B factor anomaly Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to determine this variant is unlikely to cause disease. Therefore, this variant is classified as likely benign.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Uncertain
0.020
CADD
Benign
20
DANN
Benign
0.90
DEOGEN2
Benign
0.14
T
Eigen
Benign
-0.68
Eigen_PC
Benign
-0.59
FATHMM_MKL
Benign
0.60
D
LIST_S2
Benign
0.75
T
MetaRNN
Benign
0.0020
T
MetaSVM
Benign
-0.85
T
MutationAssessor
Benign
0.81
L
PhyloP100
3.4
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.42
N
REVEL
Uncertain
0.49
Sift
Benign
0.24
T
Sift4G
Benign
0.48
T
Polyphen
0.0090
B
Vest4
0.70
MPC
0.38
ClinPred
0.030
T
GERP RS
5.5
Varity_R
0.25
gMVP
0.54
Mutation Taster
=90/10
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs149101394; hg19: chr6-31918154; COSMIC: COSV54961541; COSMIC: COSV54961541; API