rs200539084

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_021267.5(CERS1):​c.787G>A​(p.Val263Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.000842 in 1,590,956 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.00062 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00086 ( 1 hom. )

Consequence

CERS1
NM_021267.5 missense

Scores

2
8
8

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 7.40

Publications

3 publications found
Variant links:
Genes affected
CERS1 (HGNC:14253): (ceramide synthase 1) This gene encodes a ceramide synthase enzyme, which catalyzes the synthesis of ceramide, the hydrophobic moiety of sphingolipids. The encoded enzyme synthesizes 18-carbon (C18) ceramide in brain neurons. Elevated expression of this gene may be associated with increased longevity, while decreased expression of this gene may be associated with myoclonus epilepsy with dementia in human patients. This protein is transcribed from a monocistronic mRNA as well as a bicistronic mRNA, which also encodes growth differentiation factor 1. [provided by RefSeq, Jul 2016]
GDF1 (HGNC:4214): (growth differentiation factor 1) This gene encodes a secreted ligand of the TGF-beta (transforming growth factor-beta) superfamily of proteins. Ligands of this family bind various TGF-beta receptors leading to recruitment and activation of SMAD family transcription factors that regulate gene expression. The encoded preproprotein is proteolytically processed to generate each subunit of the disulfide-linked homodimer. Studies in rodents suggest that this protein is involved in the establishment of left-right asymmetry in early embryogenesis and in neural development in later embryogenesis. The encoded protein is translated from a bicistronic mRNA that also encodes ceramide synthase 1. Mutations in this gene are associated with several congenital cardiovascular malformations. [provided by RefSeq, Jul 2016]
GDF1 Gene-Disease associations (from GenCC):
  • right atrial isomerism
    Inheritance: AR Classification: STRONG, SUPPORTIVE, LIMITED Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Ambry Genetics
  • congenital heart defects, multiple types, 6
    Inheritance: AD Classification: LIMITED, NO_KNOWN Submitted by: Illumina, Ambry Genetics
  • conotruncal heart malformations
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10771608).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_021267.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CERS1
NM_021267.5
MANE Select
c.787G>Ap.Val263Ile
missense
Exon 5 of 8NP_067090.1
GDF1
NM_001492.6
MANE Select
c.-536G>A
5_prime_UTR
Exon 5 of 8NP_001483.3
CERS1
NM_001387439.1
c.787G>Ap.Val263Ile
missense
Exon 5 of 7NP_001374368.1

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CERS1
ENST00000623882.4
TSL:1 MANE Select
c.787G>Ap.Val263Ile
missense
Exon 5 of 8ENSP00000485308.1
CERS1
ENST00000429504.6
TSL:1
c.787G>Ap.Val263Ile
missense
Exon 5 of 6ENSP00000389044.1
CERS1
ENST00000542296.6
TSL:1
c.493G>Ap.Val165Ile
missense
Exon 5 of 6ENSP00000437648.1

Frequencies

GnomAD3 genomes
AF:
0.000625
AC:
95
AN:
152098
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000217
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000852
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00100
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000517
AC:
105
AN:
203122
AF XY:
0.000529
show subpopulations
Gnomad AFR exome
AF:
0.000169
Gnomad AMR exome
AF:
0.000593
Gnomad ASJ exome
AF:
0.00162
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000111
Gnomad NFE exome
AF:
0.000763
Gnomad OTH exome
AF:
0.000190
GnomAD4 exome
AF:
0.000865
AC:
1244
AN:
1438740
Hom.:
1
Cov.:
33
AF XY:
0.000830
AC XY:
592
AN XY:
713430
show subpopulations
African (AFR)
AF:
0.000272
AC:
9
AN:
33068
American (AMR)
AF:
0.000475
AC:
19
AN:
40028
Ashkenazi Jewish (ASJ)
AF:
0.00152
AC:
39
AN:
25666
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38550
South Asian (SAS)
AF:
0.0000241
AC:
2
AN:
82932
European-Finnish (FIN)
AF:
0.0000576
AC:
3
AN:
52072
Middle Eastern (MID)
AF:
0.00104
AC:
6
AN:
5746
European-Non Finnish (NFE)
AF:
0.00102
AC:
1119
AN:
1101034
Other (OTH)
AF:
0.000788
AC:
47
AN:
59644
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.482
Heterozygous variant carriers
0
73
147
220
294
367
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
48
96
144
192
240
<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:
0.000624
AC:
95
AN:
152216
Hom.:
0
Cov.:
32
AF XY:
0.000524
AC XY:
39
AN XY:
74422
show subpopulations
African (AFR)
AF:
0.000217
AC:
9
AN:
41534
American (AMR)
AF:
0.000851
AC:
13
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.00115
AC:
4
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00100
AC:
68
AN:
67984
Other (OTH)
AF:
0.000473
AC:
1
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.487
Heterozygous variant carriers
0
5
10
16
21
26
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:
0.000722
Hom.:
1
Bravo
AF:
0.000536
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00130
AC:
5
ESP6500AA
AF:
0.000463
AC:
2
ESP6500EA
AF:
0.000587
AC:
5
ExAC
AF:
0.000390
AC:
47

ClinVar

ClinVar submissions as Germline

Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Progressive myoclonic epilepsy type 8 (2)
-
1
-
not provided (1)
-
1
-
not specified (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.30
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.16
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.59
D
Eigen
Uncertain
0.30
Eigen_PC
Uncertain
0.30
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Uncertain
0.89
D
M_CAP
Pathogenic
0.32
D
MetaRNN
Benign
0.11
T
MetaSVM
Uncertain
-0.11
T
MutationAssessor
Benign
1.1
L
PhyloP100
7.4
PrimateAI
Uncertain
0.66
T
PROVEAN
Benign
-0.83
N
REVEL
Uncertain
0.48
Sift
Benign
0.037
D
Sift4G
Benign
0.064
T
Polyphen
1.0
D
Vest4
0.43
MVP
0.65
ClinPred
0.075
T
GERP RS
3.7
Varity_R
0.17
Mutation Taster
=281/19
polymorphism

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

Other links and lift over

dbSNP: rs200539084; hg19: chr19-18990163; API