rs770257307

Variant summary

Our verdict is Uncertain significance. The variant received 2 ACMG points: 4P and 2B. PM1PM2BP4_Moderate

The NM_001101426.4(CRPPA):​c.693C>G​(p.Asp231Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000696 in 1,437,040 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D231H) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.0e-7 ( 0 hom. )

Consequence

CRPPA
NM_001101426.4 missense

Scores

1
18

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -0.0110

Publications

0 publications found
Variant links:
Genes affected
CRPPA (HGNC:37276): (CDP-L-ribitol pyrophosphorylase A) This gene encodes a 2-C-methyl-D-erythritol 4-phosphate cytidylyltransferase-like protein. Mutations in this gene are the cause of Walker-Warburg syndrome. Alternate splicing results in multiple transcript variants. [provided by RefSeq, May 2012]
CRPPA Gene-Disease associations (from GenCC):
  • muscular dystrophy-dystroglycanopathy (congenital with brain and eye anomalies), type A, 7
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • myopathy caused by variation in CRPPA
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • autosomal recessive limb-girdle muscular dystrophy type 2U
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • congenital muscular dystrophy without intellectual disability
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • muscular dystrophy-dystroglycanopathy, type A
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 2 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 11 uncertain in NM_001101426.4
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.19851196).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
CRPPANM_001101426.4 linkc.693C>G p.Asp231Glu missense_variant Exon 4 of 10 ENST00000407010.7 NP_001094896.1 A4D126-1
CRPPANM_001101417.4 linkc.543C>G p.Asp181Glu missense_variant Exon 3 of 9 NP_001094887.1 A4D126-2A0A140VJM1
CRPPANM_001368197.1 linkc.685-7153C>G intron_variant Intron 3 of 8 NP_001355126.1
CRPPANR_160656.1 linkn.901-30393C>G intron_variant Intron 3 of 7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
CRPPAENST00000407010.7 linkc.693C>G p.Asp231Glu missense_variant Exon 4 of 10 5 NM_001101426.4 ENSP00000385478.2 A4D126-1

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.96e-7
AC:
1
AN:
1437040
Hom.:
0
Cov.:
26
AF XY:
0.00000140
AC XY:
1
AN XY:
715624
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32864
American (AMR)
AF:
0.00
AC:
0
AN:
44110
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25878
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39526
South Asian (SAS)
AF:
0.00
AC:
0
AN:
84524
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53218
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5728
European-Non Finnish (NFE)
AF:
9.16e-7
AC:
1
AN:
1091592
Other (OTH)
AF:
0.00
AC:
0
AN:
59600
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
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
GnomAD4 genome
Cov.:
33

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.10
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
14
DANN
Uncertain
0.99
DEOGEN2
Benign
0.33
T;.
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.21
FATHMM_MKL
Benign
0.72
D
LIST_S2
Benign
0.72
T;T
M_CAP
Benign
0.025
T
MetaRNN
Benign
0.20
T;T
MetaSVM
Benign
-0.63
T
MutationAssessor
Benign
0.55
N;.
PhyloP100
-0.011
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-1.4
N;N
REVEL
Benign
0.29
Sift
Benign
0.40
T;T
Sift4G
Benign
0.33
T;T
Polyphen
0.59
P;.
Vest4
0.23
MutPred
0.50
Gain of catalytic residue at D231 (P = 0.0765);.;
MVP
0.40
MPC
0.060
ClinPred
0.63
D
GERP RS
2.4
Varity_R
0.34
gMVP
0.27
Mutation Taster
=71/29
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.19
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: rs770257307; hg19: chr7-16348244; API