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rs36079186

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_000767.5(CYP2B6):c.593T>C(p.Met198Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000199 in 1,614,036 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as drug response (no stars).

Frequency

Genomes: 𝑓 0.00061 ( 0 hom., cov: 31)
Exomes 𝑓: 0.00016 ( 3 hom. )

Consequence

CYP2B6
NM_000767.5 missense

Scores

1
13

Clinical Significance

drug response no assertion criteria provided O:1

Conservation

PhyloP100: 5.76
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 made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.027706802).
BS2
High AC in GnomAd at 92 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CYP2B6NM_000767.5 linkuse as main transcriptc.593T>C p.Met198Thr missense_variant 4/9 ENST00000324071.10

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CYP2B6ENST00000324071.10 linkuse as main transcriptc.593T>C p.Met198Thr missense_variant 4/91 NM_000767.5 P1P20813-1
CYP2B6ENST00000593831.1 linkuse as main transcriptc.256+2567T>C intron_variant 2
CYP2B6ENST00000594187.1 linkuse as main transcriptn.177T>C non_coding_transcript_exon_variant 2/25
CYP2B6ENST00000598834.2 linkuse as main transcriptc.497T>C p.Met166Thr missense_variant, NMD_transcript_variant 4/105

Frequencies

GnomAD3 genomes
AF:
0.000605
AC:
92
AN:
152094
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00203
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000829
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000310
AC:
78
AN:
251454
Hom.:
1
AF XY:
0.000309
AC XY:
42
AN XY:
135900
show subpopulations
Gnomad AFR exome
AF:
0.00160
Gnomad AMR exome
AF:
0.000202
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00131
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000264
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000157
AC:
229
AN:
1461824
Hom.:
3
Cov.:
33
AF XY:
0.000164
AC XY:
119
AN XY:
727212
show subpopulations
Gnomad4 AFR exome
AF:
0.00257
Gnomad4 AMR exome
AF:
0.000157
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000893
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000234
Gnomad4 OTH exome
AF:
0.000530
GnomAD4 genome
AF:
0.000611
AC:
93
AN:
152212
Hom.:
0
Cov.:
31
AF XY:
0.000712
AC XY:
53
AN XY:
74418
show subpopulations
Gnomad4 AFR
AF:
0.00205
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000829
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000310
Hom.:
0
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000329
AC:
40
Asia WGS
AF:
0.00231
AC:
8
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: drug response
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Efavirenz response Other:1
drug response, no assertion criteria providedresearchInstitute of Microbiology; University Hospital and Univeristy of LausanneJan 01, 2006- This variant was associated with very high efavirenz plasma levels in a HIV+individual

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.47
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.44
Cadd
Benign
19
Dann
Benign
0.78
DEOGEN2
Benign
0.042
T;T
Eigen
Benign
-0.60
Eigen_PC
Benign
-0.60
FATHMM_MKL
Benign
0.20
N
M_CAP
Benign
0.0055
T
MetaRNN
Benign
0.028
T;T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
1.6
L;L
MutationTaster
Benign
1.0
D;N
PrimateAI
Benign
0.42
T
Polyphen
0.0
B;B
Vest4
0.13
MVP
0.30
MPC
0.074
ClinPred
0.045
T
GERP RS
4.4
Varity_R
0.49
gMVP
0.25

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: rs36079186; hg19: chr19-41512918; API