rs145048208

Variant summary

Our verdict is Benign. The variant received -7 ACMG points: 0P and 7B. BP4_ModerateBP6BS1

The NM_006371.5(CRTAP):​c.655G>A​(p.Gly219Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000421 in 1,614,032 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. G219G) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00052 ( 1 hom., cov: 33)
Exomes 𝑓: 0.00041 ( 1 hom. )

Consequence

CRTAP
NM_006371.5 missense

Scores

1
6
12

Clinical Significance

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

Conservation

PhyloP100: 8.06

Publications

5 publications found
Variant links:
Genes affected
CRTAP (HGNC:2379): (cartilage associated protein) The protein encoded by this gene is similar to the chicken and mouse CRTAP genes. The encoded protein is a scaffolding protein that may influence the activity of at least one member of the cytohesin/ARNO family in response to specific cellular stimuli. Defects in this gene are associated with osteogenesis imperfecta, a connective tissue disorder characterized by bone fragility and low bone mass. [provided by RefSeq, Jul 2008]
CRTAP Gene-Disease associations (from GenCC):
  • osteogenesis imperfecta type 7
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Ambry Genetics
  • osteogenesis imperfecta type 2
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • osteogenesis imperfecta type 3
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • osteogenesis imperfecta type 4
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

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=0.17911908).
BP6
Variant 3-33124441-G-A is Benign according to our data. Variant chr3-33124441-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 465814.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.000519 (79/152146) while in subpopulation NFE AF = 0.00101 (69/68036). AF 95% confidence interval is 0.000821. There are 1 homozygotes in GnomAd4. There are 33 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CRTAPNM_006371.5 linkc.655G>A p.Gly219Ser missense_variant Exon 3 of 7 ENST00000320954.11 NP_006362.1
CRTAPNM_001393363.1 linkc.655G>A p.Gly219Ser missense_variant Exon 3 of 6 NP_001380292.1
CRTAPNM_001393364.1 linkc.655G>A p.Gly219Ser missense_variant Exon 3 of 6 NP_001380293.1
CRTAPNM_001393365.1 linkc.505G>A p.Gly169Ser missense_variant Exon 2 of 6 NP_001380294.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CRTAPENST00000320954.11 linkc.655G>A p.Gly219Ser missense_variant Exon 3 of 7 1 NM_006371.5 ENSP00000323696.5
CRTAPENST00000449224.1 linkc.655G>A p.Gly219Ser missense_variant Exon 3 of 6 2 ENSP00000409997.1
CRTAPENST00000485310.1 linkn.249G>A non_coding_transcript_exon_variant Exon 3 of 5 4

Frequencies

GnomAD3 genomes
AF:
0.000519
AC:
79
AN:
152146
Hom.:
1
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000966
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:
0.000565
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00101
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000318
AC:
80
AN:
251482
AF XY:
0.000287
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.0000867
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000109
Gnomad FIN exome
AF:
0.000277
Gnomad NFE exome
AF:
0.000563
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000410
AC:
600
AN:
1461886
Hom.:
1
Cov.:
31
AF XY:
0.000400
AC XY:
291
AN XY:
727242
show subpopulations
African (AFR)
AF:
0.0000597
AC:
2
AN:
33480
American (AMR)
AF:
0.000112
AC:
5
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39700
South Asian (SAS)
AF:
0.0000348
AC:
3
AN:
86254
European-Finnish (FIN)
AF:
0.000412
AC:
22
AN:
53420
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5764
European-Non Finnish (NFE)
AF:
0.000498
AC:
554
AN:
1112012
Other (OTH)
AF:
0.000215
AC:
13
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
38
76
113
151
189
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.000519
AC:
79
AN:
152146
Hom.:
1
Cov.:
33
AF XY:
0.000444
AC XY:
33
AN XY:
74334
show subpopulations
African (AFR)
AF:
0.0000966
AC:
4
AN:
41396
American (AMR)
AF:
0.00
AC:
0
AN:
15282
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5198
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.000565
AC:
6
AN:
10614
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.00101
AC:
69
AN:
68036
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
4
8
13
17
21
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:
0.000569
Hom.:
0
Bravo
AF:
0.000170
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000412
AC:
50
EpiCase
AF:
0.000273
EpiControl
AF:
0.000296

ClinVar

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

Submissions by phenotype

Osteogenesis imperfecta type 7 Uncertain:1Benign:1
Jan 22, 2020
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The CRTAP c.655G>A; p.Gly219Ser variant (rs145048208) is reported in the literature in a single individual who was affected with osteogenesis imperfect who also harbored a pathogenic variant in COL1A1 that explained the phenotype (Árvai 2016). This variant is also reported in ClinVar (Variation ID: 465814) and is found in the general population with an allele frequency of 0.049% (139/282,882 alleles) in the Genome Aggregation Database. The glycine at codon 219 is highly conserved, but computational analyses (SIFT: tolerated, PolyPhen-2: probably damaging) predict conflicting effects of this variant on protein structure/function. Due to limited information, the clinical significance of this variant is uncertain at this time. -

Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.17
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.26
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Benign
0.081
T;T
Eigen
Uncertain
0.38
Eigen_PC
Uncertain
0.35
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.88
D;D
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.18
T;T
MetaSVM
Benign
-0.78
T
MutationAssessor
Benign
1.5
L;.
PhyloP100
8.1
PrimateAI
Uncertain
0.62
T
PROVEAN
Benign
0.23
N;N
REVEL
Uncertain
0.34
Sift
Benign
1.0
T;T
Sift4G
Benign
0.81
T;T
Polyphen
1.0
D;D
Vest4
0.49
MVP
0.76
MPC
0.12
ClinPred
0.052
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.093
gMVP
0.63
Mutation Taster
=61/39
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: rs145048208; hg19: chr3-33165933; COSMIC: COSV58013244; API