rs6477
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Variant summary
Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1
The NM_000500.9(CYP21A2):āc.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
NM_000500.9 synonymous
Scores
2
Clinical Significance
Conservation
PhyloP100: 0.0220
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]
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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 |
---|---|---|---|---|---|---|---|
CYP21A2 | NM_000500.9 | c.747C>G | p.Leu249= | synonymous_variant | 7/10 | ENST00000644719.2 | |
CYP21A2 | NM_001128590.4 | c.657C>G | p.Leu219= | synonymous_variant | 6/9 | ||
CYP21A2 | NM_001368143.2 | c.342C>G | p.Leu114= | synonymous_variant | 7/10 | ||
CYP21A2 | NM_001368144.2 | c.342C>G | p.Leu114= | synonymous_variant | 6/9 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|
CYP21A2 | ENST00000644719.2 | c.747C>G | p.Leu249= | synonymous_variant | 7/10 | NM_000500.9 | P1 |
Frequencies
GnomAD3 genomes AF: 0.167 AC: 24259AN: 145264Hom.: 2054 Cov.: 31
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GnomAD3 exomes AF: 0.125 AC: 26859AN: 215192Hom.: 3468 AF XY: 0.124 AC XY: 14349AN XY: 115746
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GnomAD4 exome AF: 0.0749 AC: 95820AN: 1279602Hom.: 14195 Cov.: 69 AF XY: 0.0793 AC XY: 50561AN XY: 637396
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GnomAD4 genome AF: 0.167 AC: 24262AN: 145378Hom.: 2057 Cov.: 31 AF XY: 0.170 AC XY: 12076AN XY: 71008
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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 submitter | clinical testing | Athena Diagnostics | Mar 25, 2021 | - - |
Benign, criteria provided, single submitter | clinical testing | PreventionGenetics, part of Exact Sciences | - | - - |
Computational scores
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BayesDel_noAF
Benign
CADD
Benign
DANN
Benign
Splicing
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Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at