rs4781024

Variant summary

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

The NM_000246.4(CIITA):​c.3318-27G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.385 in 1,607,398 control chromosomes in the GnomAD database, including 122,379 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.34 ( 9427 hom., cov: 32)
Exomes 𝑓: 0.39 ( 112952 hom. )

Consequence

CIITA
NM_000246.4 intron

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.591

Publications

15 publications found
Variant links:
Genes affected
CIITA (HGNC:7067): (class II major histocompatibility complex transactivator) This gene encodes a protein with an acidic transcriptional activation domain, 4 LRRs (leucine-rich repeats) and a GTP binding domain. The protein is located in the nucleus and acts as a positive regulator of class II major histocompatibility complex gene transcription, and is referred to as the "master control factor" for the expression of these genes. The protein also binds GTP and uses GTP binding to facilitate its own transport into the nucleus. Once in the nucleus it does not bind DNA but rather uses an intrinsic acetyltransferase (AT) activity to act in a coactivator-like fashion. Mutations in this gene have been associated with bare lymphocyte syndrome type II (also known as hereditary MHC class II deficiency or HLA class II-deficient combined immunodeficiency), increased susceptibility to rheumatoid arthritis, multiple sclerosis, and possibly myocardial infarction. Several transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Nov 2013]
CIITA Gene-Disease associations (from GenCC):
  • MHC class II deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Orphanet

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=-0.82).
BP6
Variant 16-10923201-G-A is Benign according to our data. Variant chr16-10923201-G-A is described in ClinVar as Benign. ClinVar VariationId is 1184692.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.401 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000246.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CIITA
NM_000246.4
MANE Select
c.3318-27G>A
intron
N/ANP_000237.2
CIITA
NM_001286402.1
c.3321-27G>A
intron
N/ANP_001273331.1A0A087X2I7
CIITA
NM_001379332.1
c.3321-27G>A
intron
N/ANP_001366261.1A0A087X2I7

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
CIITA
ENST00000324288.14
TSL:1 MANE Select
c.3318-27G>A
intron
N/AENSP00000316328.8
CIITA
ENST00000381835.9
TSL:1
c.1566-27G>A
intron
N/AENSP00000371257.5P33076-3
CIITA
ENST00000886127.1
c.3420-27G>A
intron
N/AENSP00000556186.1

Frequencies

GnomAD3 genomes
AF:
0.341
AC:
51807
AN:
151932
Hom.:
9427
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.214
Gnomad AMI
AF:
0.454
Gnomad AMR
AF:
0.302
Gnomad ASJ
AF:
0.573
Gnomad EAS
AF:
0.315
Gnomad SAS
AF:
0.400
Gnomad FIN
AF:
0.380
Gnomad MID
AF:
0.462
Gnomad NFE
AF:
0.405
Gnomad OTH
AF:
0.361
GnomAD2 exomes
AF:
0.367
AC:
91103
AN:
248480
AF XY:
0.378
show subpopulations
Gnomad AFR exome
AF:
0.208
Gnomad AMR exome
AF:
0.245
Gnomad ASJ exome
AF:
0.576
Gnomad EAS exome
AF:
0.321
Gnomad FIN exome
AF:
0.380
Gnomad NFE exome
AF:
0.404
Gnomad OTH exome
AF:
0.384
GnomAD4 exome
AF:
0.390
AC:
566944
AN:
1455346
Hom.:
112952
Cov.:
31
AF XY:
0.392
AC XY:
283706
AN XY:
724262
show subpopulations
African (AFR)
AF:
0.206
AC:
6869
AN:
33394
American (AMR)
AF:
0.250
AC:
11160
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.577
AC:
15066
AN:
26112
East Asian (EAS)
AF:
0.318
AC:
12623
AN:
39692
South Asian (SAS)
AF:
0.405
AC:
34905
AN:
86182
European-Finnish (FIN)
AF:
0.377
AC:
19041
AN:
50530
Middle Eastern (MID)
AF:
0.454
AC:
2616
AN:
5764
European-Non Finnish (NFE)
AF:
0.398
AC:
441529
AN:
1108716
Other (OTH)
AF:
0.384
AC:
23135
AN:
60238
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
17669
35338
53007
70676
88345
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
13582
27164
40746
54328
67910
<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:
0.341
AC:
51814
AN:
152052
Hom.:
9427
Cov.:
32
AF XY:
0.339
AC XY:
25165
AN XY:
74336
show subpopulations
African (AFR)
AF:
0.213
AC:
8846
AN:
41456
American (AMR)
AF:
0.302
AC:
4618
AN:
15292
Ashkenazi Jewish (ASJ)
AF:
0.573
AC:
1982
AN:
3462
East Asian (EAS)
AF:
0.315
AC:
1625
AN:
5160
South Asian (SAS)
AF:
0.400
AC:
1928
AN:
4822
European-Finnish (FIN)
AF:
0.380
AC:
4019
AN:
10584
Middle Eastern (MID)
AF:
0.463
AC:
136
AN:
294
European-Non Finnish (NFE)
AF:
0.405
AC:
27489
AN:
67956
Other (OTH)
AF:
0.358
AC:
757
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
1743
3486
5230
6973
8716
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
530
1060
1590
2120
2650
<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:
0.389
Hom.:
11457
Bravo
AF:
0.325
Asia WGS
AF:
0.295
AC:
1028
AN:
3478

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
1
MHC class II deficiency (1)
-
-
1
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.82
CADD
Benign
6.0
DANN
Benign
0.64
PhyloP100
0.59
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs4781024; hg19: chr16-11017058; COSMIC: COSV60854140; COSMIC: COSV60854140; API