rs150884181

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_005142.3(CBLIF):​c.290T>C​(p.Met97Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00975 in 1,613,536 control chromosomes in the GnomAD database, including 136 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0080 ( 17 hom., cov: 32)
Exomes 𝑓: 0.0099 ( 119 hom. )

Consequence

CBLIF
NM_005142.3 missense

Scores

2
9
5

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:5

Conservation

PhyloP100: 4.52

Publications

10 publications found
Variant links:
Genes affected
CBLIF (HGNC:4268): (cobalamin binding intrinsic factor) This gene is a member of the cobalamin transport protein family. It encodes a glycoprotein secreted by parietal cells of the gastric mucosa and is required for adequate absorption of vitamin B12. Vitamin B12 is necessary for erythrocyte maturation and mutations in this gene may lead to congenital pernicious anemia. [provided by RefSeq, Jul 2008]
CBLIF Gene-Disease associations (from GenCC):
  • hereditary intrinsic factor deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.015157074).
BP6
Variant 11-59843108-A-G is Benign according to our data. Variant chr11-59843108-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 305040.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00796 (1212/152310) while in subpopulation NFE AF = 0.00959 (652/68014). AF 95% confidence interval is 0.00898. There are 17 homozygotes in GnomAd4. There are 690 alleles in the male GnomAd4 subpopulation. Median coverage is 32. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 17 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CBLIFNM_005142.3 linkc.290T>C p.Met97Thr missense_variant Exon 3 of 9 ENST00000257248.3 NP_005133.2 P27352-1
CBLIFXM_011544939.4 linkc.290T>C p.Met97Thr missense_variant Exon 3 of 9 XP_011543241.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CBLIFENST00000257248.3 linkc.290T>C p.Met97Thr missense_variant Exon 3 of 9 1 NM_005142.3 ENSP00000257248.2 P27352-1
CBLIFENST00000525058.5 linkn.*257T>C non_coding_transcript_exon_variant Exon 3 of 9 2 ENSP00000433196.1 E9PM21
CBLIFENST00000532070.1 linkn.336T>C non_coding_transcript_exon_variant Exon 3 of 3 2
CBLIFENST00000525058.5 linkn.*257T>C 3_prime_UTR_variant Exon 3 of 9 2 ENSP00000433196.1 E9PM21

Frequencies

GnomAD3 genomes
AF:
0.00796
AC:
1212
AN:
152192
Hom.:
17
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000851
Gnomad ASJ
AF:
0.00634
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00228
Gnomad FIN
AF:
0.0406
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00959
Gnomad OTH
AF:
0.00143
GnomAD2 exomes
AF:
0.00900
AC:
2262
AN:
251224
AF XY:
0.00886
show subpopulations
Gnomad AFR exome
AF:
0.00154
Gnomad AMR exome
AF:
0.00182
Gnomad ASJ exome
AF:
0.00486
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0354
Gnomad NFE exome
AF:
0.0109
Gnomad OTH exome
AF:
0.00783
GnomAD4 exome
AF:
0.00994
AC:
14520
AN:
1461226
Hom.:
119
Cov.:
30
AF XY:
0.00970
AC XY:
7048
AN XY:
726966
show subpopulations
African (AFR)
AF:
0.00140
AC:
47
AN:
33464
American (AMR)
AF:
0.00195
AC:
87
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00658
AC:
172
AN:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39694
South Asian (SAS)
AF:
0.00267
AC:
230
AN:
86244
European-Finnish (FIN)
AF:
0.0315
AC:
1685
AN:
53410
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5764
European-Non Finnish (NFE)
AF:
0.0107
AC:
11928
AN:
1111426
Other (OTH)
AF:
0.00611
AC:
369
AN:
60376
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.466
Heterozygous variant carriers
0
677
1354
2031
2708
3385
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
452
904
1356
1808
2260
<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:
0.00796
AC:
1212
AN:
152310
Hom.:
17
Cov.:
32
AF XY:
0.00926
AC XY:
690
AN XY:
74492
show subpopulations
African (AFR)
AF:
0.00192
AC:
80
AN:
41574
American (AMR)
AF:
0.000850
AC:
13
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00634
AC:
22
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00228
AC:
11
AN:
4828
European-Finnish (FIN)
AF:
0.0406
AC:
431
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00959
AC:
652
AN:
68014
Other (OTH)
AF:
0.00142
AC:
3
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
65
130
194
259
324
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome 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
Alfa
AF:
0.00872
Hom.:
25
Bravo
AF:
0.00521
TwinsUK
AF:
0.0154
AC:
57
ALSPAC
AF:
0.0114
AC:
44
ESP6500AA
AF:
0.00250
AC:
11
ESP6500EA
AF:
0.00990
AC:
85
ExAC
AF:
0.00890
AC:
1080
Asia WGS
AF:
0.00289
AC:
10
AN:
3478
EpiCase
AF:
0.00682
EpiControl
AF:
0.00960

