rs199473678

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP5

The NM_025099.6(CTC1):​c.2923A>G​(p.Arg975Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000317 in 1,611,172 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000028 ( 0 hom. )

Consequence

CTC1
NM_025099.6 missense

Scores

1
10
7

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:8U:1

Conservation

PhyloP100: 2.18

Publications

9 publications found
Variant links:
Genes affected
CTC1 (HGNC:26169): (CST telomere replication complex component 1) This gene encodes a component of the CST complex. This complex plays an essential role in protecting telomeres from degradation. This protein also forms a heterodimer with the CST complex subunit STN1 to form the enzyme alpha accessory factor. This enzyme regulates DNA replication. Mutations in this gene are the cause of cerebroretinal microangiopathy with calcifications and cysts. Alternate splicing results in both coding and non-coding variants. [provided by RefSeq, Mar 2012]
CTC1 Gene-Disease associations (from GenCC):
  • cerebroretinal microangiopathy with calcifications and cysts 1
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia, Ambry Genetics, G2P
  • dyskeratosis congenita
    Inheritance: AR, AD Classification: DEFINITIVE, SUPPORTIVE Submitted by: G2P, Orphanet
  • Coats plus syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PP5
Variant 17-8230304-T-C is Pathogenic according to our data. Variant chr17-8230304-T-C is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 631531.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_025099.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CTC1
NM_025099.6
MANE Select
c.2923A>Gp.Arg975Gly
missense
Exon 17 of 23NP_079375.3
CTC1
NM_001411067.1
c.2923A>Gp.Arg975Gly
missense
Exon 17 of 21NP_001397996.1
CTC1
NR_046431.2
n.2838A>G
non_coding_transcript_exon
Exon 17 of 22

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CTC1
ENST00000651323.1
MANE Select
c.2923A>Gp.Arg975Gly
missense
Exon 17 of 23ENSP00000498499.1
CTC1
ENST00000581729.2
TSL:3
c.2923A>Gp.Arg975Gly
missense
Exon 17 of 21ENSP00000462720.2
CTC1
ENST00000580299.2
TSL:5
c.2923A>Gp.Arg975Gly
missense
Exon 17 of 21ENSP00000462607.2

Frequencies

GnomAD3 genomes
AF:
0.0000657
AC:
10
AN:
152146
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000147
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000687
AC:
17
AN:
247296
AF XY:
0.0000671
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000151
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000281
AC:
41
AN:
1459026
Hom.:
0
Cov.:
32
AF XY:
0.0000262
AC XY:
19
AN XY:
725810
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33360
American (AMR)
AF:
0.00
AC:
0
AN:
44402
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25950
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.00
AC:
0
AN:
85910
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53370
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5122
European-Non Finnish (NFE)
AF:
0.0000342
AC:
38
AN:
1111008
Other (OTH)
AF:
0.0000498
AC:
3
AN:
60208
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
2
4
7
9
11
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.0000657
AC:
10
AN:
152146
Hom.:
0
Cov.:
32
AF XY:
0.0000673
AC XY:
5
AN XY:
74322
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41434
American (AMR)
AF:
0.00
AC:
0
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5194
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4824
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10608
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.000147
AC:
10
AN:
68018
Other (OTH)
AF:
0.00
AC:
0
AN:
2086
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.530
Heterozygous variant carriers
0
1
3
4
6
7
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:
0.0000458
Hom.:
0
Bravo
AF:
0.0000453
ExAC
AF:
0.0000579
AC:
7
EpiCase
AF:
0.000164
EpiControl
AF:
0.000119

ClinVar

ClinVar submissions as Germline

Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
4
-
-
not provided (4)
2
1
-
Dyskeratosis congenita (3)
2
-
-
Cerebroretinal microangiopathy with calcifications and cysts 1 (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.43
BayesDel_addAF
Uncertain
0.053
T
BayesDel_noAF
Uncertain
0.090
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.70
D
Eigen
Benign
-0.046
Eigen_PC
Benign
-0.056
FATHMM_MKL
Benign
0.44
N
LIST_S2
Benign
0.80
T
M_CAP
Benign
0.050
D
MetaRNN
Uncertain
0.63
D
MetaSVM
Benign
-0.42
T
MutationAssessor
Uncertain
2.4
M
PhyloP100
2.2
PrimateAI
Benign
0.37
T
PROVEAN
Pathogenic
-5.3
D
REVEL
Uncertain
0.56
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.011
D
Polyphen
0.73
P
Vest4
0.40
MVP
0.66
MPC
0.38
ClinPred
0.42
T
GERP RS
3.2
PromoterAI
-0.0042
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.8
Varity_R
0.64
gMVP
0.67
Mutation Taster
=20/80
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs199473678; hg19: chr17-8133622; COSMIC: COSV106102267; COSMIC: COSV106102267; API