rs34763945

Variant summary

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

The NM_001770.6(CD19):​c.1541G>A​(p.Arg514His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0566 in 1,613,794 control chromosomes in the GnomAD database, including 3,069 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.040 ( 174 hom., cov: 31)
Exomes 𝑓: 0.058 ( 2895 hom. )

Consequence

CD19
NM_001770.6 missense

Scores

3
15

Clinical Significance

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

Conservation

PhyloP100: 0.445
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0027741194).
BP6
Variant 16-28938730-G-A is Benign according to our data. Variant chr16-28938730-G-A is described in ClinVar as [Benign]. Clinvar id is 318811.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr16-28938730-G-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0611 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CD19NM_001770.6 linkc.1541G>A p.Arg514His missense_variant Exon 13 of 15 ENST00000538922.8 NP_001761.3 P15391-1
CD19NM_001178098.2 linkc.1544G>A p.Arg515His missense_variant Exon 13 of 15 NP_001171569.1 P15391-2
CD19NM_001385732.1 linkc.1274G>A p.Arg425His missense_variant Exon 12 of 14 NP_001372661.1
CD19NR_169755.1 linkn.1883G>A non_coding_transcript_exon_variant Exon 12 of 14

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CD19ENST00000538922.8 linkc.1541G>A p.Arg514His missense_variant Exon 13 of 15 5 NM_001770.6 ENSP00000437940.2 P15391-1
CD19ENST00000324662.8 linkc.1544G>A p.Arg515His missense_variant Exon 13 of 15 1 ENSP00000313419.4 P15391-2
CD19ENST00000565089.5 linkn.1975G>A non_coding_transcript_exon_variant Exon 11 of 13 2
CD19ENST00000567368.1 linkn.624G>A non_coding_transcript_exon_variant Exon 5 of 7 3

Frequencies

GnomAD3 genomes
AF:
0.0402
AC:
6118
AN:
152092
Hom.:
174
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0105
Gnomad AMI
AF:
0.0154
Gnomad AMR
AF:
0.0272
Gnomad ASJ
AF:
0.0225
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.0212
Gnomad FIN
AF:
0.0687
Gnomad MID
AF:
0.00949
Gnomad NFE
AF:
0.0626
Gnomad OTH
AF:
0.0392
GnomAD3 exomes
AF:
0.0399
AC:
10037
AN:
251404
Hom.:
274
AF XY:
0.0414
AC XY:
5623
AN XY:
135878
show subpopulations
Gnomad AFR exome
AF:
0.0102
Gnomad AMR exome
AF:
0.0191
Gnomad ASJ exome
AF:
0.0208
Gnomad EAS exome
AF:
0.000218
Gnomad SAS exome
AF:
0.0226
Gnomad FIN exome
AF:
0.0643
Gnomad NFE exome
AF:
0.0585
Gnomad OTH exome
AF:
0.0426
GnomAD4 exome
AF:
0.0583
AC:
85189
AN:
1461584
Hom.:
2895
Cov.:
33
AF XY:
0.0571
AC XY:
41519
AN XY:
727106
show subpopulations
Gnomad4 AFR exome
AF:
0.00914
Gnomad4 AMR exome
AF:
0.0204
Gnomad4 ASJ exome
AF:
0.0199
Gnomad4 EAS exome
AF:
0.000101
Gnomad4 SAS exome
AF:
0.0229
Gnomad4 FIN exome
AF:
0.0635
Gnomad4 NFE exome
AF:
0.0672
Gnomad4 OTH exome
AF:
0.0546
GnomAD4 genome
AF:
0.0402
AC:
6123
AN:
152210
Hom.:
174
Cov.:
31
AF XY:
0.0393
AC XY:
2922
AN XY:
74404
show subpopulations
Gnomad4 AFR
AF:
0.0105
Gnomad4 AMR
AF:
0.0271
Gnomad4 ASJ
AF:
0.0225
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.0222
Gnomad4 FIN
AF:
0.0687
Gnomad4 NFE
AF:
0.0626
Gnomad4 OTH
AF:
0.0388
Alfa
AF:
0.0545
Hom.:
389
Bravo
AF:
0.0366
TwinsUK
AF:
0.0712
AC:
264
ALSPAC
AF:
0.0646
AC:
249
ESP6500AA
AF:
0.0141
AC:
62
ESP6500EA
AF:
0.0643
AC:
553
ExAC
AF:
0.0398
AC:
4827
Asia WGS
AF:
0.00924
AC:
32
AN:
3478
EpiCase
AF:
0.0612
EpiControl
AF:
0.0577

ClinVar

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

Submissions by phenotype

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 09, 2021
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

- -

Immunodeficiency, common variable, 3 Benign:2
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 07, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Benign
Review Status: criteria provided, single submitter
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 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.086
BayesDel_addAF
Benign
-0.60
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
19
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.78
.;D;.
Eigen
Benign
-0.77
Eigen_PC
Benign
-0.70
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.68
T;T;.
MetaRNN
Benign
0.0028
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.3
.;L;.
PrimateAI
Benign
0.35
T
PROVEAN
Uncertain
-2.8
D;D;D
REVEL
Benign
0.019
Sift
Benign
0.18
T;T;T
Sift4G
Benign
0.088
T;T;T
Polyphen
0.20
.;B;.
Vest4
0.070
MPC
0.31
ClinPred
0.025
T
GERP RS
0.66
Varity_R
0.051

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: rs34763945; hg19: chr16-28950051; COSMIC: COSV61187809; COSMIC: COSV61187809; API