rs3765459

Variant summary

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

The NM_001250.6(CD40):​c.676-114G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.225 in 1,156,138 control chromosomes in the GnomAD database, including 31,272 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.18 ( 3061 hom., cov: 31)
Exomes 𝑓: 0.23 ( 28211 hom. )

Consequence

CD40
NM_001250.6 intron

Scores

2

Clinical Significance

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

Conservation

PhyloP100: -1.97

Publications

33 publications found
Variant links:
Genes affected
CD40 (HGNC:11919): (CD40 molecule) This gene is a member of the TNF-receptor superfamily. The encoded protein is a receptor on antigen-presenting cells of the immune system and is essential for mediating a broad variety of immune and inflammatory responses including T cell-dependent immunoglobulin class switching, memory B cell development, and germinal center formation. AT-hook transcription factor AKNA is reported to coordinately regulate the expression of this receptor and its ligand, which may be important for homotypic cell interactions. Adaptor protein TNFR2 interacts with this receptor and serves as a mediator of the signal transduction. The interaction of this receptor and its ligand is found to be necessary for amyloid-beta-induced microglial activation, and thus is thought to be an early event in Alzheimer disease pathogenesis. Mutations affecting this gene are the cause of autosomal recessive hyper-IgM immunodeficiency type 3 (HIGM3). Multiple alternatively spliced transcript variants of this gene encoding distinct isoforms have been reported. [provided by RefSeq, Nov 2014]
CD40 Gene-Disease associations (from GenCC):
  • hyper-IgM syndrome type 3
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Ambry Genetics

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 (BayesDel_noAF=-0.96).
BP6
Variant 20-46128768-G-A is Benign according to our data. Variant chr20-46128768-G-A is described in ClinVar as Benign. ClinVar VariationId is 1261840.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.28 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CD40NM_001250.6 linkc.676-114G>A intron_variant Intron 8 of 8 ENST00000372285.8 NP_001241.1 P25942-1A0A0S2Z3C7Q6P2H9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CD40ENST00000372285.8 linkc.676-114G>A intron_variant Intron 8 of 8 1 NM_001250.6 ENSP00000361359.3 P25942-1

Frequencies

GnomAD3 genomes
AF:
0.184
AC:
27985
AN:
151880
Hom.:
3056
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0627
Gnomad AMI
AF:
0.355
Gnomad AMR
AF:
0.157
Gnomad ASJ
AF:
0.228
Gnomad EAS
AF:
0.292
Gnomad SAS
AF:
0.264
Gnomad FIN
AF:
0.246
Gnomad MID
AF:
0.237
Gnomad NFE
AF:
0.236
Gnomad OTH
AF:
0.179
GnomAD2 exomes
AF:
0.220
AC:
35321
AN:
160452
AF XY:
0.228
show subpopulations
Gnomad AFR exome
AF:
0.0581
Gnomad AMR exome
AF:
0.122
Gnomad ASJ exome
AF:
0.229
Gnomad EAS exome
AF:
0.308
Gnomad FIN exome
AF:
0.251
Gnomad NFE exome
AF:
0.243
Gnomad OTH exome
AF:
0.224
GnomAD4 exome
AF:
0.231
AC:
231901
AN:
1004140
Hom.:
28211
Cov.:
13
AF XY:
0.233
AC XY:
119087
AN XY:
510964
show subpopulations
African (AFR)
AF:
0.0599
AC:
1479
AN:
24698
American (AMR)
AF:
0.125
AC:
4577
AN:
36734
Ashkenazi Jewish (ASJ)
AF:
0.230
AC:
4817
AN:
20926
East Asian (EAS)
AF:
0.286
AC:
10075
AN:
35282
South Asian (SAS)
AF:
0.268
AC:
18529
AN:
69182
European-Finnish (FIN)
AF:
0.249
AC:
10308
AN:
41468
Middle Eastern (MID)
AF:
0.247
AC:
1201
AN:
4864
European-Non Finnish (NFE)
AF:
0.236
AC:
171008
AN:
726040
Other (OTH)
AF:
0.220
AC:
9907
AN:
44946
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
9569
19137
28706
38274
47843
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
4824
9648
14472
19296
24120
<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:
0.184
AC:
27995
AN:
151998
Hom.:
3061
Cov.:
31
AF XY:
0.186
AC XY:
13800
AN XY:
74272
show subpopulations
African (AFR)
AF:
0.0629
AC:
2607
AN:
41476
American (AMR)
AF:
0.157
AC:
2393
AN:
15278
Ashkenazi Jewish (ASJ)
AF:
0.228
AC:
790
AN:
3466
East Asian (EAS)
AF:
0.293
AC:
1508
AN:
5154
South Asian (SAS)
AF:
0.265
AC:
1273
AN:
4806
European-Finnish (FIN)
AF:
0.246
AC:
2595
AN:
10568
Middle Eastern (MID)
AF:
0.231
AC:
68
AN:
294
European-Non Finnish (NFE)
AF:
0.236
AC:
16063
AN:
67942
Other (OTH)
AF:
0.179
AC:
376
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
1112
2225
3337
4450
5562
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
314
628
942
1256
1570
<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:
0.207
Hom.:
680
Bravo
AF:
0.173
Asia WGS
AF:
0.228
AC:
794
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Aug 08, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not specified Benign:1
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 21% of patients studied by a panel of primary immunodeficiencies. Number of patients: 20. Only high quality variants are reported. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.96
CADD
Benign
0.077
DANN
Benign
0.75
PhyloP100
-2.0
Mutation Taster
=100/0
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: rs3765459; hg19: chr20-44757407; COSMIC: COSV64847756; COSMIC: COSV64847756; API