rs6477

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000500.9(CYP21A2):ā€‹c.747C>Gā€‹(p.Leu249=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0843 in 1,424,980 control chromosomes in the GnomAD database, including 16,252 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.17 ( 2057 hom., cov: 31)
Exomes š‘“: 0.075 ( 14195 hom. )

Consequence

CYP21A2
NM_000500.9 synonymous

Scores

2

Clinical Significance

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

Conservation

PhyloP100: 0.0220
Variant links:
Genes affected
CYP21A2 (HGNC:2600): (cytochrome P450 family 21 subfamily A member 2) This gene 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 hydroxylates steroids at the 21 position. Its activity is required for the synthesis of steroid hormones including cortisol and aldosterone. Mutations in this gene cause congenital adrenal hyperplasia. A related pseudogene is located near this gene; gene conversion events involving the functional gene and the pseudogene are thought to account for many cases of steroid 21-hydroxylase deficiency. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]

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=-0.48).
BP6
Variant 6-32040013-C-G is Benign according to our data. Variant chr6-32040013-C-G is described in ClinVar as [Benign]. Clinvar id is 256300.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr6-32040013-C-G is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=0.022 with no splicing effect.
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.244 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CYP21A2NM_000500.9 linkuse as main transcriptc.747C>G p.Leu249= synonymous_variant 7/10 ENST00000644719.2
CYP21A2NM_001128590.4 linkuse as main transcriptc.657C>G p.Leu219= synonymous_variant 6/9
CYP21A2NM_001368143.2 linkuse as main transcriptc.342C>G p.Leu114= synonymous_variant 7/10
CYP21A2NM_001368144.2 linkuse as main transcriptc.342C>G p.Leu114= synonymous_variant 6/9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CYP21A2ENST00000644719.2 linkuse as main transcriptc.747C>G p.Leu249= synonymous_variant 7/10 NM_000500.9 P1

Frequencies

GnomAD3 genomes
AF:
0.167
AC:
24259
AN:
145264
Hom.:
2054
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.214
Gnomad AMI
AF:
0.151
Gnomad AMR
AF:
0.159
Gnomad ASJ
AF:
0.151
Gnomad EAS
AF:
0.190
Gnomad SAS
AF:
0.257
Gnomad FIN
AF:
0.196
Gnomad MID
AF:
0.234
Gnomad NFE
AF:
0.129
Gnomad OTH
AF:
0.182
GnomAD3 exomes
AF:
0.125
AC:
26859
AN:
215192
Hom.:
3468
AF XY:
0.124
AC XY:
14349
AN XY:
115746
show subpopulations
Gnomad AFR exome
AF:
0.176
Gnomad AMR exome
AF:
0.131
Gnomad ASJ exome
AF:
0.0923
Gnomad EAS exome
AF:
0.170
Gnomad SAS exome
AF:
0.193
Gnomad FIN exome
AF:
0.154
Gnomad NFE exome
AF:
0.0890
Gnomad OTH exome
AF:
0.119
GnomAD4 exome
AF:
0.0749
AC:
95820
AN:
1279602
Hom.:
14195
Cov.:
69
AF XY:
0.0793
AC XY:
50561
AN XY:
637396
show subpopulations
Gnomad4 AFR exome
AF:
0.134
Gnomad4 AMR exome
AF:
0.0979
Gnomad4 ASJ exome
AF:
0.106
Gnomad4 EAS exome
AF:
0.209
Gnomad4 SAS exome
AF:
0.197
Gnomad4 FIN exome
AF:
0.170
Gnomad4 NFE exome
AF:
0.0512
Gnomad4 OTH exome
AF:
0.0936
GnomAD4 genome
AF:
0.167
AC:
24262
AN:
145378
Hom.:
2057
Cov.:
31
AF XY:
0.170
AC XY:
12076
AN XY:
71008
show subpopulations
Gnomad4 AFR
AF:
0.214
Gnomad4 AMR
AF:
0.158
Gnomad4 ASJ
AF:
0.151
Gnomad4 EAS
AF:
0.190
Gnomad4 SAS
AF:
0.256
Gnomad4 FIN
AF:
0.196
Gnomad4 NFE
AF:
0.129
Gnomad4 OTH
AF:
0.181
Alfa
AF:
0.0968
Hom.:
144

ClinVar

Significance: Benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, criteria provided, single submitterclinical testingAthena DiagnosticsMar 25, 2021- -
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.48
CADD
Benign
9.3
DANN
Benign
0.86

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

LitVar

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

Other links and lift over

dbSNP: rs6477; hg19: chr6-32007790; COSMIC: COSV64474341; COSMIC: COSV64474341; API