rs34021626

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005213.4(CSTA):​c.273G>T​(p.Lys91Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00348 in 1,614,096 control chromosomes in the GnomAD database, including 184 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.018 ( 105 hom., cov: 31)
Exomes 𝑓: 0.0019 ( 79 hom. )

Consequence

CSTA
NM_005213.4 missense

Scores

3
13

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 0.0440

Publications

1 publications found
Variant links:
Genes affected
CSTA (HGNC:2481): (cystatin A) The cystatin superfamily encompasses proteins that contain multiple cystatin-like sequences. Some of the members are active cysteine protease inhibitors, while others have lost or perhaps never acquired this inhibitory activity. There are three inhibitory families in the superfamily, including the type 1 cystatins (stefins), type 2 cystatins, and kininogens. This gene encodes a stefin that functions as a cysteine protease inhibitor, forming tight complexes with papain and the cathepsins B, H, and L. The protein is one of the precursor proteins of cornified cell envelope in keratinocytes and plays a role in epidermal development and maintenance. Stefins have been proposed as prognostic and diagnostic tools for cancer. [provided by RefSeq, Jul 2008]
CSTA Gene-Disease associations (from GenCC):
  • peeling skin syndrome 4
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: PanelApp Australia, Ambry Genetics, G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • acral peeling skin syndrome
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • exfoliative ichthyosis
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0029422045).
BP6
Variant 3-122341543-G-T is Benign according to our data. Variant chr3-122341543-G-T is described in ClinVar as Benign. ClinVar VariationId is 767925.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0617 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_005213.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CSTA
NM_005213.4
MANE Select
c.273G>Tp.Lys91Asn
missense
Exon 3 of 3NP_005204.1P01040

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CSTA
ENST00000264474.4
TSL:1 MANE Select
c.273G>Tp.Lys91Asn
missense
Exon 3 of 3ENSP00000264474.3P01040

Frequencies

GnomAD3 genomes
AF:
0.0184
AC:
2803
AN:
152138
Hom.:
104
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0636
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00766
Gnomad ASJ
AF:
0.000866
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000415
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.0120
GnomAD2 exomes
AF:
0.00478
AC:
1202
AN:
251442
AF XY:
0.00352
show subpopulations
Gnomad AFR exome
AF:
0.0621
Gnomad AMR exome
AF:
0.00411
Gnomad ASJ exome
AF:
0.00109
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000141
Gnomad OTH exome
AF:
0.00244
GnomAD4 exome
AF:
0.00192
AC:
2809
AN:
1461840
Hom.:
79
Cov.:
31
AF XY:
0.00159
AC XY:
1154
AN XY:
727230
show subpopulations
African (AFR)
AF:
0.0651
AC:
2178
AN:
33476
American (AMR)
AF:
0.00441
AC:
197
AN:
44720
Ashkenazi Jewish (ASJ)
AF:
0.000918
AC:
24
AN:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.000220
AC:
19
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53416
Middle Eastern (MID)
AF:
0.00295
AC:
17
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000746
AC:
83
AN:
1111980
Other (OTH)
AF:
0.00482
AC:
291
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.474
Heterozygous variant carriers
0
138
276
414
552
690
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
72
144
216
288
360
<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:
0.0185
AC:
2814
AN:
152256
Hom.:
105
Cov.:
31
AF XY:
0.0186
AC XY:
1387
AN XY:
74462
show subpopulations
African (AFR)
AF:
0.0637
AC:
2647
AN:
41524
American (AMR)
AF:
0.00765
AC:
117
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.000866
AC:
3
AN:
3466
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10608
Middle Eastern (MID)
AF:
0.0136
AC:
4
AN:
294
European-Non Finnish (NFE)
AF:
0.000250
AC:
17
AN:
68030
Other (OTH)
AF:
0.0118
AC:
25
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
133
266
398
531
664
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
28
56
84
112
140
<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:
0.0141
Hom.:
66
Bravo
AF:
0.0212
ESP6500AA
AF:
0.0579
AC:
255
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00581
AC:
706
Asia WGS
AF:
0.00231
AC:
8
AN:
3478
EpiCase
AF:
0.000327
EpiControl
AF:
0.000237

ClinVar

ClinVar submissions as Germline
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
3
not provided (3)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.28
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.51
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.26
T
Eigen
Benign
-0.19
Eigen_PC
Benign
-0.36
FATHMM_MKL
Benign
0.11
N
LIST_S2
Benign
0.84
T
MetaRNN
Benign
0.0029
T
MetaSVM
Benign
-0.81
T
PhyloP100
0.044
PrimateAI
Benign
0.43
T
PROVEAN
Uncertain
-3.7
D
REVEL
Uncertain
0.33
Sift
Benign
0.037
D
Sift4G
Benign
0.10
T
Polyphen
0.95
P
Vest4
0.17
MutPred
0.46
Loss of ubiquitination at K91 (P = 0.0034)
MVP
0.87
MPC
0.55
ClinPred
0.044
T
GERP RS
3.6
Varity_R
0.80
gMVP
0.51
Mutation Taster
=89/11
polymorphism (auto)

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: rs34021626; hg19: chr3-122060390; API