rs139583699

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBS1_SupportingBS2

The NM_138283.1(CSTL1):​c.257T>C​(p.Ile86Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000977 in 1,614,124 control chromosomes in the GnomAD database, including 5 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0010 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00097 ( 4 hom. )

Consequence

CSTL1
NM_138283.1 missense

Scores

2
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.75

Publications

6 publications found
Variant links:
Genes affected
CSTL1 (HGNC:15958): (cystatin like 1) The cystatin superfamily encompasses proteins that contain multiple cystatin-like sequences. Some of the members are active cysteine protease inhibitors, while others have lost or perhaps never acquired this inhibitory activity. There are three inhibitory families in the superfamily, including the type 1 cystatins (stefins), type 2 cystatins and the kininogens. The type 2 cystatin proteins are a class of cysteine proteinase inhibitors found in a variety of human fluids and secretions. The cystatin locus on chromosome 20 contains the majority of the type 2 cystatin genes and pseudogenes. This gene is located at the telomeric end of the cystatin locus and encodes a type 2 cystatin-like protein. The specific function of this protein has not been determined. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -7 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.12608385).
BS1
Variant frequency is greater than expected in population mid. GnomAdExome4 allele frequency = 0.000975 (1425/1461818) while in subpopulation MID AF = 0.03 (173/5768). AF 95% confidence interval is 0.0263. There are 4 homozygotes in GnomAdExome4. There are 758 alleles in the male GnomAdExome4 subpopulation. Median coverage is 29. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 4 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_138283.1. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CSTL1
NM_138283.1
MANE Select
c.257T>Cp.Ile86Thr
missense
Exon 3 of 4NP_612140.1Q9H114
CSTL1
NR_170937.1
n.566T>C
non_coding_transcript_exon
Exon 4 of 5
CSTL1
NR_170938.1
n.641T>C
non_coding_transcript_exon
Exon 4 of 5

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CSTL1
ENST00000347397.5
TSL:1 MANE Select
c.257T>Cp.Ile86Thr
missense
Exon 3 of 4ENSP00000344907.1Q9H114
CSTL1
ENST00000246020.3
TSL:1
c.257T>Cp.Ile86Thr
missense
Exon 3 of 4ENSP00000246020.2Q9H114

Frequencies

GnomAD3 genomes
AF:
0.000999
AC:
152
AN:
152188
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000796
Gnomad AMI
AF:
0.00110
Gnomad AMR
AF:
0.00118
Gnomad ASJ
AF:
0.000288
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00124
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.0316
Gnomad NFE
AF:
0.00113
Gnomad OTH
AF:
0.00239
GnomAD2 exomes
AF:
0.000983
AC:
247
AN:
251394
AF XY:
0.00104
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.000954
Gnomad ASJ exome
AF:
0.000298
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.00142
Gnomad OTH exome
AF:
0.00342
GnomAD4 exome
AF:
0.000975
AC:
1425
AN:
1461818
Hom.:
4
Cov.:
29
AF XY:
0.00104
AC XY:
758
AN XY:
727202
show subpopulations
African (AFR)
AF:
0.00108
AC:
36
AN:
33474
American (AMR)
AF:
0.00123
AC:
55
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.000306
AC:
8
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000742
AC:
64
AN:
86256
European-Finnish (FIN)
AF:
0.000150
AC:
8
AN:
53420
Middle Eastern (MID)
AF:
0.0300
AC:
173
AN:
5768
European-Non Finnish (NFE)
AF:
0.000875
AC:
973
AN:
1111952
Other (OTH)
AF:
0.00179
AC:
108
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.463
Heterozygous variant carriers
0
60
120
181
241
301
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
36
72
108
144
180
<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:
0.000998
AC:
152
AN:
152306
Hom.:
1
Cov.:
33
AF XY:
0.00101
AC XY:
75
AN XY:
74480
show subpopulations
African (AFR)
AF:
0.000794
AC:
33
AN:
41572
American (AMR)
AF:
0.00118
AC:
18
AN:
15302
Ashkenazi Jewish (ASJ)
AF:
0.000288
AC:
1
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.00124
AC:
6
AN:
4826
European-Finnish (FIN)
AF:
0.0000943
AC:
1
AN:
10610
Middle Eastern (MID)
AF:
0.0340
AC:
10
AN:
294
European-Non Finnish (NFE)
AF:
0.00113
AC:
77
AN:
68022
Other (OTH)
AF:
0.00237
AC:
5
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
8
16
24
32
40
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.00124
Hom.:
2
Bravo
AF:
0.00109
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.000930
AC:
8
ExAC
AF:
0.00105
AC:
127
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.00207
EpiControl
AF:
0.00196

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
-0.11
T
BayesDel_noAF
Uncertain
0.040
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.066
T
Eigen
Uncertain
0.47
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.66
T
M_CAP
Benign
0.019
T
MetaRNN
Benign
0.13
T
MetaSVM
Benign
-0.48
T
PhyloP100
2.7
PrimateAI
Uncertain
0.67
T
PROVEAN
Pathogenic
-4.5
D
REVEL
Uncertain
0.34
Sift
Uncertain
0.0030
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.75
MVP
0.19
MPC
0.40
ClinPred
0.059
T
GERP RS
4.1
Varity_R
0.70
gMVP
0.58
Mutation Taster
=80/20
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs139583699; hg19: chr20-23424608; API