rs745808060

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBS1_SupportingBS2

The NM_145057.4(CDC42EP5):​c.230C>T​(p.Pro77Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000446 in 1,205,142 control chromosomes in the GnomAD database, including 7 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P77S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.00038 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00046 ( 6 hom. )

Consequence

CDC42EP5
NM_145057.4 missense

Scores

2
3
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.579

Publications

1 publications found
Variant links:
Genes affected
CDC42EP5 (HGNC:17408): (CDC42 effector protein 5) Cell division control protein 42 (CDC42), a small Rho GTPase, regulates the formation of F-actin-containing structures through its interaction with the downstream effector proteins. The protein encoded by this gene is a member of the Borg (binder of Rho GTPases) family of CDC42 effector proteins. Borg family proteins contain a CRIB (Cdc42/Rac interactive-binding) domain. They bind to CDC42 and regulate its function negatively. The encoded protein may inhibit c-Jun N-terminal kinase (JNK) independently of CDC42 binding. The protein may also play a role in septin organization and inducing pseudopodia formation in fibroblasts [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.034089267).
BS1
Variant frequency is greater than expected in population eas. GnomAdExome4 allele frequency = 0.000455 (481/1055998) while in subpopulation EAS AF = 0.0192 (469/24402). AF 95% confidence interval is 0.0178. There are 6 homozygotes in GnomAdExome4. There are 211 alleles in the male GnomAdExome4 subpopulation. Median coverage is 30. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting
BS2
High Homozygotes in GnomAdExome4 at 6 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CDC42EP5NM_145057.4 linkc.230C>T p.Pro77Leu missense_variant Exon 3 of 3 ENST00000301200.3 NP_659494.2 Q6NZY7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CDC42EP5ENST00000301200.3 linkc.230C>T p.Pro77Leu missense_variant Exon 3 of 3 1 NM_145057.4 ENSP00000301200.2 Q6NZY7

Frequencies

GnomAD3 genomes
AF:
0.000376
AC:
56
AN:
149050
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0109
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00
AC:
0
AN:
2080
AF XY:
0.00
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 FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000455
AC:
481
AN:
1055998
Hom.:
6
Cov.:
30
AF XY:
0.000423
AC XY:
211
AN XY:
498580
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
21850
American (AMR)
AF:
0.00
AC:
0
AN:
7620
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
13146
East Asian (EAS)
AF:
0.0192
AC:
469
AN:
24402
South Asian (SAS)
AF:
0.00
AC:
0
AN:
19594
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
20774
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2802
European-Non Finnish (NFE)
AF:
0.00000111
AC:
1
AN:
904064
Other (OTH)
AF:
0.000263
AC:
11
AN:
41746
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.523
Heterozygous variant carriers
0
21
42
64
85
106
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.000375
AC:
56
AN:
149144
Hom.:
1
Cov.:
32
AF XY:
0.000439
AC XY:
32
AN XY:
72812
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
41208
American (AMR)
AF:
0.00
AC:
0
AN:
14994
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3436
East Asian (EAS)
AF:
0.0109
AC:
56
AN:
5122
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4810
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9278
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
290
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67014
Other (OTH)
AF:
0.00
AC:
0
AN:
2080
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
3
6
10
13
16
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.000142
Hom.:
0
Bravo
AF:
0.000472
ExAC
AF:
0.000492
AC:
28

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Feb 28, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.230C>T (p.P77L) alteration is located in exon 3 (coding exon 1) of the CDC42EP5 gene. This alteration results from a C to T substitution at nucleotide position 230, causing the proline (P) at amino acid position 77 to be replaced by a leucine (L). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.099
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.55
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.064
T
Eigen
Benign
0.041
Eigen_PC
Benign
-0.13
FATHMM_MKL
Uncertain
0.89
D
M_CAP
Pathogenic
0.35
D
MetaRNN
Benign
0.034
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.7
L
PhyloP100
0.58
PrimateAI
Pathogenic
0.88
D
PROVEAN
Benign
-1.6
N
REVEL
Benign
0.13
Sift
Benign
0.11
T
Sift4G
Uncertain
0.023
D
Polyphen
1.0
D
Vest4
0.14
MutPred
0.34
Gain of stability (P = 0.025);
MVP
0.53
MPC
1.6
ClinPred
0.35
T
GERP RS
2.9
Varity_R
0.052
gMVP
0.30
Mutation Taster
=85/15
polymorphism

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

Other links and lift over

dbSNP: rs745808060; hg19: chr19-54976502; COSMIC: COSV105884197; COSMIC: COSV105884197; API