rs4151667

Variant summary

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

The NM_001710.6(CFB):​c.26T>A​(p.Leu9His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.042 in 1,613,062 control chromosomes in the GnomAD database, including 1,538 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.034 ( 108 hom., cov: 32)
Exomes 𝑓: 0.043 ( 1430 hom. )

Consequence

CFB
NM_001710.6 missense

Scores

2
2
12

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts P:1B:18

Conservation

PhyloP100: 0.872

Publications

142 publications found
Variant links:
Genes affected
CFB (HGNC:1037): (complement factor B) This gene encodes complement factor B, a component of the alternative pathway of complement activation. Factor B circulates in the blood as a single chain polypeptide. Upon activation of the alternative pathway, it is cleaved by complement factor D yielding the noncatalytic chain Ba and the catalytic subunit Bb. The active subunit Bb is a serine protease which associates with C3b to form the alternative pathway C3 convertase. Bb is involved in the proliferation of preactivated B lymphocytes, while Ba inhibits their proliferation. This gene localizes to the major histocompatibility complex (MHC) class III region on chromosome 6. This cluster includes several genes involved in regulation of the immune reaction. Polymorphisms in this gene are associated with a reduced risk of age-related macular degeneration. The polyadenylation site of this gene is 421 bp from the 5' end of the gene for complement component 2. [provided by RefSeq, Jul 2008]
CFB Gene-Disease associations (from GenCC):
  • atypical hemolytic-uremic syndrome with B factor anomaly
    Inheritance: AD, Unknown Classification: STRONG, MODERATE, LIMITED Submitted by: Ambry Genetics, ClinGen, Labcorp Genetics (formerly Invitae)
  • complement factor b deficiency
    Inheritance: AR Classification: MODERATE Submitted by: Ambry Genetics
  • C3 glomerulonephritis
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen

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 (MetaRNN=0.004921347).
BP6
Variant 6-31946247-T-A is Benign according to our data. Variant chr6-31946247-T-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 16077.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAdExome4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.0505 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001710.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFB
NM_001710.6
MANE Select
c.26T>Ap.Leu9His
missense
Exon 1 of 18NP_001701.2P00751-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CFB
ENST00000425368.7
TSL:1 MANE Select
c.26T>Ap.Leu9His
missense
Exon 1 of 18ENSP00000416561.2P00751-1
ENSG00000244255
ENST00000456570.5
TSL:2
c.1571-126T>A
intron
N/AENSP00000410815.1B4E1Z4
CFB
ENST00000885733.1
c.26T>Ap.Leu9His
missense
Exon 1 of 18ENSP00000555792.1

Frequencies

GnomAD3 genomes
AF:
0.0339
AC:
5164
AN:
152182
Hom.:
107
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0123
Gnomad AMI
AF:
0.0132
Gnomad AMR
AF:
0.0249
Gnomad ASJ
AF:
0.0251
Gnomad EAS
AF:
0.0220
Gnomad SAS
AF:
0.0559
Gnomad FIN
AF:
0.0553
Gnomad MID
AF:
0.0222
Gnomad NFE
AF:
0.0460
Gnomad OTH
AF:
0.0311
GnomAD2 exomes
AF:
0.0387
AC:
9547
AN:
246528
AF XY:
0.0405
show subpopulations
Gnomad AFR exome
AF:
0.0115
Gnomad AMR exome
AF:
0.0218
Gnomad ASJ exome
AF:
0.0248
Gnomad EAS exome
AF:
0.0181
Gnomad FIN exome
AF:
0.0550
Gnomad NFE exome
AF:
0.0454
Gnomad OTH exome
AF:
0.0374
GnomAD4 exome
AF:
0.0429
AC:
62642
AN:
1460762
Hom.:
1430
Cov.:
32
AF XY:
0.0435
AC XY:
31579
AN XY:
726696
show subpopulations
African (AFR)
AF:
0.0124
AC:
414
AN:
33480
American (AMR)
AF:
0.0227
AC:
1016
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.0257
AC:
671
AN:
26136
East Asian (EAS)
AF:
0.0221
AC:
877
AN:
39700
South Asian (SAS)
AF:
0.0517
AC:
4462
AN:
86258
European-Finnish (FIN)
AF:
0.0550
AC:
2879
AN:
52324
Middle Eastern (MID)
AF:
0.0270
AC:
156
AN:
5768
European-Non Finnish (NFE)
AF:
0.0448
AC:
49856
AN:
1111986
Other (OTH)
AF:
0.0383
AC:
2311
AN:
60386
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
4035
8070
12104
16139
20174
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1848
3696
5544
7392
9240
<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:
0.0339
AC:
5169
AN:
152300
Hom.:
108
Cov.:
32
AF XY:
0.0348
AC XY:
2591
AN XY:
74468
show subpopulations
African (AFR)
AF:
0.0123
AC:
512
AN:
41578
American (AMR)
AF:
0.0253
AC:
387
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.0251
AC:
87
AN:
3470
East Asian (EAS)
AF:
0.0222
AC:
115
AN:
5174
South Asian (SAS)
AF:
0.0553
AC:
267
AN:
4828
European-Finnish (FIN)
AF:
0.0553
AC:
587
AN:
10618
Middle Eastern (MID)
AF:
0.0238
AC:
7
AN:
294
European-Non Finnish (NFE)
AF:
0.0460
AC:
3130
AN:
68012
Other (OTH)
AF:
0.0307
AC:
65
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
259
517
776
1034
1293
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
64
128
192
256
320
<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:
0.0362
Hom.:
91
Bravo
AF:
0.0292
TwinsUK
AF:
0.0440
AC:
163
ALSPAC
AF:
0.0368
AC:
142
ESP6500AA
AF:
0.00993
AC:
30
ESP6500EA
AF:
0.0423
AC:
229
ExAC
AF:
0.0386
AC:
4575
Asia WGS
AF:
0.0400
AC:
138
AN:
3478

ClinVar

ClinVar submissions
Significance:Benign/Likely benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
5
not provided (5)
-
-
3
Atypical hemolytic-uremic syndrome (3)
-
-
3
not specified (3)
-
-
2
Complement component 2 deficiency (2)
-
-
2
Macular degeneration (2)
1
-
-
Age related macular degeneration 14 (1)
-
-
1
Atypical hemolytic-uremic syndrome with B factor anomaly (1)
-
-
1
Atypical hemolytic-uremic syndrome with B factor anomaly;C3809653:Age related macular degeneration 14;C3809950:Complement factor b deficiency (1)
-
-
1
CFB-related disorder (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.17
CADD
Benign
20
DANN
Benign
0.84
DEOGEN2
Benign
0.075
T
Eigen
Benign
0.13
Eigen_PC
Benign
0.13
FATHMM_MKL
Uncertain
0.85
D
LIST_S2
Benign
0.37
T
MetaRNN
Benign
0.0049
T
MetaSVM
Uncertain
-0.0028
T
MutationAssessor
Benign
0.69
N
PhyloP100
0.87
PROVEAN
Benign
-1.2
N
REVEL
Benign
0.17
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.16
MPC
1.1
ClinPred
0.026
T
GERP RS
5.3
PromoterAI
0.013
Neutral
Varity_R
0.24
gMVP
0.66
Mutation Taster
=93/7
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: rs4151667; hg19: chr6-31914024; COSMIC: COSV54962334; COSMIC: COSV54962334; API