rs1433126196

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 2P and 0B. PM2

The NM_004364.5(CEBPA):​c.634C>T​(p.His212Tyr) variant causes a missense change. The variant allele was found at a frequency of 0.00000188 in 1,065,648 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. H212P) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000019 ( 0 hom. )

Consequence

CEBPA
NM_004364.5 missense

Scores

3
9
7

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 7.08

Publications

2 publications found
Variant links:
Genes affected
CEBPA (HGNC:1833): (CCAAT enhancer binding protein alpha) This intronless gene encodes a transcription factor that contains a basic leucine zipper (bZIP) domain and recognizes the CCAAT motif in the promoters of target genes. The encoded protein functions in homodimers and also heterodimers with CCAAT/enhancer-binding proteins beta and gamma. Activity of this protein can modulate the expression of genes involved in cell cycle regulation as well as in body weight homeostasis. Mutation of this gene is associated with acute myeloid leukemia. The use of alternative in-frame non-AUG (GUG) and AUG start codons results in protein isoforms with different lengths. Differential translation initiation is mediated by an out-of-frame, upstream open reading frame which is located between the GUG and the first AUG start codons. [provided by RefSeq, Dec 2013]
CEBPA-DT (HGNC:25710): (CEBPA divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CEBPANM_004364.5 linkc.634C>T p.His212Tyr missense_variant Exon 1 of 1 ENST00000498907.3 NP_004355.2
CEBPANM_001287424.2 linkc.739C>T p.His247Tyr missense_variant Exon 1 of 1 NP_001274353.1
CEBPANM_001287435.2 linkc.592C>T p.His198Tyr missense_variant Exon 1 of 1 NP_001274364.1
CEBPANM_001285829.2 linkc.277C>T p.His93Tyr missense_variant Exon 1 of 1 NP_001272758.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CEBPAENST00000498907.3 linkc.634C>T p.His212Tyr missense_variant Exon 1 of 1 6 NM_004364.5 ENSP00000427514.1
CEBPA-DTENST00000718467.1 linkn.28G>A non_coding_transcript_exon_variant Exon 1 of 2
ENSG00000267727ENST00000587312.1 linkn.357-34G>A intron_variant Intron 1 of 1 3

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000188
AC:
2
AN:
1065648
Hom.:
0
Cov.:
22
AF XY:
0.00000391
AC XY:
2
AN XY:
512102
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
21168
American (AMR)
AF:
0.00
AC:
0
AN:
7112
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
12366
East Asian (EAS)
AF:
0.00
AC:
0
AN:
22830
South Asian (SAS)
AF:
0.00
AC:
0
AN:
27584
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
21142
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2740
European-Non Finnish (NFE)
AF:
0.00000220
AC:
2
AN:
909334
Other (OTH)
AF:
0.00
AC:
0
AN:
41372
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000712
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
May 07, 2025
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The p.H212Y variant (also known as c.634C>T), located in coding exon 1 of the CEBPA gene, results from a C to T substitution at nucleotide position 634. The histidine at codon 212 is replaced by tyrosine, an amino acid with similar properties. This amino acid position is conserved. In addition, this alteration is predicted to be tolerated by in silico analysis. Based on the available evidence, the clinical significance of this variant remains unclear. -

Acute myeloid leukemia Uncertain:1
Oct 04, 2022
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt CEBPA protein function. ClinVar contains an entry for this variant (Variation ID: 456696). This variant has not been reported in the literature in individuals affected with CEBPA-related conditions. This variant is not present in population databases (gnomAD no frequency). This sequence change replaces histidine, which is basic and polar, with tyrosine, which is neutral and polar, at codon 212 of the CEBPA protein (p.His212Tyr). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.78
BayesDel_addAF
Benign
-0.056
T
BayesDel_noAF
Benign
-0.32
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.70
D
Eigen
Uncertain
0.39
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Uncertain
0.88
D
M_CAP
Pathogenic
0.34
D
MetaRNN
Uncertain
0.44
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
L
PhyloP100
7.1
PrimateAI
Pathogenic
0.95
D
PROVEAN
Uncertain
-2.5
D
REVEL
Benign
0.24
Sift
Uncertain
0.0010
D
Sift4G
Benign
0.12
T
Polyphen
1.0
D
Vest4
0.27
MutPred
0.29
Loss of sheet (P = 0.0357);
MVP
0.27
ClinPred
0.96
D
GERP RS
4.0
Varity_R
0.42
gMVP
0.36
Mutation Taster
=79/21
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: rs1433126196; hg19: chr19-33792687; API