chr7-117548629-T-TG
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Variant summary
Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2
The ENST00000003084.11(CFTR):c.1210-12_1210-11insG variant causes a splice polypyrimidine tract, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00143 in 133,216 control chromosomes in the GnomAD database, including 2 homozygotes. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Genomes: 𝑓 0.0014 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0011 ( 1 hom. )
Failed GnomAD Quality Control
Consequence
CFTR
ENST00000003084.11 splice_polypyrimidine_tract, intron
ENST00000003084.11 splice_polypyrimidine_tract, intron
Scores
Not classified
Clinical Significance
Conservation
PhyloP100: 0.236
Genes affected
CFTR (HGNC:1884): (CF transmembrane conductance regulator) This gene encodes a member of the ATP-binding cassette (ABC) transporter superfamily. The encoded protein functions as a chloride channel, making it unique among members of this protein family, and controls ion and water secretion and absorption in epithelial tissues. Channel activation is mediated by cycles of regulatory domain phosphorylation, ATP-binding by the nucleotide-binding domains, and ATP hydrolysis. Mutations in this gene cause cystic fibrosis, the most common lethal genetic disorder in populations of Northern European descent. The most frequently occurring mutation in cystic fibrosis, DeltaF508, results in impaired folding and trafficking of the encoded protein. Multiple pseudogenes have been identified in the human genome. [provided by RefSeq, Aug 2017]
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ACMG classification
Classification made for transcript
Verdict is Likely_benign. Variant got -4 ACMG points.
BS2
High Homozygotes in GnomAd4 at 2 AR gene
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CFTR | NM_000492.4 | c.1210-12_1210-11insG | splice_polypyrimidine_tract_variant, intron_variant | ENST00000003084.11 | NP_000483.3 | |||
CFTR-AS1 | NR_149084.1 | n.222-6091_222-6090insC | intron_variant, non_coding_transcript_variant |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CFTR | ENST00000003084.11 | c.1210-12_1210-11insG | splice_polypyrimidine_tract_variant, intron_variant | 1 | NM_000492.4 | ENSP00000003084 | P2 |
Frequencies
GnomAD3 genomes AF: 0.00143 AC: 190AN: 133130Hom.: 2 Cov.: 32
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GnomAD3 exomes AF: 0.000393 AC: 83AN: 211464Hom.: 0 AF XY: 0.000365 AC XY: 42AN XY: 114970
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GnomAD4 exome Data not reliable, filtered out with message: AS_VQSR AF: 0.00108 AC: 1463AN: 1357602Hom.: 1 Cov.: 37 AF XY: 0.00108 AC XY: 731AN XY: 676144
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Data not reliable, filtered out with message: AS_VQSR
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GnomAD4 genome AF: 0.00143 AC: 190AN: 133216Hom.: 2 Cov.: 32 AF XY: 0.00156 AC XY: 101AN XY: 64656
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ClinVar
Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
not specified Uncertain:3
Uncertain significance, criteria provided, single submitter | clinical testing | Women's Health and Genetics/Laboratory Corporation of America, LabCorp | Mar 18, 2022 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Quest Diagnostics Nichols Institute San Juan Capistrano | May 11, 2017 | - - |
Uncertain significance, criteria provided, single submitter | clinical testing | Mendelics | May 04, 2022 | - - |
CFTR-related disorder Uncertain:1
Uncertain significance, criteria provided, single submitter | clinical testing | PreventionGenetics, part of Exact Sciences | Feb 17, 2023 | The CFTR c.1210-12_1210-11insG variant is predicted to result in an in-frame amino acid insertion (Intronic). Analysis of CFTR poly T and TG tracts indicates that this individual has a 6T/12TG allele (c.1210-34TG[12]T[6]) and a 7T/12TG allele. In the CFTR gene, poly T and TG tract alleles (5T/7T/9T and 10TG/11TG/12TG) are common polymorphic variants. Shorter poly T tracts (such as 5T) combined with longer adjacent poly TG tracts in cis (such as 12TG or 13TG) are known to decrease the efficiency of intron 8 splicing (Cuppens et al. 1998. PubMed ID: 9435322), leading to increased levels of transcripts missing exon 9 which leads to a protein with no chloride channel activity (Delaney et al. 1993. PubMed ID: 7691356; Strong et al. 1993. PubMed ID: 7684641). A poly T tract length of 6 adjacent to TG tract lengths of 11 or 12 (i.e. 6T/11TG and 6T/12TG alleles) have been documented at allele frequencies of up to ~1.5% in Asian populations (Huang et al. 2008. PubMed ID: 18350634; Jin et al. 2012. PubMed ID: 23092102) and have been reported in patients affected with CFTR-related conditions including bronchiectasis, asthma, and chronic bronchitis (Lee et al. 2003. PubMed ID: 12952861; Wang et al. 2012. PubMed ID: 23554779; Dahl et al. 2005. PubMed ID: 16212675; Kim et al. 2010. PubMed ID: 20879059). However, 6T/11TG and 6T/12TG alleles have also been documented in healthy controls (Fujiki et al. 2004. PubMed ID: 15121783; Wang et al. 2012. PubMed ID: 23554779; Chang et al. 2007. PubMed ID: 17539902; Kim et al. 2010. PubMed ID: 20879059). A 6T/13TG allele has been documented in trans with a pathogenic variant in patients with congenital bilateral absence of the vas deferens (Dayangaç et al. 2004. PubMed ID: 15070876; Viel et al. 2005. PubMed ID: 15562283). At this time, the clinical significance of the CFTR 6T/12TG allele identified in this patient is uncertain due to the absence of conclusive functional and genetic evidence. - |
Computational scores
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SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at