rs72549389

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong

The NM_000104.4(CYP1B1):ā€‹c.2T>Cā€‹(p.Met1?) variant causes a start lost, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000411 in 1,459,940 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely pathogenic (ā˜…ā˜…).

Frequency

Genomes: not found (cov: 34)
Exomes š‘“: 0.0000041 ( 0 hom. )

Consequence

CYP1B1
NM_000104.4 start_lost, splice_region

Scores

6
4
3

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:3

Conservation

PhyloP100: 1.23
Variant links:
Genes affected
CYP1B1 (HGNC:2597): (cytochrome P450 family 1 subfamily B member 1) 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. The enzyme encoded by this gene localizes to the endoplasmic reticulum and metabolizes procarcinogens such as polycyclic aromatic hydrocarbons and 17beta-estradiol. Mutations in this gene have been associated with primary congenital glaucoma; therefore it is thought that the enzyme also metabolizes a signaling molecule involved in eye development, possibly a steroid. [provided by RefSeq, Jul 2008]
CYP1B1-AS1 (HGNC:28543): (CYP1B1 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-38075387-A-G is Pathogenic according to our data. Variant chr2-38075387-A-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 7736.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-38075387-A-G is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CYP1B1NM_000104.4 linkuse as main transcriptc.2T>C p.Met1? start_lost, splice_region_variant 2/3 ENST00000610745.5 NP_000095.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CYP1B1ENST00000610745.5 linkuse as main transcriptc.2T>C p.Met1? start_lost, splice_region_variant 2/31 NM_000104.4 ENSP00000478561 P1

Frequencies

GnomAD3 genomes
Cov.:
34
GnomAD3 exomes
AF:
0.00000408
AC:
1
AN:
245260
Hom.:
0
AF XY:
0.00000751
AC XY:
1
AN XY:
133188
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000912
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000411
AC:
6
AN:
1459940
Hom.:
0
Cov.:
35
AF XY:
0.00000688
AC XY:
5
AN XY:
726236
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:
0.00000540
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
34
Alfa
AF:
0.0000324
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.00000825
AC:
1
EpiCase
AF:
0.00
EpiControl
AF:
0.0000593

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Anterior segment dysgenesis 6 Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMMay 01, 2001- -
Primary congenital glaucoma Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpFeb 16, 2023Variant summary: CYP1B1 c.2T>C (p.Met1?, p.Met1Thr) alters the initiation codon and is predicted to result either in absence of the protein or truncation of the encoded protein due to translation initiation at a downstream codon. The next potential downstream in-frame start codon (ATG) is located in exon 2 at Met151, however several truncations have been reported upstream of this position (HGMD). Three of three in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 4.1e-06 in 245460 control chromosomes (gnomAD). c.2T>C has been reported in the literature in compound heterozygous and homozygous individuals affected with Primary Congenital Glaucoma (Vincent_2001, Geyer_2010, Al-Haddad_2014). These data indicate that the variant is likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014. Based on the evidence outlined above, the variant was classified as likely pathogenic. -
Congenital glaucoma Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 28, 2023This sequence change affects the initiator methionine of the CYP1B1 mRNA. The next in-frame methionine is located at codon 132. The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. Disruption of the initiator codon has been observed in individual(s) with primary congenital glaucoma (PMID: 11403040). In at least one individual the data is consistent with being in trans (on the opposite chromosome) from a pathogenic variant. ClinVar contains an entry for this variant (Variation ID: 7736). This variant disrupts a region of the CYP1B1 protein in which other variant(s) (p.Gly61Glu) have been determined to be pathogenic (PMID: 9463332, 12372064, 19234632). This suggests that this is a clinically significant region of the protein, and that variants that disrupt it are likely to be disease-causing. For these reasons, this variant has been classified as Pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.62
D
BayesDel_noAF
Pathogenic
0.33
CADD
Benign
22
DANN
Uncertain
0.97
DEOGEN2
Benign
0.20
T;T;.
Eigen
Pathogenic
0.69
Eigen_PC
Uncertain
0.52
FATHMM_MKL
Benign
0.75
D
LIST_S2
Uncertain
0.90
.;D;D
M_CAP
Pathogenic
0.96
D
MetaRNN
Pathogenic
0.88
D;D;D
MetaSVM
Uncertain
-0.15
T
MutationTaster
Benign
1.0
A;A
Sift4G
Pathogenic
0.0
D;D;.
Vest4
0.93
MVP
0.48
ClinPred
0.94
D
GERP RS
4.5
Varity_R
0.31
gMVP
0.83

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: rs72549389; hg19: chr2-38302530; API