rs138178722

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_021254.4(CFAP298):​c.77A>C​(p.Glu26Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00186 in 1,597,998 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0023 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0018 ( 17 hom. )

Consequence

CFAP298
NM_021254.4 missense

Scores

1
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.42

Publications

4 publications found
Variant links:
Genes affected
CFAP298 (HGNC:1301): (cilia and flagella associated protein 298) This gene encodes a protein that plays a critical role in dynein arm assembly and motile cilia function. Mutations in this gene result in primary ciliary dyskinesia. Naturally occuring readthrough transcription occurs from this locus to the downstream t-complex 10 like (TCP10L) gene. [provided by RefSeq, Apr 2017]
CFAP298-TCP10L (HGNC:54636): (CFAP298-TCP10L readthrough) This locus represents naturally occurring readthrough transcription between the neighboring chromosome 21 open reading frame 59 (C21orf59) and TCP10L (t-complex 10 like) genes on chromosome 21. Readthrough transcripts may encode a fusion protein that shares sequence identity with each individual gene product. [provided by RefSeq, Apr 2017]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008645952).
BP6
Variant 21-32612167-T-G is Benign according to our data. Variant chr21-32612167-T-G is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 241379.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population amr. GnomAd4 allele frequency = 0.00233 (355/152264) while in subpopulation AMR AF = 0.00908 (139/15304). AF 95% confidence interval is 0.00785. There are 2 homozygotes in GnomAd4. There are 176 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 2 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CFAP298NM_021254.4 linkc.77A>C p.Glu26Ala missense_variant Exon 1 of 7 ENST00000290155.8 NP_067077.1 P57076

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CFAP298ENST00000290155.8 linkc.77A>C p.Glu26Ala missense_variant Exon 1 of 7 1 NM_021254.4 ENSP00000290155.3 P57076
CFAP298-TCP10LENST00000673807.1 linkc.77A>C p.Glu26Ala missense_variant Exon 1 of 8 ENSP00000501088.1 A0A669KAY3

Frequencies

GnomAD3 genomes
AF:
0.00233
AC:
355
AN:
152146
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000459
Gnomad AMI
AF:
0.00219
Gnomad AMR
AF:
0.00909
Gnomad ASJ
AF:
0.00663
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00248
Gnomad FIN
AF:
0.000471
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.00175
Gnomad OTH
AF:
0.0125
GnomAD2 exomes
AF:
0.00252
AC:
551
AN:
218886
AF XY:
0.00259
show subpopulations
Gnomad AFR exome
AF:
0.000459
Gnomad AMR exome
AF:
0.00625
Gnomad ASJ exome
AF:
0.00760
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000323
Gnomad NFE exome
AF:
0.00191
Gnomad OTH exome
AF:
0.00601
GnomAD4 exome
AF:
0.00181
AC:
2618
AN:
1445734
Hom.:
17
Cov.:
31
AF XY:
0.00192
AC XY:
1376
AN XY:
717476
show subpopulations
African (AFR)
AF:
0.00114
AC:
38
AN:
33244
American (AMR)
AF:
0.00649
AC:
277
AN:
42706
Ashkenazi Jewish (ASJ)
AF:
0.00728
AC:
187
AN:
25690
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39008
South Asian (SAS)
AF:
0.00233
AC:
194
AN:
83238
European-Finnish (FIN)
AF:
0.000507
AC:
26
AN:
51292
Middle Eastern (MID)
AF:
0.0219
AC:
126
AN:
5746
European-Non Finnish (NFE)
AF:
0.00139
AC:
1540
AN:
1104992
Other (OTH)
AF:
0.00384
AC:
230
AN:
59818
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.456
Heterozygous variant carriers
0
127
254
380
507
634
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
54
108
162
216
270
<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:
0.00233
AC:
355
AN:
152264
Hom.:
2
Cov.:
32
AF XY:
0.00236
AC XY:
176
AN XY:
74430
show subpopulations
African (AFR)
AF:
0.000457
AC:
19
AN:
41554
American (AMR)
AF:
0.00908
AC:
139
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00663
AC:
23
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5172
South Asian (SAS)
AF:
0.00249
AC:
12
AN:
4826
European-Finnish (FIN)
AF:
0.000471
AC:
5
AN:
10610
Middle Eastern (MID)
AF:
0.0306
AC:
9
AN:
294
European-Non Finnish (NFE)
AF:
0.00176
AC:
120
AN:
68012
Other (OTH)
AF:
0.0123
AC:
26
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.512
Heterozygous variant carriers
0
19
38
57
76
95
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00230
Hom.:
5
Bravo
AF:
0.00277
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000455
AC:
2
ESP6500EA
AF:
0.00186
AC:
16
ExAC
AF:
0.00212
AC:
257
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:4
Nov 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

CFAP298: BP4, BS2; CFAP298-TCP10L: BP4, BS2 -

Oct 02, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 30, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.35
CADD
Benign
21
DANN
Benign
0.97
DEOGEN2
Benign
0.079
.;T;.;T;.
Eigen
Benign
-0.25
Eigen_PC
Benign
-0.11
FATHMM_MKL
Benign
0.57
D
LIST_S2
Benign
0.69
T;T;T;T;T
MetaRNN
Benign
0.0086
T;T;T;T;T
MetaSVM
Benign
-0.95
T
PhyloP100
2.4
PROVEAN
Uncertain
-3.0
D;D;D;D;D
REVEL
Benign
0.074
Sift
Benign
0.25
T;T;T;T;T
Sift4G
Benign
0.39
T;T;T;T;.
Polyphen
0.0040, 0.011, 0.0020
.;B;B;B;.
Vest4
0.20, 0.15, 0.12
MVP
0.14
MPC
0.15
ClinPred
0.030
T
GERP RS
3.7
PromoterAI
-0.087
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.8
Varity_R
0.35
gMVP
0.38
Mutation Taster
=49/51
disease causing

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: rs138178722; hg19: chr21-33984477; COSMIC: COSV106090410; COSMIC: COSV106090410; API