rs1085307446

Variant summary

Our verdict is Pathogenic. The variant received 14 ACMG points: 14P and 0B. PM2PP3_StrongPP5_Very_Strong

The NM_005869.4(CWC27):​c.495G>A​(p.Glu165Glu) variant causes a splice region, synonymous change. The variant allele was found at a frequency of 0.00000352 in 1,422,264 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Pathogenic (★★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000035 ( 0 hom. )

Consequence

CWC27
NM_005869.4 splice_region, synonymous

Scores

2
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 6.63

Publications

1 publications found
Variant links:
Genes affected
CWC27 (HGNC:10664): (CWC27 spliceosome associated cyclophilin) Predicted to enable peptidyl-prolyl cis-trans isomerase activity. Predicted to be involved in protein peptidyl-prolyl isomerization. Located in nucleoplasm. Part of U2-type precatalytic spliceosome and catalytic step 2 spliceosome. [provided by Alliance of Genome Resources, Apr 2022]
CWC27 Gene-Disease associations (from GenCC):
  • metaphyseal chondrodysplasia-retinitis pigmentosa syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF, max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 5-64785579-G-A is Pathogenic according to our data. Variant chr5-64785579-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 426071.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CWC27NM_005869.4 linkc.495G>A p.Glu165Glu splice_region_variant, synonymous_variant Exon 5 of 14 ENST00000381070.8 NP_005860.2 Q6UX04-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CWC27ENST00000381070.8 linkc.495G>A p.Glu165Glu splice_region_variant, synonymous_variant Exon 5 of 14 1 NM_005869.4 ENSP00000370460.2 Q6UX04-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
231814
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000352
AC:
5
AN:
1422264
Hom.:
0
Cov.:
25
AF XY:
0.00000423
AC XY:
3
AN XY:
708998
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
31318
American (AMR)
AF:
0.00
AC:
0
AN:
40214
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25394
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38436
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82486
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53214
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5646
European-Non Finnish (NFE)
AF:
0.00000460
AC:
5
AN:
1086740
Other (OTH)
AF:
0.00
AC:
0
AN:
58816
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Metaphyseal chondrodysplasia-retinitis pigmentosa syndrome Pathogenic:1
May 11, 2017
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

not provided Pathogenic:1
Sep 07, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

ClinVar contains an entry for this variant (Variation ID: 426071). Variants that disrupt the consensus splice site are a relatively common cause of aberrant splicing (PMID: 17576681, 9536098). Studies have shown that this variant results in inclusion of intron 5 and introduces a premature termination codon (PMID: 28285769). The resulting mRNA is expected to undergo nonsense-mediated decay. For these reasons, this variant has been classified as Pathogenic. This sequence change affects codon 165 of the CWC27 mRNA. It is a 'silent' change, meaning that it does not change the encoded amino acid sequence of the CWC27 protein. RNA analysis indicates that this variant induces altered splicing and may result in an absent or disrupted protein product. This variant is present in population databases (no rsID available, gnomAD no frequency). This variant has been observed in individual(s) with retinitis pigmentosa with or without skeletal abnormalities (PMID: 28285769; Invitae). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. It has also been observed to segregate with disease in related individuals. -

Retinitis pigmentosa Pathogenic:1
Mar 12, 2025
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance:Pathogenic
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Variant summary: CWC27 c.495G>A (p.Glu165Glu) alters a conserved nucleotide located close to a canonical splice site and therefore could affect mRNA splicing, leading to a significantly altered protein sequence. Several computational tools predict a significant impact on normal splicing: Four predict the variant abolishes a 5' splicing donor site. Functional studies reveal that the variant results in inclusion of the intron 5 generating a frameshift mutation (Xu_2017). The variant was absent in 231814 control chromosomes (gnomAD). c.495G>A has been reported in the literature in individuals affected with clinical features of CWC27-related conditions (Xu_2017). These data indicate that the variant is likely to be associated with disease. The following publication have been ascertained in the context of this evaluation (PMID: 28285769). ClinVar contains an entry for this variant (Variation ID: 426071). Based on the evidence outlined above, the variant was classified as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.17
CADD
Benign
21
DANN
Benign
0.91
PhyloP100
6.6
Mutation Taster
=0/100
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
1.0
SpliceAI score (max)
0.93
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.93
Position offset: 0

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1085307446; hg19: chr5-64081406; API