rs141310444

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_052813.5(CARD9):​c.1571A>C​(p.Asn524Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000608 in 1,568,318 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00034 ( 0 hom., cov: 34)
Exomes 𝑓: 0.00064 ( 1 hom. )

Consequence

CARD9
NM_052813.5 missense

Scores

1
4
13

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 1.95

Publications

3 publications found
Variant links:
Genes affected
CARD9 (HGNC:16391): (caspase recruitment domain family member 9) The protein encoded by this gene is a member of the CARD protein family, which is defined by the presence of a characteristic caspase-associated recruitment domain (CARD). CARD is a protein interaction domain known to participate in activation or suppression of CARD containing members of the caspase family, and thus plays an important regulatory role in cell apoptosis. This protein was identified by its selective association with the CARD domain of BCL10, a postive regulator of apoptosis and NF-kappaB activation, and is thought to function as a molecular scaffold for the assembly of a BCL10 signaling complex that activates NF-kappaB. Several alternatively spliced transcript variants have been observed, but their full-length nature is not clearly defined. [provided by RefSeq, Jul 2008]
CARD9 Gene-Disease associations (from GenCC):
  • deep dermatophytosis
    Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp
  • predisposition to invasive fungal disease due to CARD9 deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.17912549).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_052813.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CARD9
NM_052813.5
MANE Select
c.1571A>Cp.Asn524Thr
missense
Exon 13 of 13NP_434700.2
CARD9
NM_052814.4
c.1442-180A>C
intron
N/ANP_434701.1Q9H257-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CARD9
ENST00000371732.10
TSL:1 MANE Select
c.1571A>Cp.Asn524Thr
missense
Exon 13 of 13ENSP00000360797.5Q9H257-1
ENSG00000289701
ENST00000696169.1
n.*1199A>C
non_coding_transcript_exon
Exon 12 of 13ENSP00000512460.1
ENSG00000289701
ENST00000696169.1
n.*1199A>C
3_prime_UTR
Exon 12 of 13ENSP00000512460.1

Frequencies

GnomAD3 genomes
AF:
0.000342
AC:
52
AN:
152162
Hom.:
0
Cov.:
34
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000735
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000211
AC:
38
AN:
180228
AF XY:
0.000186
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000478
Gnomad OTH exome
AF:
0.000206
GnomAD4 exome
AF:
0.000637
AC:
902
AN:
1416156
Hom.:
1
Cov.:
32
AF XY:
0.000590
AC XY:
413
AN XY:
700544
show subpopulations
African (AFR)
AF:
0.0000308
AC:
1
AN:
32500
American (AMR)
AF:
0.0000261
AC:
1
AN:
38364
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25372
East Asian (EAS)
AF:
0.00
AC:
0
AN:
37618
South Asian (SAS)
AF:
0.00
AC:
0
AN:
80798
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
47214
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5716
European-Non Finnish (NFE)
AF:
0.000766
AC:
835
AN:
1089856
Other (OTH)
AF:
0.00111
AC:
65
AN:
58718
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
62
123
185
246
308
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
38
76
114
152
190
<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:
0.000342
AC:
52
AN:
152162
Hom.:
0
Cov.:
34
AF XY:
0.000242
AC XY:
18
AN XY:
74332
show subpopulations
African (AFR)
AF:
0.0000483
AC:
2
AN:
41434
American (AMR)
AF:
0.00
AC:
0
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000735
AC:
50
AN:
68022
Other (OTH)
AF:
0.00
AC:
0
AN:
2090
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.492
Heterozygous variant carriers
0
3
6
10
13
16
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:
0.000464
Hom.:
0
Bravo
AF:
0.000359
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000229
AC:
1
ESP6500EA
AF:
0.000704
AC:
6
ExAC
AF:
0.000118
AC:
14

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Predisposition to invasive fungal disease due to CARD9 deficiency (2)
-
1
-
Inborn genetic diseases (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.52
CADD
Benign
19
DANN
Benign
0.88
DEOGEN2
Benign
0.28
T
Eigen
Benign
-0.74
Eigen_PC
Benign
-0.76
FATHMM_MKL
Benign
0.70
D
LIST_S2
Benign
0.58
T
M_CAP
Pathogenic
0.42
D
MetaRNN
Benign
0.18
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.1
M
PhyloP100
1.9
PrimateAI
Uncertain
0.69
T
PROVEAN
Benign
-1.3
N
REVEL
Benign
0.17
Sift
Uncertain
0.029
D
Sift4G
Uncertain
0.057
T
Polyphen
0.90
P
Vest4
0.25
MVP
0.46
MPC
0.23
ClinPred
0.081
T
GERP RS
2.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.076
gMVP
0.31
Mutation Taster
=90/10
polymorphism

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: rs141310444; hg19: chr9-139258794; COSMIC: COSV99056932; COSMIC: COSV99056932; API