rs16947

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_000106.6(CYP2D6):​c.886C>T​(p.Arg296Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.341 in 1,610,098 control chromosomes in the GnomAD database, including 108,422 homozygotes. In-silico tool predicts a benign outcome for this variant. 5/6 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.39 ( 13067 hom., cov: 32)
Exomes 𝑓: 0.34 ( 95355 hom. )

Consequence

CYP2D6
NM_000106.6 missense

Scores

6

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.921
Variant links:
Genes affected
CYP2D6 (HGNC:2625): (cytochrome P450 family 2 subfamily D member 6) This gene encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and is known to metabolize as many as 25% of commonly prescribed drugs. Its substrates include antidepressants, antipsychotics, analgesics and antitussives, beta adrenergic blocking agents, antiarrythmics and antiemetics. The gene is highly polymorphic in the human population; certain alleles result in the poor metabolizer phenotype, characterized by a decreased ability to metabolize the enzyme's substrates. Some individuals with the poor metabolizer phenotype have no functional protein since they carry 2 null alleles whereas in other individuals the gene is absent. This gene can vary in copy number and individuals with the ultrarapid metabolizer phenotype can have 3 or more active copies of the gene. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2014]
NDUFA6-DT (HGNC:45273): (NDUFA6 divergent transcript)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.008255243).
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.512 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYP2D6NM_000106.6 linkuse as main transcriptc.886C>T p.Arg296Cys missense_variant 6/9 ENST00000645361.2 NP_000097.3
CYP2D6NM_001025161.3 linkuse as main transcriptc.733C>T p.Arg245Cys missense_variant 5/8 NP_001020332.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP2D6ENST00000645361.2 linkuse as main transcriptc.886C>T p.Arg296Cys missense_variant 6/9 NM_000106.6 ENSP00000496150 P1P10635-1
NDUFA6-DTENST00000439129.5 linkuse as main transcriptn.1718+2534G>A intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
AF:
0.385
AC:
58085
AN:
150702
Hom.:
13023
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.517
Gnomad AMI
AF:
0.231
Gnomad AMR
AF:
0.343
Gnomad ASJ
AF:
0.394
Gnomad EAS
AF:
0.149
Gnomad SAS
AF:
0.381
Gnomad FIN
AF:
0.389
Gnomad MID
AF:
0.506
Gnomad NFE
AF:
0.335
Gnomad OTH
AF:
0.382
GnomAD4 exome
AF:
0.336
AC:
490905
AN:
1459282
Hom.:
95355
Cov.:
56
AF XY:
0.339
AC XY:
245894
AN XY:
725958
show subpopulations
Gnomad4 AFR exome
AF:
0.527
Gnomad4 AMR exome
AF:
0.285
Gnomad4 ASJ exome
AF:
0.406
Gnomad4 EAS exome
AF:
0.144
Gnomad4 SAS exome
AF:
0.384
Gnomad4 FIN exome
AF:
0.387
Gnomad4 NFE exome
AF:
0.330
Gnomad4 OTH exome
AF:
0.354
GnomAD4 genome
AF:
0.386
AC:
58174
AN:
150816
Hom.:
13067
Cov.:
32
AF XY:
0.386
AC XY:
28466
AN XY:
73670
show subpopulations
Gnomad4 AFR
AF:
0.518
Gnomad4 AMR
AF:
0.344
Gnomad4 ASJ
AF:
0.394
Gnomad4 EAS
AF:
0.148
Gnomad4 SAS
AF:
0.382
Gnomad4 FIN
AF:
0.389
Gnomad4 NFE
AF:
0.335
Gnomad4 OTH
AF:
0.378
Alfa
AF:
0.322
Hom.:
2728
Bravo
AF:
0.386

ClinVar

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

Submissions by phenotype

not specified Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxFeb 27, 2018This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpNov 01, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_noAF
Benign
-0.92
CADD
Benign
15
DEOGEN2
Benign
0.017
T;T;T;T;.
LIST_S2
Benign
0.26
.;.;T;T;T
MetaRNN
Benign
0.0083
T;T;T;T;T
Sift4G
Benign
0.18
.;.;T;T;T
Vest4
0.17, 0.18, 0.19
gMVP
0.61

Splicing

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: rs16947; hg19: chr22-42523943; API