rs2229320

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000246.4(CIITA):​c.2394G>A​(p.Pro798Pro) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.206 in 1,600,210 control chromosomes in the GnomAD database, including 35,800 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.17 ( 2609 hom., cov: 33)
Exomes 𝑓: 0.21 ( 33191 hom. )

Consequence

CIITA
NM_000246.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: -3.40
Variant links:
Genes affected
CIITA (HGNC:7067): (class II major histocompatibility complex transactivator) This gene encodes a protein with an acidic transcriptional activation domain, 4 LRRs (leucine-rich repeats) and a GTP binding domain. The protein is located in the nucleus and acts as a positive regulator of class II major histocompatibility complex gene transcription, and is referred to as the "master control factor" for the expression of these genes. The protein also binds GTP and uses GTP binding to facilitate its own transport into the nucleus. Once in the nucleus it does not bind DNA but rather uses an intrinsic acetyltransferase (AT) activity to act in a coactivator-like fashion. Mutations in this gene have been associated with bare lymphocyte syndrome type II (also known as hereditary MHC class II deficiency or HLA class II-deficient combined immunodeficiency), increased susceptibility to rheumatoid arthritis, multiple sclerosis, and possibly myocardial infarction. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.92).
BP6
Variant 16-10907886-G-A is Benign according to our data. Variant chr16-10907886-G-A is described in ClinVar as [Benign]. Clinvar id is 317710.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-3.4 with no splicing effect.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.289 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CIITANM_000246.4 linkc.2394G>A p.Pro798Pro synonymous_variant Exon 11 of 20 ENST00000324288.14 NP_000237.2 P33076A0A0B4J1S1Q66X48

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CIITAENST00000324288.14 linkc.2394G>A p.Pro798Pro synonymous_variant Exon 11 of 20 1 NM_000246.4 ENSP00000316328.8 A0A0B4J1S1

Frequencies

GnomAD3 genomes
AF:
0.167
AC:
25467
AN:
152108
Hom.:
2606
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0491
Gnomad AMI
AF:
0.324
Gnomad AMR
AF:
0.159
Gnomad ASJ
AF:
0.210
Gnomad EAS
AF:
0.301
Gnomad SAS
AF:
0.285
Gnomad FIN
AF:
0.254
Gnomad MID
AF:
0.161
Gnomad NFE
AF:
0.205
Gnomad OTH
AF:
0.176
GnomAD3 exomes
AF:
0.211
AC:
49961
AN:
236446
Hom.:
5810
AF XY:
0.219
AC XY:
28139
AN XY:
128496
show subpopulations
Gnomad AFR exome
AF:
0.0448
Gnomad AMR exome
AF:
0.149
Gnomad ASJ exome
AF:
0.224
Gnomad EAS exome
AF:
0.314
Gnomad SAS exome
AF:
0.277
Gnomad FIN exome
AF:
0.264
Gnomad NFE exome
AF:
0.209
Gnomad OTH exome
AF:
0.198
GnomAD4 exome
AF:
0.210
AC:
303453
AN:
1447984
Hom.:
33191
Cov.:
82
AF XY:
0.212
AC XY:
152615
AN XY:
719124
show subpopulations
Gnomad4 AFR exome
AF:
0.0425
Gnomad4 AMR exome
AF:
0.147
Gnomad4 ASJ exome
AF:
0.217
Gnomad4 EAS exome
AF:
0.295
Gnomad4 SAS exome
AF:
0.280
Gnomad4 FIN exome
AF:
0.253
Gnomad4 NFE exome
AF:
0.207
Gnomad4 OTH exome
AF:
0.198
GnomAD4 genome
AF:
0.167
AC:
25470
AN:
152226
Hom.:
2609
Cov.:
33
AF XY:
0.171
AC XY:
12745
AN XY:
74406
show subpopulations
Gnomad4 AFR
AF:
0.0490
Gnomad4 AMR
AF:
0.159
Gnomad4 ASJ
AF:
0.210
Gnomad4 EAS
AF:
0.302
Gnomad4 SAS
AF:
0.285
Gnomad4 FIN
AF:
0.254
Gnomad4 NFE
AF:
0.205
Gnomad4 OTH
AF:
0.174
Alfa
AF:
0.186
Hom.:
1160
Bravo
AF:
0.154
Asia WGS
AF:
0.219
AC:
764
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

MHC class II deficiency Benign:4
Jul 10, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jan 13, 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. -

Sep 16, 2020
Natera, Inc.
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not specified Benign:1
Mar 28, 2016
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -

not provided Benign:1
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.92
CADD
Benign
0.055
DANN
Benign
0.65

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: rs2229320; hg19: chr16-11001743; COSMIC: COSV60853804; API