chrX-136659332-G-C

Variant summary

Our verdict is Likely pathogenic. Variant got 9 ACMG points: 9P and 0B. PM1PM2PP3_StrongPP5

The NM_000074.3(CD40LG):​c.703G>C​(p.Ala235Pro) 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 pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 23)

Consequence

CD40LG
NM_000074.3 missense

Scores

6
5
6

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 1.86
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 Likely_pathogenic. Variant got 9 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;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.961
PP5
Variant X-136659332-G-C is Pathogenic according to our data. Variant chrX-136659332-G-C is described in ClinVar as [Pathogenic]. Clinvar id is 11157.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CD40LGNM_000074.3 linkuse as main transcriptc.703G>C p.Ala235Pro missense_variant 5/5 ENST00000370629.7 NP_000065.1 P29965

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CD40LGENST00000370629.7 linkuse as main transcriptc.703G>C p.Ala235Pro missense_variant 5/51 NM_000074.3 ENSP00000359663.2 P29965

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
23

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Hyper-IgM syndrome type 1 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJan 29, 1993- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.81
BayesDel_addAF
Pathogenic
0.54
D
BayesDel_noAF
Pathogenic
0.53
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.74
D;T
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.76
T;T
M_CAP
Pathogenic
0.78
D
MetaRNN
Pathogenic
0.96
D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Uncertain
2.3
M;.
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-0.49
N;N
REVEL
Uncertain
0.63
Sift
Benign
0.26
T;T
Sift4G
Benign
0.31
T;T
Polyphen
0.98
D;D
Vest4
0.66
MutPred
0.74
Loss of catalytic residue at A235 (P = 0.0142);.;
MVP
1.0
MPC
1.2
ClinPred
0.90
D
GERP RS
3.6
Varity_R
0.90
gMVP
0.76

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: rs104894771; hg19: chrX-135741491; API