rs139149169

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_000614.4(CNTF):​c.83G>A​(p.Arg28His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000804 in 1,613,896 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00082 ( 1 hom. )

Consequence

CNTF
NM_000614.4 missense

Scores

1
5
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.47
Variant links:
Genes affected
CNTF (HGNC:2169): (ciliary neurotrophic factor) The protein encoded by this gene is a polypeptide hormone whose actions appear to be restricted to the nervous system where it promotes neurotransmitter synthesis and neurite outgrowth in certain neuronal populations. The protein is a potent survival factor for neurons and oligodendrocytes and may be relevant in reducing tissue destruction during inflammatory attacks. A mutation in this gene, which results in aberrant splicing, leads to ciliary neurotrophic factor deficiency, but this phenotype is not causally related to neurologic disease. A read-through transcript variant composed of the upstream ZFP91 gene and CNTF sequence has been identified, but it is thought to be non-coding. Read-through transcription of ZFP91 and CNTF has also been observed in mouse. [provided by RefSeq, Oct 2010]
ZFP91-CNTF (HGNC:33441): (ZFP91-CNTF readthrough (NMD candidate)) This gene represents a read-through transcript composed of ZFP91 and CNTF sequence. This transcript is thought to be non-coding because it would be subject to nonsense-mediated mRNA decay (NMD). Read-through transcription of ZFP91 and CNTF has also been observed in mouse. [provided by RefSeq, Aug 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.070849).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CNTFNM_000614.4 linkc.83G>A p.Arg28His missense_variant Exon 1 of 2 ENST00000361987.6 NP_000605.1 P26441
ZFP91-CNTFNR_024091.1 linkn.1813G>A non_coding_transcript_exon_variant Exon 12 of 13

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CNTFENST00000361987.6 linkc.83G>A p.Arg28His missense_variant Exon 1 of 2 1 NM_000614.4 ENSP00000355370.4 P26441
ZFP91-CNTFENST00000389919.8 linkn.*55G>A non_coding_transcript_exon_variant Exon 12 of 13 2 ENSP00000455911.1 A0A0A6YYC7
ZFP91-CNTFENST00000389919.8 linkn.*55G>A 3_prime_UTR_variant Exon 12 of 13 2 ENSP00000455911.1 A0A0A6YYC7

Frequencies

GnomAD3 genomes
AF:
0.000657
AC:
100
AN:
152144
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000362
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000471
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00115
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000474
AC:
119
AN:
250828
Hom.:
1
AF XY:
0.000435
AC XY:
59
AN XY:
135608
show subpopulations
Gnomad AFR exome
AF:
0.000308
Gnomad AMR exome
AF:
0.0000580
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.000370
Gnomad NFE exome
AF:
0.000891
Gnomad OTH exome
AF:
0.000327
GnomAD4 exome
AF:
0.000819
AC:
1197
AN:
1461634
Hom.:
1
Cov.:
31
AF XY:
0.000799
AC XY:
581
AN XY:
727108
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.0000895
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.000431
Gnomad4 NFE exome
AF:
0.00103
Gnomad4 OTH exome
AF:
0.000348
GnomAD4 genome
AF:
0.000657
AC:
100
AN:
152262
Hom.:
0
Cov.:
32
AF XY:
0.000497
AC XY:
37
AN XY:
74456
show subpopulations
Gnomad4 AFR
AF:
0.000361
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000471
Gnomad4 NFE
AF:
0.00115
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000777
Hom.:
1
Bravo
AF:
0.000574
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000909
AC:
4
ESP6500EA
AF:
0.00116
AC:
10
ExAC
AF:
0.000552
AC:
67
EpiCase
AF:
0.000654
EpiControl
AF:
0.000889

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Jul 16, 2024
Ambry Genetics
Significance: Uncertain significance
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.83G>A (p.R28H) alteration is located in exon 1 (coding exon 1) of the CNTF gene. This alteration results from a G to A substitution at nucleotide position 83, causing the arginine (R) at amino acid position 28 to be replaced by a histidine (H). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.43
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T
Eigen
Benign
-0.35
Eigen_PC
Benign
-0.27
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.70
T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.071
T
MetaSVM
Benign
-0.91
T
MutationAssessor
Uncertain
2.5
M
PrimateAI
Benign
0.35
T
PROVEAN
Uncertain
-3.2
D
REVEL
Benign
0.092
Sift
Uncertain
0.028
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.045
B
Vest4
0.41
MVP
0.67
MPC
0.026
ClinPred
0.070
T
GERP RS
2.3
Varity_R
0.31
gMVP
0.21

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs139149169; hg19: chr11-58390308; COSMIC: COSV60162342; COSMIC: COSV60162342; API