rs1047883

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001875.5(CPS1):​c.1030A>G​(p.Thr344Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.567 in 1,610,050 control chromosomes in the GnomAD database, including 260,102 homozygotes. 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 Benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T344S) has been classified as Benign.

Frequency

Genomes: 𝑓 0.58 ( 25694 hom., cov: 32)
Exomes 𝑓: 0.57 ( 234408 hom. )

Consequence

CPS1
NM_001875.5 missense

Scores

1
2
15

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:15

Conservation

PhyloP100: 0.266
Variant links:
Genes affected
CPS1 (HGNC:2323): (carbamoyl-phosphate synthase 1) The mitochondrial enzyme encoded by this gene catalyzes synthesis of carbamoyl phosphate from ammonia and bicarbonate. This reaction is the first committed step of the urea cycle, which is important in the removal of excess urea from cells. The encoded protein may also represent a core mitochondrial nucleoid protein. Three transcript variants encoding different isoforms have been found for this gene. The shortest isoform may not be localized to the mitochondrion. Mutations in this gene have been associated with carbamoyl phosphate synthetase deficiency, susceptibility to persistent pulmonary hypertension, and susceptibility to venoocclusive disease after bone marrow transplantation.[provided by RefSeq, May 2010]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0024514198).
BP6
Variant 2-210591913-A-G is Benign according to our data. Variant chr2-210591913-A-G is described in ClinVar as [Benign]. Clinvar id is 128849.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-210591913-A-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.607 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CPS1NM_001875.5 linkc.1030A>G p.Thr344Ala missense_variant Exon 10 of 38 ENST00000233072.10 NP_001866.2 P31327-1A0A024R454Q6PEK7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CPS1ENST00000233072.10 linkc.1030A>G p.Thr344Ala missense_variant Exon 10 of 38 1 NM_001875.5 ENSP00000233072.5 P31327-1

Frequencies

GnomAD3 genomes
AF:
0.581
AC:
87841
AN:
151172
Hom.:
25660
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.612
Gnomad AMI
AF:
0.456
Gnomad AMR
AF:
0.526
Gnomad ASJ
AF:
0.614
Gnomad EAS
AF:
0.567
Gnomad SAS
AF:
0.615
Gnomad FIN
AF:
0.637
Gnomad MID
AF:
0.640
Gnomad NFE
AF:
0.564
Gnomad OTH
AF:
0.580
GnomAD2 exomes
AF:
0.567
AC:
141566
AN:
249584
AF XY:
0.573
show subpopulations
Gnomad AFR exome
AF:
0.613
Gnomad AMR exome
AF:
0.471
Gnomad ASJ exome
AF:
0.618
Gnomad EAS exome
AF:
0.548
Gnomad FIN exome
AF:
0.634
Gnomad NFE exome
AF:
0.566
Gnomad OTH exome
AF:
0.579
GnomAD4 exome
AF:
0.565
AC:
824785
AN:
1458762
Hom.:
234408
Cov.:
43
AF XY:
0.568
AC XY:
412380
AN XY:
725774
show subpopulations
Gnomad4 AFR exome
AF:
0.621
AC:
20719
AN:
33352
Gnomad4 AMR exome
AF:
0.480
AC:
21388
AN:
44526
Gnomad4 ASJ exome
AF:
0.608
AC:
15853
AN:
26058
Gnomad4 EAS exome
AF:
0.551
AC:
21833
AN:
39626
Gnomad4 SAS exome
AF:
0.605
AC:
52145
AN:
86150
Gnomad4 FIN exome
AF:
0.627
AC:
33325
AN:
53180
Gnomad4 NFE exome
AF:
0.559
AC:
620790
AN:
1109916
Gnomad4 Remaining exome
AF:
0.581
AC:
34999
AN:
60204
Heterozygous variant carriers
0
19834
39667
59501
79334
99168
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
17366
34732
52098
69464
86830
<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:
0.581
AC:
87924
AN:
151288
Hom.:
25694
Cov.:
32
AF XY:
0.583
AC XY:
43100
AN XY:
73866
show subpopulations
Gnomad4 AFR
AF:
0.613
AC:
0.613013
AN:
0.613013
Gnomad4 AMR
AF:
0.526
AC:
0.525636
AN:
0.525636
Gnomad4 ASJ
AF:
0.614
AC:
0.614228
AN:
0.614228
Gnomad4 EAS
AF:
0.567
AC:
0.566784
AN:
0.566784
Gnomad4 SAS
AF:
0.616
AC:
0.615593
AN:
0.615593
Gnomad4 FIN
AF:
0.637
AC:
0.636781
AN:
0.636781
Gnomad4 NFE
AF:
0.564
AC:
0.56396
AN:
0.56396
Gnomad4 OTH
AF:
0.582
AC:
0.581991
AN:
0.581991
Heterozygous variant carriers
0
1869
3738
5607
7476
9345
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
748
1496
2244
2992
3740
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.567
Hom.:
66075
Bravo
AF:
0.579
TwinsUK
AF:
0.565
AC:
2094
ALSPAC
AF:
0.556
AC:
2143
ESP6500AA
AF:
0.639
AC:
2815
ESP6500EA
AF:
0.568
AC:
4881
ExAC
AF:
0.568
AC:
68907
EpiCase
AF:
0.574
EpiControl
AF:
0.579

ClinVar

Significance: Benign
Submissions summary: Benign:15
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Jul 25, 2013
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
Genetic Services Laboratory, University of Chicago
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

Likely benign based on allele frequency in 1000 Genomes Project or ESP global frequency and its presence in a patient with a rare or unrelated disease phenotype. NOT Sanger confirmed. -

-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 10, 2015
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Congenital hyperammonemia, type I Benign:6
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Jul 10, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

May 31, 2017
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 16, 2020
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
May 14, 2017
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: The CPS1 c.1030A>G (p.Thr344Ala) variant located in the glutamine amidotransferase domain (via InterPro) involves the alteration of a non-conserved nucleotide and 2/3 in silico tools (MutationTaster not working at time of scoring and SNPsandGo had a low reliability index, therefore, not captured here) predict a benign outcome. However, these for this variant (SNPs&GO not captured due to low reliability index). This variant was found in 68398/120062 control chromosomes (19535 homozygotes) at a frequency of 0.569689, which is approximately 360 times the estimated maximal expected allele frequency of a pathogenic CPS1 variant (0.0015811), suggesting this variant is likely a benign polymorphism. Furthermore, the observed frequency indicates that the varant of interest is the major allele in the general population. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as "likely benign/benign." Taken together, this variant is classified as benign. -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Pulmonary hypertension, neonatal, susceptibility to;C4082171:Congenital hyperammonemia, type I Benign:1
Nov 12, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.54
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
5.9
DANN
Benign
0.92
DEOGEN2
Pathogenic
0.83
.;D;D
Eigen
Benign
-0.86
Eigen_PC
Benign
-0.84
FATHMM_MKL
Benign
0.46
N
LIST_S2
Benign
0.042
T;T;T
MetaRNN
Benign
0.0025
T;T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
1.5
.;L;.
PrimateAI
Benign
0.32
T
PROVEAN
Uncertain
-2.9
D;D;.
REVEL
Benign
0.25
Sift
Benign
0.067
T;T;.
Sift4G
Uncertain
0.036
D;D;T
Polyphen
0.0010
.;B;.
Vest4
0.12
MPC
0.22
ClinPred
0.0075
T
GERP RS
-0.92
Varity_R
0.40
gMVP
0.31
Mutation Taster
=89/11
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1047883; hg19: chr2-211456637; COSMIC: COSV51811490; COSMIC: COSV51811490; API