rs121964920

Variant summary

Our verdict is Likely benign. The variant received -3 ACMG points: 1P and 4B. PP5BS2

The NM_000587.4(C7):​c.1561C>A​(p.Arg521Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00311 in 1,611,512 control chromosomes in the GnomAD database, including 16 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R521H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0025 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0032 ( 15 hom. )

Consequence

C7
NM_000587.4 missense

Scores

7
7
4

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:13U:5

Conservation

PhyloP100: 0.470

Publications

9 publications found
Variant links:
Genes affected
C7 (HGNC:1346): (complement C7) This gene encodes a serum glycoprotein that forms a membrane attack complex together with complement components C5b, C6, C8, and C9 as part of the terminal complement pathway of the innate immune system. The protein encoded by this gene contains a cholesterol-dependent cytolysin/membrane attack complex/perforin-like (CDC/MACPF) domain and belongs to a large family of structurally related molecules that form pores involved in host immunity and bacterial pathogenesis. This protein initiates membrane attack complex formation by binding the C5b-C6 subcomplex and inserts into the phospholipid bilayer, serving as a membrane anchor. Mutations in this gene are associated with a rare disorder called C7 deficiency. [provided by RefSeq, Nov 2016]
C7 Gene-Disease associations (from GenCC):
  • complement component 7 deficiency
    Inheritance: AR Classification: STRONG Submitted by: Illumina, Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -3 ACMG points.

PP5
Variant 5-40959520-C-A is Pathogenic according to our data. Variant chr5-40959520-C-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 12105.
BS2
High Homozygotes in GnomAdExome4 at 15 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000587.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
C7
NM_000587.4
MANE Select
c.1561C>Ap.Arg521Ser
missense
Exon 12 of 18NP_000578.2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
C7
ENST00000313164.10
TSL:1 MANE Select
c.1561C>Ap.Arg521Ser
missense
Exon 12 of 18ENSP00000322061.9P10643
C7
ENST00000908410.1
c.1705C>Ap.Arg569Ser
missense
Exon 13 of 19ENSP00000578469.1
C7
ENST00000908412.1
c.1561C>Ap.Arg521Ser
missense
Exon 12 of 19ENSP00000578471.1

Frequencies

GnomAD3 genomes
AF:
0.00248
AC:
377
AN:
152088
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000700
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00151
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00249
Gnomad FIN
AF:
0.000944
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.00434
Gnomad OTH
AF:
0.00239
GnomAD2 exomes
AF:
0.00233
AC:
574
AN:
246854
AF XY:
0.00238
show subpopulations
Gnomad AFR exome
AF:
0.000525
Gnomad AMR exome
AF:
0.00102
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000606
Gnomad NFE exome
AF:
0.00421
Gnomad OTH exome
AF:
0.00334
GnomAD4 exome
AF:
0.00318
AC:
4640
AN:
1459306
Hom.:
15
Cov.:
31
AF XY:
0.00312
AC XY:
2266
AN XY:
725784
show subpopulations
African (AFR)
AF:
0.000299
AC:
10
AN:
33418
American (AMR)
AF:
0.00137
AC:
61
AN:
44564
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26090
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39662
South Asian (SAS)
AF:
0.00134
AC:
115
AN:
85938
European-Finnish (FIN)
AF:
0.00103
AC:
55
AN:
53352
Middle Eastern (MID)
AF:
0.00167
AC:
8
AN:
4778
European-Non Finnish (NFE)
AF:
0.00381
AC:
4237
AN:
1111280
Other (OTH)
AF:
0.00254
AC:
153
AN:
60224
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.461
Heterozygous variant carriers
0
223
446
669
892
1115
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
144
288
432
576
720
<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:
0.00248
AC:
378
AN:
152206
Hom.:
1
Cov.:
32
AF XY:
0.00238
AC XY:
177
AN XY:
74402
show subpopulations
African (AFR)
AF:
0.000698
AC:
29
AN:
41522
American (AMR)
AF:
0.00150
AC:
23
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5178
South Asian (SAS)
AF:
0.00270
AC:
13
AN:
4814
European-Finnish (FIN)
AF:
0.000944
AC:
10
AN:
10594
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.00434
AC:
295
AN:
68018
Other (OTH)
AF:
0.00237
AC:
5
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
17
35
52
70
87
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00353
Hom.:
5
Bravo
AF:
0.00220
TwinsUK
AF:
0.00485
AC:
18
ALSPAC
AF:
0.00519
AC:
20
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00388
AC:
32
ExAC
AF:
0.00247
AC:
298
Asia WGS
AF:
0.00115
AC:
4
AN:
3478

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
10
1
-
Complement component 7 deficiency (11)
2
2
-
not provided (4)
1
-
-
C7 and C6 deficiency, combined subtotal (1)
-
1
-
C7-related disorder (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.98
BayesDel_addAF
Benign
-0.022
T
BayesDel_noAF
Pathogenic
0.20
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.30
T
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Benign
0.14
N
LIST_S2
Pathogenic
0.99
D
M_CAP
Uncertain
0.11
D
MetaRNN
Uncertain
0.58
D
MetaSVM
Uncertain
0.67
D
MutationAssessor
Pathogenic
5.0
H
PhyloP100
0.47
PrimateAI
Benign
0.42
T
PROVEAN
Pathogenic
-5.6
D
REVEL
Uncertain
0.40
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.96
MVP
0.72
MPC
0.14
ClinPred
0.15
T
GERP RS
4.3
Varity_R
0.98
gMVP
0.89
Mutation Taster
=70/30
disease causing (ClinVar)

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: rs121964920; hg19: chr5-40959622; COSMIC: COSV108096444; COSMIC: COSV108096444; API