chrX-1294357-G-A

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_172245.4(CSF2RA):​c.676G>A​(p.Val226Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000415 in 1,613,760 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 338 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/19 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. V226A) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00032 ( 0 hom., 21 hem., cov: 32)
Exomes 𝑓: 0.00042 ( 0 hom. 317 hem. )

Consequence

CSF2RA
NM_172245.4 missense

Scores

1
3
11

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.302

Publications

0 publications found
Variant links:
Genes affected
CSF2RA (HGNC:2435): (colony stimulating factor 2 receptor subunit alpha) The protein encoded by this gene is the alpha subunit of the heterodimeric receptor for colony stimulating factor 2, a cytokine which controls the production, differentiation, and function of granulocytes and macrophages. The encoded protein is a member of the cytokine family of receptors. This gene is found in the pseudoautosomal region (PAR) of the X and Y chromosomes. Multiple transcript variants encoding different isoforms have been found for this gene, with some of the isoforms being membrane-bound and others being soluble. [provided by RefSeq, Jul 2008]
CSF2RA Gene-Disease associations (from GenCC):
  • surfactant metabolism dysfunction, pulmonary, 4
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae)
  • hereditary pulmonary alveolar proteinosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.022605926).
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.000322 (49/152224) while in subpopulation AMR AF = 0.000589 (9/15276). AF 95% confidence interval is 0.000307. There are 0 homozygotes in GnomAd4. There are 21 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Hemizygotes in GnomAd4 at 21 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_172245.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CSF2RA
NM_172245.4
MANE Select
c.676G>Ap.Val226Ile
missense
Exon 8 of 13NP_758448.1
CSF2RA
NM_001161530.2
c.676G>Ap.Val226Ile
missense
Exon 8 of 14NP_001155002.1
CSF2RA
NM_001379153.1
c.676G>Ap.Val226Ile
missense
Exon 7 of 13NP_001366082.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CSF2RA
ENST00000381529.9
TSL:1 MANE Select
c.676G>Ap.Val226Ile
missense
Exon 8 of 13ENSP00000370940.3
CSF2RA
ENST00000381509.8
TSL:1
c.676G>Ap.Val226Ile
missense
Exon 8 of 13ENSP00000370920.3
CSF2RA
ENST00000381524.8
TSL:1
c.676G>Ap.Val226Ile
missense
Exon 8 of 13ENSP00000370935.3

Frequencies

GnomAD3 genomes
AF:
0.000322
AC:
49
AN:
152106
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000590
Gnomad ASJ
AF:
0.00230
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.000377
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.000279
Gnomad OTH
AF:
0.000479
GnomAD2 exomes
AF:
0.000549
AC:
138
AN:
251178
AF XY:
0.000575
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000694
Gnomad ASJ exome
AF:
0.00159
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.000647
Gnomad NFE exome
AF:
0.000564
Gnomad OTH exome
AF:
0.000652
GnomAD4 exome
AF:
0.000425
AC:
621
AN:
1461536
Hom.:
0
Cov.:
32
AF XY:
0.000436
AC XY:
317
AN XY:
727078
show subpopulations
African (AFR)
AF:
0.000179
AC:
6
AN:
33468
American (AMR)
AF:
0.000872
AC:
39
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00161
AC:
42
AN:
26132
East Asian (EAS)
AF:
0.0000504
AC:
2
AN:
39700
South Asian (SAS)
AF:
0.000615
AC:
53
AN:
86240
European-Finnish (FIN)
AF:
0.000543
AC:
29
AN:
53414
Middle Eastern (MID)
AF:
0.000176
AC:
1
AN:
5674
European-Non Finnish (NFE)
AF:
0.000380
AC:
423
AN:
1111830
Other (OTH)
AF:
0.000431
AC:
26
AN:
60362
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.493
Heterozygous variant carriers
0
42
84
126
168
210
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
GnomAD4 genome
AF:
0.000322
AC:
49
AN:
152224
Hom.:
0
Cov.:
32
AF XY:
0.000282
AC XY:
21
AN XY:
74428
show subpopulations
African (AFR)
AF:
0.000120
AC:
5
AN:
41546
American (AMR)
AF:
0.000589
AC:
9
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.00230
AC:
8
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5164
South Asian (SAS)
AF:
0.000415
AC:
2
AN:
4820
European-Finnish (FIN)
AF:
0.000377
AC:
4
AN:
10616
Middle Eastern (MID)
AF:
0.00340
AC:
1
AN:
294
European-Non Finnish (NFE)
AF:
0.000279
AC:
19
AN:
68014
Other (OTH)
AF:
0.000474
AC:
1
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
3
5
8
10
13
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Bravo
AF:
0.000283
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000582
AC:
5
ExAC
AF:
0.000544
AC:
66
EpiCase
AF:
0.000327
EpiControl
AF:
0.000415

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Surfactant metabolism dysfunction, pulmonary, 4 (2)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.28
CADD
Benign
4.9
DANN
Uncertain
0.99
DEOGEN2
Benign
0.20
T
FATHMM_MKL
Benign
0.027
N
LIST_S2
Benign
0.58
T
M_CAP
Benign
0.059
D
MetaRNN
Benign
0.023
T
MetaSVM
Uncertain
0.20
D
MutationAssessor
Benign
1.2
L
PhyloP100
0.30
PrimateAI
Uncertain
0.54
T
PROVEAN
Benign
-0.78
N
REVEL
Benign
0.26
Sift
Benign
0.074
T
Sift4G
Pathogenic
0.0
D
Polyphen
0.95
P
Vest4
0.21
MVP
0.58
MPC
0.26
ClinPred
0.029
T
GERP RS
1.5
Varity_R
0.13
Mutation Taster
=93/7
polymorphism

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

Other links and lift over

dbSNP: rs181719822; hg19: chrX-1413250; COSMIC: COSV62624356; COSMIC: COSV62624356; API