chrX-136648255-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM1PM2

The NM_000074.3(CD40LG):​c.7G>A​(p.Glu3Lys) variant causes a missense change. The variant allele was found at a frequency of 0.00000367 in 1,090,824 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 1 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 22)
Exomes 𝑓: 0.0000037 ( 0 hom. 1 hem. )

Consequence

CD40LG
NM_000074.3 missense

Scores

3
10
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 5.92
Variant links:
Genes affected
CD40LG (HGNC:11935): (CD40 ligand) The protein encoded by this gene is expressed on the surface of T cells. It regulates B cell function by engaging CD40 on the B cell surface. A defect in this gene results in an inability to undergo immunoglobulin class switch and is associated with hyper-IgM syndrome. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM1
In a chain CD40 ligand, membrane form (size 260) in uniprot entity CD40L_HUMAN there are 19 pathogenic changes around while only 0 benign (100%) in NM_000074.3
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CD40LGNM_000074.3 linkuse as main transcriptc.7G>A p.Glu3Lys missense_variant 1/5 ENST00000370629.7 NP_000065.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CD40LGENST00000370629.7 linkuse as main transcriptc.7G>A p.Glu3Lys missense_variant 1/51 NM_000074.3 ENSP00000359663 P1

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.00000546
AC:
1
AN:
183304
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67776
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000367
AC:
4
AN:
1090824
Hom.:
0
Cov.:
28
AF XY:
0.00000280
AC XY:
1
AN XY:
356640
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000359
Gnomad4 OTH exome
AF:
0.0000218
GnomAD4 genome
Cov.:
22

ClinVar

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

Submissions by phenotype

Hyper-IgM syndrome type 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpMar 07, 2020This sequence change replaces glutamic acid with lysine at codon 3 of the CD40LG protein (p.Glu3Lys). The glutamic acid residue is highly conserved and there is a small physicochemical difference between glutamic acid and lysine. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). This variant has not been reported in the literature in individuals with CD40LG-related disease. This variant is not present in population databases (ExAC no frequency). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.54
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.43
T;T
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.84
T;T
M_CAP
Pathogenic
0.76
D
MetaRNN
Uncertain
0.52
D;D
MetaSVM
Uncertain
0.028
D
MutationAssessor
Benign
2.0
M;.
MutationTaster
Benign
0.70
D;D
PrimateAI
Uncertain
0.70
T
PROVEAN
Benign
-1.4
N;N
REVEL
Uncertain
0.37
Sift
Uncertain
0.0060
D;D
Sift4G
Uncertain
0.013
D;D
Polyphen
1.0
D;D
Vest4
0.31
MutPred
0.37
Gain of MoRF binding (P = 0.0068);Gain of MoRF binding (P = 0.0068);
MVP
0.97
MPC
0.94
ClinPred
0.67
D
GERP RS
5.8
Varity_R
0.35
gMVP
0.80

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

LitVar

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

Other links and lift over

dbSNP: rs1350282799; hg19: chrX-135730414; COSMIC: COSV65699086; API