rs2279343

Variant summary

Our verdict is Likely benign. The variant received -4 ACMG points: 0P and 4B. BP4_Strong

The NM_000767.5(CYP2B6):​c.785A>G​(p.Lys262Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in UniProt.

Frequency

Genomes: 𝑓 0.29 ( 6478 hom., cov: 25)
Exomes 𝑓: 0.16 ( 38948 hom. )
Failed GnomAD Quality Control

Consequence

CYP2B6
NM_000767.5 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4O:1

Conservation

PhyloP100: 0.784
Variant links:
Genes affected
CYP2B6 (HGNC:2615): (cytochrome P450 family 2 subfamily B member 6) This gene, CYP2B6, 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 its expression is induced by phenobarbital. The enzyme is known to metabolize some xenobiotics, such as the anti-cancer drugs cyclophosphamide and ifosphamide. Transcript variants for this gene have been described; however, it has not been resolved whether these transcripts are in fact produced by this gene or by a closely related pseudogene, CYP2B7. Both the gene and the pseudogene are located in the middle of a CYP2A pseudogene found in a large cluster of cytochrome P450 genes from the CYP2A, CYP2B and CYP2F subfamilies on chromosome 19q. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -4 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0074420273).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CYP2B6NM_000767.5 linkc.785A>G p.Lys262Arg missense_variant Exon 5 of 9 ENST00000324071.10 NP_000758.1 P20813-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CYP2B6ENST00000324071.10 linkc.785A>G p.Lys262Arg missense_variant Exon 5 of 9 1 NM_000767.5 ENSP00000324648.2 P20813-1
CYP2B6ENST00000593831.1 linkc.257-2940A>G intron_variant Intron 2 of 4 2 ENSP00000470582.1 M0QZJ2
CYP2B6ENST00000598834.2 linkn.*226A>G non_coding_transcript_exon_variant Exon 6 of 10 5 ENSP00000496294.1 A0A2R8YFA4
CYP2B6ENST00000598834.2 linkn.*226A>G 3_prime_UTR_variant Exon 6 of 10 5 ENSP00000496294.1 A0A2R8YFA4

Frequencies

GnomAD3 genomes
AF:
0.293
AC:
42549
AN:
145088
Hom.:
6480
Cov.:
25
show subpopulations
Gnomad AFR
AF:
0.357
Gnomad AMI
AF:
0.123
Gnomad AMR
AF:
0.338
Gnomad ASJ
AF:
0.317
Gnomad EAS
AF:
0.272
Gnomad SAS
AF:
0.388
Gnomad FIN
AF:
0.224
Gnomad MID
AF:
0.326
Gnomad NFE
AF:
0.252
Gnomad OTH
AF:
0.308
GnomAD2 exomes
AF:
0.129
AC:
27016
AN:
208848
AF XY:
0.129
show subpopulations
Gnomad AFR exome
AF:
0.171
Gnomad AMR exome
AF:
0.166
Gnomad ASJ exome
AF:
0.148
Gnomad EAS exome
AF:
0.147
Gnomad FIN exome
AF:
0.0752
Gnomad NFE exome
AF:
0.0878
Gnomad OTH exome
AF:
0.150
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.164
AC:
187493
AN:
1142912
Hom.:
38948
Cov.:
36
AF XY:
0.173
AC XY:
98990
AN XY:
573654
show subpopulations
Gnomad4 AFR exome
AF:
0.271
AC:
6839
AN:
25198
Gnomad4 AMR exome
AF:
0.215
AC:
8136
AN:
37856
Gnomad4 ASJ exome
AF:
0.249
AC:
5470
AN:
21924
Gnomad4 EAS exome
AF:
0.226
AC:
8242
AN:
36392
Gnomad4 SAS exome
AF:
0.345
AC:
24676
AN:
71510
Gnomad4 FIN exome
AF:
0.192
AC:
9031
AN:
47084
Gnomad4 NFE exome
AF:
0.135
AC:
114515
AN:
849614
Gnomad4 Remaining exome
AF:
0.197
AC:
9617
AN:
48770
Heterozygous variant carriers
0
5628
11256
16883
22511
28139
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Exome Het
Exome Hom
Variant carriers
0
2018
4036
6054
8072
10090
<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
Data not reliable, filtered out with message: AS_VQSR
AF:
0.293
AC:
42562
AN:
145210
Hom.:
6478
Cov.:
25
AF XY:
0.293
AC XY:
20728
AN XY:
70634
show subpopulations
Gnomad4 AFR
AF:
0.356
AC:
0.356404
AN:
0.356404
Gnomad4 AMR
AF:
0.338
AC:
0.337728
AN:
0.337728
Gnomad4 ASJ
AF:
0.317
AC:
0.31703
AN:
0.31703
Gnomad4 EAS
AF:
0.271
AC:
0.270799
AN:
0.270799
Gnomad4 SAS
AF:
0.386
AC:
0.385649
AN:
0.385649
Gnomad4 FIN
AF:
0.224
AC:
0.223934
AN:
0.223934
Gnomad4 NFE
AF:
0.252
AC:
0.251961
AN:
0.251961
Gnomad4 OTH
AF:
0.310
AC:
0.310448
AN:
0.310448
Heterozygous variant carriers
0
1240
2480
3721
4961
6201
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Genome Het
Genome Hom
Variant carriers
0
420
840
1260
1680
2100
<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:
0.276
Hom.:
2155
ExAC
AF:
0.0920
AC:
11067

ClinVar

Significance: Benign
Submissions summary: Benign:4Other:1
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Efavirenz response Benign:2Other:1
Aug 05, 2015
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

May 15, 2015
OMIM
Significance:drug response
Review Status:no assertion criteria provided
Collection Method:literature only

- -

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

- -

CYP2B6-related disorder Benign:1
Jul 22, 2021
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
Benign
0.057
BayesDel_addAF
Benign
-0.31
T
BayesDel_noAF
Benign
-0.68
CADD
Benign
0.081
DANN
Benign
0.13
DEOGEN2
Benign
0.0015
T;T
Eigen
Benign
-1.8
Eigen_PC
Benign
-1.6
FATHMM_MKL
Benign
0.012
N
LIST_S2
Benign
0.50
.;T
MetaRNN
Benign
0.0074
T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
-2.9
N;N
PrimateAI
Benign
0.24
T
PROVEAN
Benign
1.9
.;N
REVEL
Benign
0.16
Sift
Benign
1.0
.;T
Sift4G
Benign
1.0
.;T
Polyphen
0.0
B;B
Vest4
0.021
MPC
0.057
ClinPred
0.0052
T
GERP RS
-1.7
Varity_R
0.055
gMVP
0.096
Mutation Taster
=100/0
polymorphism (auto)

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs2279343; hg19: chr19-41515263; COSMIC: COSV57842539; COSMIC: COSV57842539; API