rs141185078

Variant summary

Our verdict is Benign. Variant got -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_017950.4(CCDC40):ā€‹c.1220T>Cā€‹(p.Ile407Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000502 in 1,614,072 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.0030 ( 2 hom., cov: 32)
Exomes š‘“: 0.00024 ( 1 hom. )

Consequence

CCDC40
NM_017950.4 missense

Scores

1
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:2

Conservation

PhyloP100: 2.99
Variant links:
Genes affected
CCDC40 (HGNC:26090): (coiled-coil domain 40 molecular ruler complex subunit) This gene encodes a protein that is necessary for motile cilia function. It functions in correct left-right axis formation by regulating the assembly of the inner dynein arm and the dynein regulatory complexes, which control ciliary beat. Mutations in this gene cause ciliary dyskinesia type 15, a disorder due to defects in cilia motility. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0113373995).
BP6
Variant 17-80058554-T-C is Benign according to our data. Variant chr17-80058554-T-C is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 260949.We mark this variant Likely_benign, oryginal submissions are: {Benign=2, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00299 (455/152222) while in subpopulation AFR AF= 0.0105 (436/41524). AF 95% confidence interval is 0.00969. There are 2 homozygotes in gnomad4. There are 219 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CCDC40NM_017950.4 linkuse as main transcriptc.1220T>C p.Ile407Thr missense_variant 8/20 ENST00000397545.9 NP_060420.2
LOC124904074XR_007065931.1 linkuse as main transcriptn.1237A>G non_coding_transcript_exon_variant 2/2
CCDC40NM_001243342.2 linkuse as main transcriptc.1220T>C p.Ile407Thr missense_variant 8/18 NP_001230271.1
CCDC40NM_001330508.2 linkuse as main transcriptc.1220T>C p.Ile407Thr missense_variant 8/11 NP_001317437.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CCDC40ENST00000397545.9 linkuse as main transcriptc.1220T>C p.Ile407Thr missense_variant 8/205 NM_017950.4 ENSP00000380679 P2Q4G0X9-1
ENST00000695611.1 linkuse as main transcriptn.1245A>G non_coding_transcript_exon_variant 2/3

Frequencies

GnomAD3 genomes
AF:
0.00299
AC:
455
AN:
152104
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0105
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000916
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000701
AC:
175
AN:
249578
Hom.:
1
AF XY:
0.000480
AC XY:
65
AN XY:
135406
show subpopulations
Gnomad AFR exome
AF:
0.0101
Gnomad AMR exome
AF:
0.000406
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000654
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000177
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
0.000243
AC:
355
AN:
1461850
Hom.:
1
Cov.:
32
AF XY:
0.000209
AC XY:
152
AN XY:
727220
show subpopulations
Gnomad4 AFR exome
AF:
0.00875
Gnomad4 AMR exome
AF:
0.000425
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000464
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.000596
GnomAD4 genome
AF:
0.00299
AC:
455
AN:
152222
Hom.:
2
Cov.:
32
AF XY:
0.00294
AC XY:
219
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.0105
Gnomad4 AMR
AF:
0.000915
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000634
Hom.:
3
Bravo
AF:
0.00331
ESP6500AA
AF:
0.0101
AC:
43
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000941
AC:
114
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:2
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Primary ciliary dyskinesia Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsFeb 24, 2022The p.I407T variant (also known as c.1220T>C), located in coding exon 8 of the CCDC40 gene, results from a T to C substitution at nucleotide position 1220. The isoleucine at codon 407 is replaced by threonine, an amino acid with similar properties. This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be tolerated by in silico analysis. Since supporting evidence is limited at this time, the clinical significance of this alteration remains unclear. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 18, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
16
DANN
Benign
0.97
DEOGEN2
Benign
0.11
.;T;.;.
Eigen
Benign
-0.27
Eigen_PC
Benign
-0.35
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.75
T;T;T;T
MetaRNN
Benign
0.011
T;T;T;T
MetaSVM
Benign
-0.97
T
MutationAssessor
Uncertain
2.4
M;M;M;M
MutationTaster
Benign
0.94
N;N;N;N
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-2.3
N;N;N;N
REVEL
Benign
0.10
Sift
Benign
0.13
T;T;T;D
Sift4G
Benign
0.55
T;T;D;D
Polyphen
0.87, 0.45
.;P;.;B
Vest4
0.56
MVP
0.54
MPC
0.22
ClinPred
0.0096
T
GERP RS
3.3
Varity_R
0.078
gMVP
0.15

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.050
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: rs141185078; hg19: chr17-78032353; COSMIC: COSV53905722; COSMIC: COSV53905722; API