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Hereditary intrinsic factor deficiency Uncertain:1Benign:2
Jan 31, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Nov 21, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The CBLIF c.290T>C p.Met97Thr variant (rs150884181, ClinVar Variation ID: 305040) has been observed in trans opposite the pathogenic c.79+1G>A variant in two individuals recruited for suspicion of inherited VB12 deficiency (Overgaard 2010 and Tanner 2012). Additionally, individuals heterozygous for the p.Met97Thr variant and harboring the FUT2 polymorphic “secretor” genotype (rs601338 GG/GA) have been shown to have an increased risk for VB12 deficiency (Chery 2013) and neural tube defects (NTDs; Gueant-Rodriguez 2018). Functional studies have also shown that CBLIF protein harboring the p.Met97Thr variant has a reduced ability to bind VB12 (Chery 2013). However, the p.Met97Thr variant is common in the general population and is specifically found in the Finnish population with an allele frequency of 3.6% (909/25108 alleles, including 24 homozygotes) in the Genome Aggregation Database. This suggests that the p.Met97Thr variant may be a contributing risk factor in elevated VB12, but is unlikely to have a strong, monogenic effect. Due to conflicting information, the clinical significance of the p.Met97Thr variant is uncertain at this time. References: Gueant-Rodriguez RM et al. Association of combined GIF290T>C heterozygous mutation/FUT2 secretor variant with neural tube defects. Clin Genet. 2018 Jan;93(1):191-193. PMID: 28742214. Chery C, et al. Gastric intrinsic factor deficiency with combined GIF heterozygous mutations and FUT2 secretor variant. Biochimie. 2013 May;95(5):995-100. PMID: 23402911. Overgaard UM, et al. Vitamin B12 deficiency in a 15-year old boy due to mutations in the intrinsic factor gene, GIF. Br J Haematol. 2010 Aug;150(3):369-71. PMID: 20408840 Tanner SM, et al. Inherited cobalamin malabsorption. Mutations in three genes reveal functional and ethnic patterns. Orphanet J Rare Dis. 2012 Aug 28;7:56. PMID: 22929189 -

not provided Benign:2
Feb 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

CBLIF: BS1, BS2 -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

CBLIF-related disorder Benign:1
Apr 29, 2020
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.48
BayesDel_addAF
Benign
-0.14
T
BayesDel_noAF
Uncertain
0.040
CADD
Uncertain
25
DANN
Uncertain
0.99
Eigen
Pathogenic
0.72
Eigen_PC
Pathogenic
0.72
FATHMM_MKL
Uncertain
0.91
D
LIST_S2
Benign
0.67
T
MetaRNN
Benign
0.015
T
MetaSVM
Benign
-0.78
T
PhyloP100
4.5
PrimateAI
Uncertain
0.57
T
PROVEAN
Uncertain
-3.8
D
REVEL
Uncertain
0.35
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.0070
D
Vest4
0.77
MVP
0.50
MPC
0.62
ClinPred
0.024
T
GERP RS
6.1
gMVP
0.64
Mutation Taster
=52/48
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs150884181; hg19: chr11-59610581; COSMIC: COSV57239576; COSMIC: COSV57239576; API