Our verdict is Benign. The variant received -17 ACMG points: 0P and 17B. BP4_StrongBP6_Very_StrongBP7BS2
The NM_000071.3(CBS):c.429C>T(p.Ile143Ile) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000344 in 1,190,562 control chromosomes in the GnomAD database, including 10 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
CBS (HGNC:1550): (cystathionine beta-synthase) The protein encoded by this gene acts as a homotetramer to catalyze the conversion of homocysteine to cystathionine, the first step in the transsulfuration pathway. The encoded protein is allosterically activated by adenosyl-methionine and uses pyridoxal phosphate as a cofactor. Defects in this gene can cause cystathionine beta-synthase deficiency (CBSD), which can lead to homocystinuria. This gene is a major contributor to cellular hydrogen sulfide production. Multiple alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Feb 2016]
Our verdict: Benign. The variant received -17 ACMG points.
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.86).
BP6
Variant 21-43066265-G-A is Benign according to our data. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-43066265-G-A is described in CliVar as Likely_benign. Clinvar id is 538703.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BP7
Synonymous conserved (PhyloP=-1.47 with no splicing effect.
Familial thoracic aortic aneurysm and aortic dissectionBenign:1
Jan 10, 2020
Ambry Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing
This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -