rs28399468

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBS1BS2

The NM_000762.6(CYP2A6):​c.1454G>T​(p.Arg485Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000984 in 1,609,270 control chromosomes in the GnomAD database, including 13 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/18 in silico tools predict a benign outcome for this variant. Variant has been reported in Lovd as Benign (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.0013 ( 1 hom., cov: 30)
Exomes 𝑓: 0.00096 ( 12 hom. )

Consequence

CYP2A6
NM_000762.6 missense

Scores

1
15

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -2.24
Variant links:
Genes affected
CYP2A6 (HGNC:2610): (cytochrome P450 family 2 subfamily A member 6) This gene, CYP2A6, 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 hydroxylate coumarin, and also metabolizes nicotine, aflatoxin B1, nitrosamines, and some pharmaceuticals. Individuals with certain allelic variants are said to have a poor metabolizer phenotype, meaning they do not efficiently metabolize coumarin or nicotine. This gene is part of a large cluster of cytochrome P450 genes from the CYP2A, CYP2B and CYP2F subfamilies on chromosome 19q. The gene was formerly referred to as CYP2A3; however, it has been renamed CYP2A6. [provided by RefSeq, Jul 2008]

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=0.0046580434).
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.00126 (189/149610) while in subpopulation EAS AF= 0.0364 (170/4676). AF 95% confidence interval is 0.0319. There are 1 homozygotes in gnomad4. There are 107 alleles in male gnomad4 subpopulation. Median coverage is 30. This position pass quality control queck.
BS2
High AC in GnomAd4 at 189 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYP2A6NM_000762.6 linkuse as main transcriptc.1454G>T p.Arg485Leu missense_variant 9/9 ENST00000301141.10 NP_000753.3 P11509

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP2A6ENST00000301141.10 linkuse as main transcriptc.1454G>T p.Arg485Leu missense_variant 9/91 NM_000762.6 ENSP00000301141.4 P11509
ENSG00000268797ENST00000601627.1 linkuse as main transcriptn.117+42412C>A intron_variant 3 ENSP00000469533.1 M0QY20
CYP2A6ENST00000599960.1 linkuse as main transcriptn.373G>T non_coding_transcript_exon_variant 2/22

Frequencies

GnomAD3 genomes
AF:
0.00126
AC:
189
AN:
149490
Hom.:
1
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000675
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0365
Gnomad SAS
AF:
0.00237
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000444
Gnomad OTH
AF:
0.00147
GnomAD3 exomes
AF:
0.00180
AC:
449
AN:
249996
Hom.:
4
AF XY:
0.00157
AC XY:
212
AN XY:
135162
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0247
Gnomad SAS exome
AF:
0.000458
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.000491
GnomAD4 exome
AF:
0.000956
AC:
1395
AN:
1459660
Hom.:
12
Cov.:
33
AF XY:
0.000924
AC XY:
671
AN XY:
726124
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000112
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0318
Gnomad4 SAS exome
AF:
0.000511
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000207
Gnomad4 OTH exome
AF:
0.00184
GnomAD4 genome
AF:
0.00126
AC:
189
AN:
149610
Hom.:
1
Cov.:
30
AF XY:
0.00147
AC XY:
107
AN XY:
72946
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000674
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0364
Gnomad4 SAS
AF:
0.00237
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000444
Gnomad4 OTH
AF:
0.00194
Alfa
AF:
0.000130
Hom.:
0
ExAC
AF:
0.00314
AC:
381

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
4.4
DANN
Uncertain
0.99
Eigen
Benign
-0.73
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.099
N
LIST_S2
Benign
0.44
T
MetaRNN
Benign
0.0047
T
MetaSVM
Benign
-1.1
T
PrimateAI
Benign
0.39
T
PROVEAN
Benign
-1.4
N
REVEL
Benign
0.23
Sift
Benign
0.035
D
Sift4G
Benign
0.091
T
Vest4
0.25
MVP
0.75
MPC
2.5
ClinPred
0.053
T
GERP RS
1.9
gMVP
0.60

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: rs28399468; hg19: chr19-41349732; COSMIC: COSV104616751; COSMIC: COSV104616751; API