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rs149640178

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BP4_Strong

The NM_033124.5(CCDC65):c.680A>G(p.Gln227Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000383 in 1,614,258 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 Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00057 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00036 ( 1 hom. )

Consequence

CCDC65
NM_033124.5 missense

Scores

7
10

Clinical Significance

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

Conservation

PhyloP100: 3.41
Variant links:
Genes affected
CCDC65 (HGNC:29937): (coiled-coil domain containing 65) This gene encodes a sperm tail protein that is highly expressed in adult testis, spermatocytes and spermatids. The protein plays a critical role in the assembly of the nexin-dynein regulatory complex. Mutations in this gene result in primary ciliary dyskinesia. [provided by RefSeq, Nov 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.015651435).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CCDC65NM_033124.5 linkuse as main transcriptc.680A>G p.Gln227Arg missense_variant 5/8 ENST00000320516.5
CCDC65NM_001286957.2 linkuse as main transcriptc.251A>G p.Gln84Arg missense_variant 5/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CCDC65ENST00000320516.5 linkuse as main transcriptc.680A>G p.Gln227Arg missense_variant 5/81 NM_033124.5 P2Q8IXS2-1

Frequencies

GnomAD3 genomes
AF:
0.000578
AC:
88
AN:
152256
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000723
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00353
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:
0.000426
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000354
AC:
89
AN:
251476
Hom.:
1
AF XY:
0.000353
AC XY:
48
AN XY:
135916
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00139
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000325
Gnomad OTH exome
AF:
0.000652
GnomAD4 exome
AF:
0.000363
AC:
531
AN:
1461884
Hom.:
1
Cov.:
31
AF XY:
0.000353
AC XY:
257
AN XY:
727242
show subpopulations
Gnomad4 AFR exome
AF:
0.0000597
Gnomad4 AMR exome
AF:
0.00152
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000407
Gnomad4 OTH exome
AF:
0.000132
GnomAD4 genome
AF:
0.000571
AC:
87
AN:
152374
Hom.:
1
Cov.:
32
AF XY:
0.000658
AC XY:
49
AN XY:
74518
show subpopulations
Gnomad4 AFR
AF:
0.0000721
Gnomad4 AMR
AF:
0.00353
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000412
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.000384
Hom.:
0
Bravo
AF:
0.000468
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000222
AC:
27
EpiCase
AF:
0.000164
EpiControl
AF:
0.000474

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsSep 01, 2021The c.680A>G (p.Q227R) alteration is located in exon 5 (coding exon 5) of the CCDC65 gene. This alteration results from a A to G substitution at nucleotide position 680, causing the glutamine (Q) at amino acid position 227 to be replaced by an arginine (R). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Primary ciliary dyskinesia 27 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingInvitaeOct 17, 2022This sequence change replaces glutamine, which is neutral and polar, with arginine, which is basic and polar, at codon 227 of the CCDC65 protein (p.Gln227Arg). This variant is present in population databases (rs149640178, gnomAD 0.1%), including at least one homozygous and/or hemizygous individual. This variant has not been reported in the literature in individuals affected with CCDC65-related conditions. ClinVar contains an entry for this variant (Variation ID: 411134). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Tolerated"; PolyPhen-2: "Possibly Damaging"; Align-GVGD: "Class C0"). 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. -
Primary ciliary dyskinesia Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingUNC Molecular Genetics Laboratory, University of North Carolina at Chapel HillJul 14, 2020- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.089
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.16
Cadd
Uncertain
23
Dann
Uncertain
1.0
Eigen
Uncertain
0.49
Eigen_PC
Uncertain
0.49
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.70
T;T;T
M_CAP
Benign
0.0067
T
MetaRNN
Benign
0.016
T;T;T
MetaSVM
Benign
-1.1
T
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Benign
0.46
T
PROVEAN
Uncertain
-2.6
D;N;N
REVEL
Benign
0.14
Sift
Uncertain
0.0080
D;D;D
Sift4G
Uncertain
0.028
D;T;D
Polyphen
0.99
.;.;D
Vest4
0.36
MVP
0.030
MPC
0.15
ClinPred
0.16
T
GERP RS
5.3
Varity_R
0.23
gMVP
0.34

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs149640178; hg19: chr12-49312128; API