chr7-117548629-T-TG

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

Scores

Not classified

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 0.236
Variant links:
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]

Genome browser will be placed here

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
CFTRNM_000492.4 linkuse as main transcriptc.1210-12_1210-11insG splice_polypyrimidine_tract_variant, intron_variant ENST00000003084.11 NP_000483.3
CFTR-AS1NR_149084.1 linkuse as main transcriptn.222-6091_222-6090insC intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CFTRENST00000003084.11 linkuse as main transcriptc.1210-12_1210-11insG splice_polypyrimidine_tract_variant, intron_variant 1 NM_000492.4 ENSP00000003084 P2P13569-1

Frequencies

GnomAD3 genomes
AF:
0.00143
AC:
190
AN:
133130
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000784
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00255
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0133
Gnomad SAS
AF:
0.00572
Gnomad FIN
AF:
0.000128
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000541
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000393
AC:
83
AN:
211464
Hom.:
0
AF XY:
0.000365
AC XY:
42
AN XY:
114970
show subpopulations
Gnomad AFR exome
AF:
0.000258
Gnomad AMR exome
AF:
0.000223
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00348
Gnomad SAS exome
AF:
0.000216
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000321
Gnomad OTH exome
AF:
0.000394
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00108
AC:
1463
AN:
1357602
Hom.:
1
Cov.:
37
AF XY:
0.00108
AC XY:
731
AN XY:
676144
show subpopulations
Gnomad4 AFR exome
AF:
0.000909
Gnomad4 AMR exome
AF:
0.00224
Gnomad4 ASJ exome
AF:
0.000297
Gnomad4 EAS exome
AF:
0.00963
Gnomad4 SAS exome
AF:
0.00313
Gnomad4 FIN exome
AF:
0.000120
Gnomad4 NFE exome
AF:
0.000598
Gnomad4 OTH exome
AF:
0.00137
GnomAD4 genome
AF:
0.00143
AC:
190
AN:
133216
Hom.:
2
Cov.:
32
AF XY:
0.00156
AC XY:
101
AN XY:
64656
show subpopulations
Gnomad4 AFR
AF:
0.000781
Gnomad4 AMR
AF:
0.00254
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0133
Gnomad4 SAS
AF:
0.00573
Gnomad4 FIN
AF:
0.000128
Gnomad4 NFE
AF:
0.000541
Gnomad4 OTH
AF:
0.00

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 submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpMar 18, 2022- -
Uncertain significance, criteria provided, single submitterclinical testingQuest Diagnostics Nichols Institute San Juan CapistranoMay 11, 2017- -
Uncertain significance, criteria provided, single submitterclinical testingMendelicsMay 04, 2022- -
CFTR-related disorder Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact SciencesFeb 17, 2023The 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

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs4148705; hg19: chr7-117188683; API