rs397508395
Variant summary
Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4
The NM_000492.4(CFTR):c.2552G>A(p.Arg851Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000242 in 1,612,712 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_000492.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 1 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CFTR | NM_000492.4 | c.2552G>A | p.Arg851Gln | missense_variant | Exon 15 of 27 | ENST00000003084.11 | NP_000483.3 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.0000461 AC: 7AN: 151976Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.0000955 AC: 24AN: 251312Hom.: 0 AF XY: 0.0000736 AC XY: 10AN XY: 135842
GnomAD4 exome AF: 0.0000219 AC: 32AN: 1460618Hom.: 0 Cov.: 29 AF XY: 0.0000151 AC XY: 11AN XY: 726716
GnomAD4 genome AF: 0.0000460 AC: 7AN: 152094Hom.: 0 Cov.: 32 AF XY: 0.0000538 AC XY: 4AN XY: 74352
ClinVar
Submissions by phenotype
Cystic fibrosis Uncertain:4
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This variant (c.2552G>A) in exon 15 of CFTR results in p.Arg851Gln, transitioning from a polar side chain to a positively charged residue of similar size. This variant is present in gnomAD exomes and genomes at a very low allele frequency (PM2). Computational algorithms have generated pathogenic predictions for this variant (PP3). Additionally, this variant was reported in cis with c.2083dupG in 3 patients in 2 studies (Wu et al. PMID 10925568; Alper et al. PMID 12874665) and later observed by itself in a healthy adult (Guan et al. PMID 29997923). We interpret c.2552G>A to have uncertain significance. -
The p.R851Q variant (also known as c.2552G>A), located in coding exon 15 of the CFTR gene, results from a G to A substitution at nucleotide position 2552. The arginine at codon 851 is replaced by glutamine, an amino acid with highly similar properties. This variant was reported in one healthy control subject from a bronchiectasis cohort (Guan WJ et al. J Thorac Dis, 2018 May;10:2618-2630). This amino acid position is highly conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the available evidence, the clinical significance of this alteration remains unclear. -
This sequence change replaces arginine, which is basic and polar, with glutamine, which is neutral and polar, at codon 851 of the CFTR protein (p.Arg851Gln). This variant is present in population databases (rs397508395, gnomAD 0.09%). This missense change has been observed in individual(s) with congenital absence of the vas deferens (PMID: 32777524). ClinVar contains an entry for this variant (Variation ID: 411119). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt CFTR protein function with a positive predictive value of 80%. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
CFTR-related disorder Uncertain:2
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The CFTR c.2552G>A variant is predicted to result in the amino acid substitution p.Arg851Gln. This variant was reported in an individual with congenital absence of vas deferens (Luo. 2021. PubMed ID: 32777524). This variant is reported in 0.095% of alleles in individuals of East Asian descent in gnomAD (http://gnomad.broadinstitute.org/variant/7-117235045-G-A). At this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
not specified Uncertain:1
Variant summary: CFTR c.2552G>A (p.Arg851Gln) results in a conservative amino acid change in the encoded protein sequence. Three of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 9.5e-05 in 251312 control chromosomes, predominantly at a frequency of 0.00092 within the East Asian subpopulation in the gnomAD database. This frequency is not significantly higher than estimated for a pathogenic variant in CFTR causing Cystic Fibrosis (9.5e-05 vs 0.013), allowing no conclusion about variant significance. The variant, c.2552G>A, has been reported in the literature in heterozygous state in a Chinese patient affected with congenital absence of vas deferens (example: Luo_2021, Feng_2022), in addition, the variant was also published in heterozygous state in healthy subjects (example: Guan_2018, Cantu-Reyna_2021). These report(s) do not provide unequivocal conclusions about association of the variant with Cystic Fibrosis. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publications have been ascertained in the context of this evaluation (PMID: 29997923, 32777524, 35913788, 34740355). ClinVar contains an entry for this variant (Variation ID: 411119). Based on the evidence outlined above, the variant was classified as uncertain significance. -
not provided Uncertain:1
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Cystic fibrosis;C0238339:Hereditary pancreatitis;C0403814:Congenital bilateral aplasia of vas deferens from CFTR mutation;C2749757:Bronchiectasis with or without elevated sweat chloride 1 Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at