rs13306300

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_000397.4(CYBB):​c.1414G>A​(p.Gly472Ser) variant causes a missense change. The variant allele was found at a frequency of 0.000495 in 1,209,121 control chromosomes in the GnomAD database, including 2 homozygotes. There are 199 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 Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. G472G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00030 ( 0 hom., 15 hem., cov: 22)
Exomes 𝑓: 0.00051 ( 2 hom. 184 hem. )

Consequence

CYBB
NM_000397.4 missense

Scores

2
13

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:5

Conservation

PhyloP100: 3.94

Publications

10 publications found
Variant links:
Genes affected
CYBB (HGNC:2578): (cytochrome b-245 beta chain) Cytochrome b (-245) is composed of cytochrome b alpha (CYBA) and beta (CYBB) chain. It has been proposed as a primary component of the microbicidal oxidase system of phagocytes. CYBB deficiency is one of five described biochemical defects associated with chronic granulomatous disease (CGD). In this disorder, there is decreased activity of phagocyte NADPH oxidase; neutrophils are able to phagocytize bacteria but cannot kill them in the phagocytic vacuoles. The cause of the killing defect is an inability to increase the cell's respiration and consequent failure to deliver activated oxygen into the phagocytic vacuole. [provided by RefSeq, Jul 2008]
CYBB Gene-Disease associations (from GenCC):
  • granulomatous disease, chronic, X-linked
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • chronic granulomatous disease
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • X-linked Mendelian susceptibility to mycobacterial diseases due to CYBB deficiency
    Inheritance: XL, Unknown Classification: SUPPORTIVE, LIMITED Submitted by: Orphanet, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01174444).
BP6
Variant X-37806486-G-A is Benign according to our data. Variant chrX-37806486-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 732210.
BS1
Variant frequency is greater than expected in population eas. GnomAd4 allele frequency = 0.000304 (34/111666) while in subpopulation EAS AF = 0.00935 (33/3530). AF 95% confidence interval is 0.00684. There are 0 homozygotes in GnomAd4. There are 15 alleles in the male GnomAd4 subpopulation. Median coverage is 22. This position passed quality control check.
BS2
High Hemizygotes in GnomAd4 at 15 XL,AR,Unknown gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000397.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYBB
NM_000397.4
MANE Select
c.1414G>Ap.Gly472Ser
missense
Exon 11 of 13NP_000388.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CYBB
ENST00000378588.5
TSL:1 MANE Select
c.1414G>Ap.Gly472Ser
missense
Exon 11 of 13ENSP00000367851.4
ENSG00000250349
ENST00000465127.1
TSL:5
c.171+380486G>A
intron
N/AENSP00000417050.1
CYBB
ENST00000696171.1
c.1318G>Ap.Gly440Ser
missense
Exon 10 of 12ENSP00000512462.1

Frequencies

GnomAD3 genomes
AF:
0.000305
AC:
34
AN:
111612
Hom.:
0
Cov.:
22
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00932
Gnomad SAS
AF:
0.000372
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000893
AC:
163
AN:
182459
AF XY:
0.000640
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0111
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000737
Gnomad OTH exome
AF:
0.000444
GnomAD4 exome
AF:
0.000514
AC:
564
AN:
1097455
Hom.:
2
Cov.:
31
AF XY:
0.000507
AC XY:
184
AN XY:
362987
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26385
American (AMR)
AF:
0.0000285
AC:
1
AN:
35124
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19366
East Asian (EAS)
AF:
0.0171
AC:
517
AN:
30197
South Asian (SAS)
AF:
0.0000554
AC:
3
AN:
54124
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4125
European-Non Finnish (NFE)
AF:
0.0000368
AC:
31
AN:
841658
Other (OTH)
AF:
0.000261
AC:
12
AN:
46056
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
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
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
GnomAD4 genome
AF:
0.000304
AC:
34
AN:
111666
Hom.:
0
Cov.:
22
AF XY:
0.000443
AC XY:
15
AN XY:
33876
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30752
American (AMR)
AF:
0.00
AC:
0
AN:
10541
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2641
East Asian (EAS)
AF:
0.00935
AC:
33
AN:
3530
South Asian (SAS)
AF:
0.000373
AC:
1
AN:
2679
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6032
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
215
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
53068
Other (OTH)
AF:
0.00
AC:
0
AN:
1524
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
2
3
5
6
8
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:
0.000606
Hom.:
26
Bravo
AF:
0.000484
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000346
AC:
1
ExAC
AF:
0.000807
AC:
98
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
Chronic granulomatous disease (1)
-
1
-
CYBB-related disorder (1)
-
-
1
Granulomatous disease, chronic, X-linked (1)
-
-
1
Granulomatous disease, chronic, X-linked;C1970859:X-linked Mendelian susceptibility to mycobacterial diseases due to CYBB deficiency (1)
-
-
1
not provided (1)
-
-
1
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.064
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.22
CADD
Benign
17
DANN
Benign
0.83
DEOGEN2
Uncertain
0.54
D
FATHMM_MKL
Benign
0.66
D
LIST_S2
Benign
0.81
T
MetaRNN
Benign
0.012
T
MetaSVM
Uncertain
-0.20
T
MutationAssessor
Benign
1.4
L
PhyloP100
3.9
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-0.42
N
REVEL
Benign
0.21
Sift
Benign
0.090
T
Sift4G
Benign
0.14
T
Polyphen
0.097
B
Vest4
0.056
MVP
0.86
MPC
0.65
ClinPred
0.020
T
GERP RS
3.8
Varity_R
0.22
gMVP
0.59
Mutation Taster
=71/29
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: rs13306300; hg19: chrX-37665739; API