chr9-136364344-C-G

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_052813.5(CARD9):​c.1569G>C​(p.Glu523Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 15/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E523Q) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 34)
Exomes 𝑓: 0.0 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

CARD9
NM_052813.5 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.116

Publications

0 publications found
Variant links:
Genes affected
CARD9 (HGNC:16391): (caspase recruitment domain family member 9) The protein encoded by this gene is a member of the CARD protein family, which is defined by the presence of a characteristic caspase-associated recruitment domain (CARD). CARD is a protein interaction domain known to participate in activation or suppression of CARD containing members of the caspase family, and thus plays an important regulatory role in cell apoptosis. This protein was identified by its selective association with the CARD domain of BCL10, a postive regulator of apoptosis and NF-kappaB activation, and is thought to function as a molecular scaffold for the assembly of a BCL10 signaling complex that activates NF-kappaB. Several alternatively spliced transcript variants have been observed, but their full-length nature is not clearly defined. [provided by RefSeq, Jul 2008]
CARD9 Gene-Disease associations (from GenCC):
  • deep dermatophytosis
    Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp
  • predisposition to invasive fungal disease due to CARD9 deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.098959446).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CARD9NM_052813.5 linkc.1569G>C p.Glu523Asp missense_variant Exon 13 of 13 ENST00000371732.10 NP_434700.2 Q9H257-1A0A024R8F1
CARD9NM_052814.4 linkc.1442-182G>C intron_variant Intron 12 of 12 NP_434701.1 Q9H257-2
LOC124902309XR_007061863.1 linkn.84+892C>G intron_variant Intron 1 of 1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CARD9ENST00000371732.10 linkc.1569G>C p.Glu523Asp missense_variant Exon 13 of 13 1 NM_052813.5 ENSP00000360797.5 Q9H257-1
ENSG00000289701ENST00000696169.1 linkn.*1197G>C non_coding_transcript_exon_variant Exon 12 of 13 ENSP00000512460.1
ENSG00000289701ENST00000696169.1 linkn.*1197G>C 3_prime_UTR_variant Exon 12 of 13 ENSP00000512460.1

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1415902
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
700412
African (AFR)
AF:
0.00
AC:
0
AN:
32498
American (AMR)
AF:
0.00
AC:
0
AN:
38398
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25376
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37608
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80798
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
46894
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5716
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
1089892
Other (OTH)
AF:
0.00
AC:
0
AN:
58722
GnomAD4 genome
Cov.:
34
Alfa
AF:
0.00
Hom.:
0

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Apr 13, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.1569G>C (p.E523D) alteration is located in exon 13 (coding exon 12) of the CARD9 gene. This alteration results from a G to C substitution at nucleotide position 1569, causing the glutamic acid (E) at amino acid position 523 to be replaced by an aspartic acid (D). 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
Benign
0.11
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
8.4
DANN
Benign
0.87
DEOGEN2
Benign
0.056
T
Eigen
Benign
-0.93
Eigen_PC
Benign
-0.85
FATHMM_MKL
Benign
0.57
D
LIST_S2
Benign
0.60
T
M_CAP
Uncertain
0.088
D
MetaRNN
Benign
0.099
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
0.89
L
PhyloP100
0.12
PrimateAI
Uncertain
0.52
T
PROVEAN
Benign
-0.30
N
REVEL
Benign
0.040
Sift
Benign
0.26
T
Sift4G
Benign
0.38
T
Polyphen
0.0030
B
Vest4
0.070
MutPred
0.10
Loss of stability (P = 0.087);
MVP
0.41
MPC
0.073
ClinPred
0.16
T
GERP RS
1.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.049
gMVP
0.050
Mutation Taster
=94/6
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs937955016; hg19: chr9-139258796; API