rs4997557

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_000762.6(CYP2A6):​c.881C>T​(p.Thr294Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000205 in 1,460,250 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 11/19 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T294S) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

CYP2A6
NM_000762.6 missense

Scores

1
5
11

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.205
Variant links:
Genes affected
CYP2A6 (HGNC:2610): (cytochrome P450 family 2 subfamily A member 6) This gene, CYP2A6, encodes a member of the cytochrome P450 superfamily of enzymes. The cytochrome P450 proteins are monooxygenases which catalyze many reactions involved in drug metabolism and synthesis of cholesterol, steroids and other lipids. This protein localizes to the endoplasmic reticulum and its expression is induced by phenobarbital. The enzyme is known to hydroxylate coumarin, and also metabolizes nicotine, aflatoxin B1, nitrosamines, and some pharmaceuticals. Individuals with certain allelic variants are said to have a poor metabolizer phenotype, meaning they do not efficiently metabolize coumarin or nicotine. This gene is part of a large cluster of cytochrome P450 genes from the CYP2A, CYP2B and CYP2F subfamilies on chromosome 19q. The gene was formerly referred to as CYP2A3; however, it has been renamed CYP2A6. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.380653).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYP2A6NM_000762.6 linkuse as main transcriptc.881C>T p.Thr294Ile missense_variant 6/9 ENST00000301141.10 NP_000753.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP2A6ENST00000301141.10 linkuse as main transcriptc.881C>T p.Thr294Ile missense_variant 6/91 NM_000762.6 ENSP00000301141 P1
CYP2A6ENST00000596719.5 linkuse as main transcriptn.732C>T non_coding_transcript_exon_variant 5/61
CYP2A6ENST00000600495.1 linkuse as main transcriptc.*693C>T 3_prime_UTR_variant, NMD_transcript_variant 6/61 ENSP00000472905

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD4 exome
AF:
0.00000205
AC:
3
AN:
1460250
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
726442
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.50
BayesDel_addAF
Benign
-0.060
T
BayesDel_noAF
Benign
-0.32
CADD
Benign
18
DANN
Uncertain
0.98
Eigen
Benign
-0.70
Eigen_PC
Benign
-0.87
FATHMM_MKL
Benign
0.31
N
LIST_S2
Benign
0.71
T
M_CAP
Benign
0.035
D
MetaRNN
Benign
0.38
T
MetaSVM
Benign
-0.72
T
MutationTaster
Benign
1.0
N
PrimateAI
Uncertain
0.66
T
PROVEAN
Pathogenic
-4.7
D
REVEL
Benign
0.29
Sift
Uncertain
0.0080
D
Sift4G
Uncertain
0.016
D
Vest4
0.44
MutPred
0.52
Loss of ubiquitination at K289 (P = 0.1423);
MVP
0.72
MPC
0.47
ClinPred
0.98
D
GERP RS
1.3
gMVP
0.33

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs4997557; hg19: chr19-41351953; API