rs1352544800

Variant summary

Our verdict is Likely pathogenic. The variant received 6 ACMG points: 7P and 1B. PM1PP3_StrongPP5BS2_Supporting

The NM_033440.3(CELA2A):​c.361G>A​(p.Asp121Asn) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000479 in 1,461,376 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000048 ( 0 hom. )

Consequence

CELA2A
NM_033440.3 missense

Scores

6
12

Clinical Significance

Pathogenic no assertion criteria provided P:2

Conservation

PhyloP100: 9.76

Publications

1 publications found
Variant links:
Genes affected
CELA2A (HGNC:24609): (chymotrypsin like elastase 2A) Elastases form a subfamily of serine proteases that hydrolyze many proteins in addition to elastin. Humans have six elastase genes which encode the structurally similar proteins elastase 1, 2, 2A, 2B, 3A, and 3B. Like most of the human elastases, elastase 2A is secreted from the pancreas as a zymogen. In other species, elastase 2A has been shown to preferentially cleave proteins after leucine, methionine, and phenylalanine residues. [provided by RefSeq, May 2009]
CELA2A Gene-Disease associations (from GenCC):
  • abdominal obesity-metabolic syndrome 4
    Inheritance: AD, Unknown Classification: LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_pathogenic. The variant received 6 ACMG points.

PM1
In a active_site Charge relay system (size 0) in uniprot entity CEL2A_HUMAN
PP3
MetaRNN computational evidence supports a deleterious effect, 0.994
PP5
Variant 1-15463390-G-A is Pathogenic according to our data. Variant chr1-15463390-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 633592.Status of the report is no_assertion_criteria_provided, 0 stars.
BS2
High AC in GnomAdExome4 at 7 AD,Unknown gene. Variant has AC lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_033440.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CELA2A
NM_033440.3
MANE Select
c.361G>Ap.Asp121Asn
missense
Exon 5 of 8NP_254275.1P08217

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CELA2A
ENST00000359621.5
TSL:1 MANE Select
c.361G>Ap.Asp121Asn
missense
Exon 5 of 8ENSP00000352639.4P08217
CELA2A
ENST00000967096.1
c.232G>Ap.Asp78Asn
missense
Exon 4 of 7ENSP00000637155.1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000479
AC:
7
AN:
1461376
Hom.:
0
Cov.:
33
AF XY:
0.00000550
AC XY:
4
AN XY:
727000
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33460
American (AMR)
AF:
0.00
AC:
0
AN:
44712
Ashkenazi Jewish (ASJ)
AF:
0.0000383
AC:
1
AN:
26128
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000232
AC:
2
AN:
86238
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53414
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5550
European-Non Finnish (NFE)
AF:
0.00000360
AC:
4
AN:
1111834
Other (OTH)
AF:
0.00
AC:
0
AN:
60340
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1
2
2
3
4
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
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

ClinVar submissions
Significance:Pathogenic
Revision:no assertion criteria provided
View on ClinVar
Pathogenic
VUS
Benign
Condition
1
-
-
Abdominal obesity-metabolic syndrome 4 (1)
1
-
-
Hypertensive disorder;C0813230:Hypertriglyceridemia;C1320657:Diabetes;C1956346:Coronary artery disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.95
BayesDel_addAF
Pathogenic
0.23
D
BayesDel_noAF
Uncertain
0.090
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.66
D
Eigen
Uncertain
0.59
Eigen_PC
Uncertain
0.40
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Uncertain
0.87
D
M_CAP
Uncertain
0.22
D
MetaRNN
Pathogenic
0.99
D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Uncertain
2.8
M
PhyloP100
9.8
PrimateAI
Uncertain
0.58
T
PROVEAN
Pathogenic
-4.8
D
REVEL
Pathogenic
0.87
Sift
Uncertain
0.011
D
Sift4G
Uncertain
0.014
D
Polyphen
1.0
D
Vest4
0.93
MutPred
0.96
Loss of catalytic residue at D121 (P = 0.0365)
MVP
0.88
MPC
0.77
ClinPred
1.0
D
GERP RS
4.0
Varity_R
0.45
gMVP
0.94
Mutation Taster
=10/90
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.070
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: rs1352544800; hg19: chr1-15789885; API