rs146439095

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 1P and 6B. PP3BP4_ModerateBS2

The NM_013390.3(CEMIP2):​c.491A>T​(p.Asp164Val) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00256 in 1,606,754 control chromosomes in the GnomAD database, including 12 homozygotes. In-silico tool predicts a benign outcome for this variant. 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. D164G) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0018 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0026 ( 11 hom. )

Consequence

CEMIP2
NM_013390.3 missense

Scores

10
6
1

Clinical Significance

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

Conservation

PhyloP100: 7.52

Publications

5 publications found
Variant links:
Genes affected
CEMIP2 (HGNC:11869): (cell migration inducing hyaluronidase 2) This gene encodes a type II transmembrane protein that belongs to the interferon-induced transmembrane (IFITM) protein superfamily. The encoded protein functions as a cell surface hyaluronidase that cleaves extracellular high molecular weight hyaluronan into intermediate size fragments before internalization and degradation in the lysosome. It also has an interferon-mediated antiviral function in humans through activation of the JAK STAT signaling pathway. The activation of this gene by transcription factor SOX4 in breast cancer cells has been shown to mediate the pathological effects of SOX4 on cancer progression. Naturally occurring mutations in this gene are associated with autosomal recessive non-syndromic hearing loss. [provided by RefSeq, Mar 2017]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

PP3
Multiple lines of computational evidence support a deleterious effect 8: AlphaMissense, BayesDel_noAF, Cadd, Eigen, M_CAP, PROVEAN, REVEL, REVEL [when max_spliceai, FATHMM_MKL, MetaRNN, MutationTaster was below the threshold]
BP4
Computational evidence support a benign effect (MetaRNN=0.08537677).
BS2
High Homozygotes in GnomAdExome4 at 11 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_013390.3. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CEMIP2
NM_013390.3
MANE Select
c.491A>Tp.Asp164Val
missense
Exon 4 of 24NP_037522.1Q9UHN6-1
CEMIP2
NM_001135820.2
c.491A>Tp.Asp164Val
missense
Exon 4 of 23NP_001129292.1Q9UHN6-2
CEMIP2
NM_001349784.2
c.-1390A>T
5_prime_UTR
Exon 4 of 24NP_001336713.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CEMIP2
ENST00000377044.9
TSL:1 MANE Select
c.491A>Tp.Asp164Val
missense
Exon 4 of 24ENSP00000366243.4Q9UHN6-1
CEMIP2
ENST00000377066.9
TSL:1
c.491A>Tp.Asp164Val
missense
Exon 4 of 23ENSP00000366266.5Q9UHN6-2
CEMIP2
ENST00000542935.5
TSL:1
n.491A>T
non_coding_transcript_exon
Exon 4 of 24ENSP00000437750.1F5H6B2

Frequencies

GnomAD3 genomes
AF:
0.00177
AC:
269
AN:
152082
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000386
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.00990
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00204
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00234
AC:
575
AN:
245568
AF XY:
0.00227
show subpopulations
Gnomad AFR exome
AF:
0.000312
Gnomad AMR exome
AF:
0.000204
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00722
Gnomad NFE exome
AF:
0.00355
Gnomad OTH exome
AF:
0.00166
GnomAD4 exome
AF:
0.00264
AC:
3838
AN:
1454554
Hom.:
11
Cov.:
32
AF XY:
0.00253
AC XY:
1829
AN XY:
723326
show subpopulations
African (AFR)
AF:
0.000270
AC:
9
AN:
33390
American (AMR)
AF:
0.000179
AC:
8
AN:
44582
Ashkenazi Jewish (ASJ)
AF:
0.000154
AC:
4
AN:
25998
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39642
South Asian (SAS)
AF:
0.000813
AC:
70
AN:
86100
European-Finnish (FIN)
AF:
0.00659
AC:
325
AN:
49280
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5740
European-Non Finnish (NFE)
AF:
0.00297
AC:
3299
AN:
1109598
Other (OTH)
AF:
0.00204
AC:
123
AN:
60224
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.473
Heterozygous variant carriers
0
199
397
596
794
993
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
126
252
378
504
630
<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:
0.00177
AC:
269
AN:
152200
Hom.:
1
Cov.:
32
AF XY:
0.00196
AC XY:
146
AN XY:
74422
show subpopulations
African (AFR)
AF:
0.000385
AC:
16
AN:
41532
American (AMR)
AF:
0.000262
AC:
4
AN:
15274
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00104
AC:
5
AN:
4826
European-Finnish (FIN)
AF:
0.00990
AC:
105
AN:
10606
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00204
AC:
139
AN:
68002
Other (OTH)
AF:
0.00
AC:
0
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
14
28
42
56
70
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000755
Hom.:
0
Bravo
AF:
0.00104
TwinsUK
AF:
0.00270
AC:
10
ALSPAC
AF:
0.00285
AC:
11
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00221
AC:
19
ExAC
AF:
0.00236
AC:
287
EpiCase
AF:
0.00191
EpiControl
AF:
0.00273

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
not specified (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.84
BayesDel_addAF
Uncertain
0.15
D
BayesDel_noAF
Pathogenic
0.44
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.73
D
Eigen
Pathogenic
0.75
Eigen_PC
Pathogenic
0.75
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.94
D
M_CAP
Pathogenic
0.47
D
MetaRNN
Benign
0.085
T
MetaSVM
Pathogenic
0.95
D
PhyloP100
7.5
PrimateAI
Uncertain
0.56
T
PROVEAN
Pathogenic
-4.9
D
REVEL
Pathogenic
0.90
Sift
Uncertain
0.0010
D
Sift4G
Pathogenic
0.0010
D
Polyphen
1.0
D
Vest4
0.96
MVP
0.77
MPC
0.85
ClinPred
0.097
T
GERP RS
5.9
Varity_R
0.90
gMVP
0.92
Mutation Taster
=23/77
disease causing

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

Other links and lift over

dbSNP: rs146439095; hg19: chr9-74360477; COSMIC: COSV107488026; API