rs11575982

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 2P and 14B. PM1BP4_StrongBP6_ModerateBS1BS2

The NM_000074.3(CD40LG):​c.542G>A​(p.Arg181Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000829 in 1,209,778 control chromosomes in the GnomAD database, including 6 homozygotes. There are 521 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R181P) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00052 ( 0 hom., 24 hem., cov: 22)
Exomes 𝑓: 0.00086 ( 6 hom. 497 hem. )

Consequence

CD40LG
NM_000074.3 missense

Scores

3
13

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.340

Publications

6 publications found
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]
CD40LG Gene-Disease associations (from GenCC):
  • hyper-IgM syndrome type 1
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

PM1
In a chain CD40 ligand, soluble form (size 148) in uniprot entity CD40L_HUMAN there are 33 pathogenic changes around while only 12 benign (73%) in NM_000074.3
BP4
Computational evidence support a benign effect (MetaRNN=0.0032913983).
BP6
Variant X-136659171-G-A is Benign according to our data. Variant chrX-136659171-G-A is described in ClinVar as Benign. ClinVar VariationId is 530672.Status of the report is criteria_provided_single_submitter, 1 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.000518 (58/111924) while in subpopulation SAS AF = 0.018 (48/2667). AF 95% confidence interval is 0.0139. There are 0 homozygotes in GnomAd4. There are 24 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 24 XL gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CD40LGNM_000074.3 linkc.542G>A p.Arg181Gln missense_variant Exon 5 of 5 ENST00000370629.7 NP_000065.1 P29965

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CD40LGENST00000370629.7 linkc.542G>A p.Arg181Gln missense_variant Exon 5 of 5 1 NM_000074.3 ENSP00000359663.2 P29965

Frequencies

GnomAD3 genomes
AF:
0.000510
AC:
57
AN:
111870
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.0000325
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00195
Gnomad SAS
AF:
0.0176
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000376
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00183
AC:
336
AN:
183179
AF XY:
0.00264
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000729
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00195
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000612
Gnomad OTH exome
AF:
0.00155
GnomAD4 exome
AF:
0.000861
AC:
945
AN:
1097854
Hom.:
6
Cov.:
30
AF XY:
0.00137
AC XY:
497
AN XY:
363214
show subpopulations
African (AFR)
AF:
0.0000379
AC:
1
AN:
26395
American (AMR)
AF:
0.0000568
AC:
2
AN:
35207
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19382
East Asian (EAS)
AF:
0.00149
AC:
45
AN:
30203
South Asian (SAS)
AF:
0.0146
AC:
791
AN:
54141
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40531
Middle Eastern (MID)
AF:
0.00121
AC:
5
AN:
4136
European-Non Finnish (NFE)
AF:
0.0000321
AC:
27
AN:
841773
Other (OTH)
AF:
0.00161
AC:
74
AN:
46086
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
27
54
82
109
136
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
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:
0.000518
AC:
58
AN:
111924
Hom.:
0
Cov.:
22
AF XY:
0.000704
AC XY:
24
AN XY:
34088
show subpopulations
African (AFR)
AF:
0.0000324
AC:
1
AN:
30829
American (AMR)
AF:
0.00
AC:
0
AN:
10565
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2646
East Asian (EAS)
AF:
0.00196
AC:
7
AN:
3570
South Asian (SAS)
AF:
0.0180
AC:
48
AN:
2667
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6068
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
218
European-Non Finnish (NFE)
AF:
0.0000376
AC:
2
AN:
53161
Other (OTH)
AF:
0.00
AC:
0
AN:
1520
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
2
4
5
7
9
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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
Alfa
AF:
0.000131
Hom.:
6
Bravo
AF:
0.000147
ExAC
AF:
0.00227
AC:
276
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

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

Submissions by phenotype

Hyper-IgM syndrome type 1 Benign:1
Jan 19, 2025
Labcorp Genetics (formerly Invitae), Labcorp
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
0.073
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
11
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.63
D;T
FATHMM_MKL
Benign
0.022
N
LIST_S2
Benign
0.78
T;T
MetaRNN
Benign
0.0033
T;T
MetaSVM
Uncertain
-0.14
T
MutationAssessor
Benign
0.34
N;.
PhyloP100
-0.34
PrimateAI
Benign
0.22
T
PROVEAN
Benign
0.53
N;N
REVEL
Benign
0.11
Sift
Benign
0.17
T;T
Sift4G
Benign
0.34
T;T
Polyphen
0.12
B;B
Vest4
0.051
MutPred
0.38
Loss of sheet (P = 0.0817);.;
MVP
0.51
MPC
0.51
ClinPred
0.012
T
GERP RS
1.9
Varity_R
0.10
gMVP
0.28
Mutation Taster
=97/3
polymorphism (auto)

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: rs11575982; hg19: chrX-135741330; COSMIC: COSV65698975; API