rs760319837
Variant summary
Our verdict is Uncertain significance. Variant got 3 ACMG points: 4P and 1B. PM1PM2BP4
The NM_000492.4(CFTR):c.944T>C(p.Phe315Ser) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000291 in 1,613,980 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).
Frequency
Consequence
NM_000492.4 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Uncertain_significance. Variant got 3 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CFTR | NM_000492.4 | c.944T>C | p.Phe315Ser | missense_variant | Exon 8 of 27 | ENST00000003084.11 | NP_000483.3 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00000657 AC: 1AN: 152216Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.000171 AC: 43AN: 251272Hom.: 0 AF XY: 0.000125 AC XY: 17AN XY: 135814
GnomAD4 exome AF: 0.0000315 AC: 46AN: 1461764Hom.: 0 Cov.: 31 AF XY: 0.0000261 AC XY: 19AN XY: 727188
GnomAD4 genome AF: 0.00000657 AC: 1AN: 152216Hom.: 0 Cov.: 32 AF XY: 0.00 AC XY: 0AN XY: 74366
ClinVar
Submissions by phenotype
Cystic fibrosis Uncertain:3
This sequence change replaces phenylalanine, which is neutral and non-polar, with serine, which is neutral and polar, at codon 315 of the CFTR protein (p.Phe315Ser). This variant is present in population databases (rs760319837, gnomAD 0.1%). This missense change has been observed in individual(s) with CFTR-related metabolic syndrome (PMID: 23810505). ClinVar contains an entry for this variant (Variation ID: 455784). Algorithms developed to predict the effect of missense changes on protein structure and function (SIFT, PolyPhen-2, Align-GVGD) all suggest that this variant is likely to be tolerated. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
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The p.F315S variant (also known as c.944T>C), located in coding exon 8 of the CFTR gene, results from a T to C substitution at nucleotide position 944. The phenylalanine at codon 315 is replaced by serine, an amino acid with highly dissimilar properties. This variant was detected in conjunction with a pathogenic mutation in CFTR in a Hispanic individual with a positive newborn screen but no manifestations of cystic fibrosis; the phase of the variants was not determined (Prach L et al. J Mol Diagn, 2013 Sep;15:710-22). This amino acid position is not well conserved in available vertebrate species. In addition, this alteration is predicted to be deleterious by in silico analysis. Based on the available evidence, the clinical significance of this variant remains unclear. -
CFTR-related disorder Uncertain:2
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The CFTR c.944T>C variant is predicted to result in the amino acid substitution p.Phe315Ser. This variant has been reported, without a second CFTR variant, in an individual with CFTR-related metabolic syndrome (Prach et al. 2013. PubMed ID: 23810505). This variant is reported in 0.12% of alleles in individuals of Latino descent in gnomAD, which may be too common to be a primary cause of disease. Although we suspect that this variant may be benign, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
not provided Uncertain:2
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The CFTR c.944T>C; p.Phe315Ser variant is reported in the medical literature in one individual with CFTR-related metabolic disorder (Prach 2013). The variant is listed in the dbSNP variant database (rs760319837) and in the Genome Aggregation Database in 45/277018 alleles, but is not listed in the ClinVar database. The phenylalanine at this position is conserved across species and computational algorithms (PolyPhen2, SIFT) predict this variant is deleterious. Considering available information, there is insufficient evidence to classify this variant with certainty. References: Prach L et al. Novel CFTR variants identified during the first 3 years of cystic fibrosis newborn screening in California. J Mol Diagn. 2013 Sep;15(5):710-22. -
not specified Uncertain:1
Variant summary: CFTR c.944T>C (p.Phe315Ser) results in a non-conservative amino acid change located in the ABC transporter type 1, transmembrane domain (IPR011527) of the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00017 in 251272 control chromosomes in the gnomAD database, exclusively observed within the Latino subpopulation at a frequency of 0.0012. This frequency is not significantly higher than estimated for a pathogenic variant in CFTR causing Cystic Fibrosis (0.0012 vs 0.013), allowing no conclusion about variant significance. c.944T>C has been reported in the literature in one newborn of Hispanic ethnicity with CFTR-related metabolic syndrome (Prach_2013). This report does not provide unequivocal conclusions about association of the variant with Cystic Fibrosis. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. The following publication have been ascertained in the context of this evaluation (PMID: 23810505). Six submitters have cited clinical-significance assessments for this variant to ClinVar after 2014. All submitters classified the variant as uncertain significance. Based on the evidence outlined above, the variant was classified as uncertain significance. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at