rs41286594

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2

The NM_020184.4(CNNM4):​c.1947C>T​(p.Ser649Ser) variant causes a splice region, synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0214 in 1,550,670 control chromosomes in the GnomAD database, including 449 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.015 ( 24 hom., cov: 32)
Exomes 𝑓: 0.022 ( 425 hom. )

Consequence

CNNM4
NM_020184.4 splice_region, synonymous

Scores

2
Splicing: ADA: 0.0001088
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: -4.24
Variant links:
Genes affected
CNNM4 (HGNC:105): (cyclin and CBS domain divalent metal cation transport mediator 4) This gene encodes a member of the ancient conserved domain containing protein family. Members of this protein family contain a cyclin box motif and have structural similarity to the cyclins. The encoded protein may play a role in metal ion transport. Mutations in this gene are associated with Jalili syndrome which consists of cone-rod dystrophy and amelogenesis imperfecta. [provided by RefSeq, Feb 2010]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 2-96799647-C-T is Benign according to our data. Variant chr2-96799647-C-T is described in ClinVar as [Benign]. Clinvar id is 261212.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-96799647-C-T is described in Lovd as [Likely_benign].
BP7
Synonymous conserved (PhyloP=-4.24 with no splicing effect.
BS1
Variant frequency is greater than expected in population nfe. gnomad4 allele frequency = 0.0154 (2347/152334) while in subpopulation NFE AF= 0.0226 (1537/68032). AF 95% confidence interval is 0.0217. There are 24 homozygotes in gnomad4. There are 1110 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 24 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CNNM4NM_020184.4 linkuse as main transcriptc.1947C>T p.Ser649Ser splice_region_variant, synonymous_variant 5/7 ENST00000377075.3 NP_064569.3 Q6P4Q7-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CNNM4ENST00000377075.3 linkuse as main transcriptc.1947C>T p.Ser649Ser splice_region_variant, synonymous_variant 5/71 NM_020184.4 ENSP00000366275.2 Q6P4Q7-1
CNNM4ENST00000496186.5 linkuse as main transcriptn.621C>T splice_region_variant, non_coding_transcript_exon_variant 5/63

Frequencies

GnomAD3 genomes
AF:
0.0154
AC:
2341
AN:
152216
Hom.:
24
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00528
Gnomad AMI
AF:
0.0197
Gnomad AMR
AF:
0.0219
Gnomad ASJ
AF:
0.00779
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.0147
Gnomad FIN
AF:
0.0101
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.0226
Gnomad OTH
AF:
0.0134
GnomAD3 exomes
AF:
0.0168
AC:
2627
AN:
156836
Hom.:
35
AF XY:
0.0168
AC XY:
1382
AN XY:
82492
show subpopulations
Gnomad AFR exome
AF:
0.00478
Gnomad AMR exome
AF:
0.0244
Gnomad ASJ exome
AF:
0.00644
Gnomad EAS exome
AF:
0.0000880
Gnomad SAS exome
AF:
0.0168
Gnomad FIN exome
AF:
0.00974
Gnomad NFE exome
AF:
0.0216
Gnomad OTH exome
AF:
0.0178
GnomAD4 exome
AF:
0.0220
AC:
30809
AN:
1398336
Hom.:
425
Cov.:
31
AF XY:
0.0220
AC XY:
15176
AN XY:
689792
show subpopulations
Gnomad4 AFR exome
AF:
0.00415
Gnomad4 AMR exome
AF:
0.0266
Gnomad4 ASJ exome
AF:
0.00731
Gnomad4 EAS exome
AF:
0.0000839
Gnomad4 SAS exome
AF:
0.0168
Gnomad4 FIN exome
AF:
0.0107
Gnomad4 NFE exome
AF:
0.0246
Gnomad4 OTH exome
AF:
0.0198
GnomAD4 genome
AF:
0.0154
AC:
2347
AN:
152334
Hom.:
24
Cov.:
32
AF XY:
0.0149
AC XY:
1110
AN XY:
74494
show subpopulations
Gnomad4 AFR
AF:
0.00531
Gnomad4 AMR
AF:
0.0220
Gnomad4 ASJ
AF:
0.00779
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.0147
Gnomad4 FIN
AF:
0.0101
Gnomad4 NFE
AF:
0.0226
Gnomad4 OTH
AF:
0.0133
Alfa
AF:
0.0198
Hom.:
54
Bravo
AF:
0.0151
Asia WGS
AF:
0.0110
AC:
39
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Jalili syndrome Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
0.11
DANN
Benign
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00011
dbscSNV1_RF
Benign
0.11
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: rs41286594; hg19: chr2-97465384; COSMIC: COSV65662434; COSMIC: COSV65662434; API