rs2904880

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001770.6(CD19):​c.520C>G​(p.Leu174Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.703 in 1,612,920 control chromosomes in the GnomAD database, including 404,691 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.76 ( 45584 hom., cov: 31)
Exomes 𝑓: 0.70 ( 359107 hom. )

Consequence

CD19
NM_001770.6 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.146
Variant links:
Genes affected
CD19 (HGNC:1633): (CD19 molecule) This gene encodes a member of the immunoglobulin gene superfamily. Expression of this cell surface protein is restricted to B cell lymphocytes. This protein is a reliable marker for pre-B cells but its expression diminishes during terminal B cell differentiation in antibody secreting plasma cells. The protein has two N-terminal extracellular Ig-like domains separated by a non-Ig-like domain, a hydrophobic transmembrane domain, and a large C-terminal cytoplasmic domain. This protein forms a complex with several membrane proteins including complement receptor type 2 (CD21) and tetraspanin (CD81) and this complex reduces the threshold for antigen-initiated B cell activation. Activation of this B-cell antigen receptor complex activates the phosphatidylinositol 3-kinase signalling pathway and the subsequent release of intracellular stores of calcium ions. This protein is a target of chimeric antigen receptor (CAR) T-cells used in the treatment of lymphoblastic leukemia. Mutations in this gene are associated with the disease common variable immunodeficiency 3 (CVID3) which results in a failure of B-cell differentiation and impaired secretion of immunoglobulins. CVID3 is characterized by hypogammaglobulinemia, an inability to mount an antibody response to antigen, and recurrent bacterial infections. Alternative splicing results in multiple transcript variants encoding distinct isoforms. [provided by RefSeq, Jul 2020]
RABEP2 (HGNC:24817): (rabaptin, RAB GTPase binding effector protein 2) Predicted to enable GTPase activator activity and growth factor activity. Involved in regulation of cilium assembly. Located in cytosol; intracellular membrane-bounded organelle; and microtubule organizing center. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=7.5003027E-7).
BP6
Variant 16-28933075-C-G is Benign according to our data. Variant chr16-28933075-C-G is described in ClinVar as [Benign]. Clinvar id is 318803.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-28933075-C-G is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.932 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CD19NM_001770.6 linkc.520C>G p.Leu174Val missense_variant Exon 3 of 15 ENST00000538922.8 NP_001761.3 P15391-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CD19ENST00000538922.8 linkc.520C>G p.Leu174Val missense_variant Exon 3 of 15 5 NM_001770.6 ENSP00000437940.2 P15391-1

Frequencies

GnomAD3 genomes
AF:
0.763
AC:
116003
AN:
151938
Hom.:
45534
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.939
Gnomad AMI
AF:
0.804
Gnomad AMR
AF:
0.650
Gnomad ASJ
AF:
0.769
Gnomad EAS
AF:
0.904
Gnomad SAS
AF:
0.831
Gnomad FIN
AF:
0.688
Gnomad MID
AF:
0.813
Gnomad NFE
AF:
0.677
Gnomad OTH
AF:
0.772
GnomAD3 exomes
AF:
0.719
AC:
179615
AN:
249700
Hom.:
66460
AF XY:
0.725
AC XY:
97949
AN XY:
135020
show subpopulations
Gnomad AFR exome
AF:
0.944
Gnomad AMR exome
AF:
0.546
Gnomad ASJ exome
AF:
0.762
Gnomad EAS exome
AF:
0.916
Gnomad SAS exome
AF:
0.823
Gnomad FIN exome
AF:
0.688
Gnomad NFE exome
AF:
0.682
Gnomad OTH exome
AF:
0.711
GnomAD4 exome
AF:
0.697
AC:
1018231
AN:
1460864
Hom.:
359107
Cov.:
55
AF XY:
0.701
AC XY:
509168
AN XY:
726728
show subpopulations
Gnomad4 AFR exome
AF:
0.954
Gnomad4 AMR exome
AF:
0.548
Gnomad4 ASJ exome
AF:
0.766
Gnomad4 EAS exome
AF:
0.908
Gnomad4 SAS exome
AF:
0.822
Gnomad4 FIN exome
AF:
0.683
Gnomad4 NFE exome
AF:
0.675
Gnomad4 OTH exome
AF:
0.726
GnomAD4 genome
AF:
0.764
AC:
116100
AN:
152056
Hom.:
45584
Cov.:
31
AF XY:
0.765
AC XY:
56836
AN XY:
74328
show subpopulations
Gnomad4 AFR
AF:
0.940
Gnomad4 AMR
AF:
0.649
Gnomad4 ASJ
AF:
0.769
Gnomad4 EAS
AF:
0.904
Gnomad4 SAS
AF:
0.832
Gnomad4 FIN
AF:
0.688
Gnomad4 NFE
AF:
0.677
Gnomad4 OTH
AF:
0.770
Alfa
AF:
0.708
Hom.:
11025
Bravo
AF:
0.767
TwinsUK
AF:
0.670
AC:
2485
ALSPAC
AF:
0.666
AC:
2567
ESP6500AA
AF:
0.929
AC:
4084
ESP6500EA
AF:
0.688
AC:
5913
ExAC
AF:
0.729
AC:
88442
Asia WGS
AF:
0.812
AC:
2827
AN:
3478
EpiCase
AF:
0.703
EpiControl
AF:
0.705

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Immunodeficiency, common variable, 3 Benign:3
Jan 12, 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. -

Nov 25, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:3
Nov 10, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

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

- -

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

- -

not specified Benign:2
Jan 24, 2024
Unidad de Genómica Garrahan, Hospital de Pediatría Garrahan
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is classified as Benign based on local population frequency. This variant was detected in 86% of patients studied by a panel of primary immunodeficiencies. Number of patients: 82. Only high quality variants are reported. -

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 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.77
T
BayesDel_noAF
Benign
-0.74
CADD
Benign
1.4
DANN
Benign
0.82
DEOGEN2
Benign
0.31
.;T;.
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.0013
N
LIST_S2
Benign
0.13
T;T;.
MetaRNN
Benign
7.5e-7
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.69
N;N;N
PrimateAI
Benign
0.27
T
PROVEAN
Benign
1.1
N;N;N
REVEL
Benign
0.072
Sift
Benign
0.20
T;T;T
Sift4G
Benign
0.14
T;T;T
Polyphen
0.0
.;B;.
Vest4
0.024
MPC
0.25
ClinPred
0.0067
T
GERP RS
2.8
Varity_R
0.13
gMVP
0.22

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: rs2904880; hg19: chr16-28944396; COSMIC: COSV61188398; COSMIC: COSV61188398; API