rs776563500
Variant summary
Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM1BS2
The NM_033337.3(CAV3):c.376C>T(p.Arg126Cys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000867 in 1,613,908 control chromosomes in the GnomAD database, with no homozygous occurrence. 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. R126H) has been classified as Benign.
Frequency
Consequence
NM_033337.3 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -2 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
CAV3 | NM_033337.3 | c.376C>T | p.Arg126Cys | missense_variant | Exon 2 of 2 | ENST00000343849.3 | NP_203123.1 | |
CAV3 | NM_001234.5 | c.376C>T | p.Arg126Cys | missense_variant | Exon 2 of 3 | NP_001225.1 | ||
OXTR | XR_007095681.1 | n.1885-3185G>A | intron_variant | Intron 4 of 4 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
CAV3 | ENST00000343849.3 | c.376C>T | p.Arg126Cys | missense_variant | Exon 2 of 2 | 1 | NM_033337.3 | ENSP00000341940.2 | ||
CAV3 | ENST00000397368.2 | c.376C>T | p.Arg126Cys | missense_variant | Exon 2 of 3 | 1 | ENSP00000380525.2 | |||
CAV3 | ENST00000472766.1 | n.155+11797C>T | intron_variant | Intron 1 of 2 | 2 |
Frequencies
GnomAD3 genomes AF: 0.0000197 AC: 3AN: 152172Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.00000398 AC: 1AN: 251262Hom.: 0 AF XY: 0.00 AC XY: 0AN XY: 135808
GnomAD4 exome AF: 0.00000753 AC: 11AN: 1461736Hom.: 0 Cov.: 32 AF XY: 0.00000963 AC XY: 7AN XY: 727164
GnomAD4 genome AF: 0.0000197 AC: 3AN: 152172Hom.: 0 Cov.: 32 AF XY: 0.0000135 AC XY: 1AN XY: 74330
ClinVar
Submissions by phenotype
not provided Uncertain:2
The R126C variant in the CAV3 gene has not been reported previously as a pathogenic variant, nor as a benign variant, to our knowledge. The R126C variant was not observed in approximately 6,500 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. The R126C variant is a non-conservative amino acid substitution, which is likely to impact secondary protein structure as these residues differ in polarity, charge, size and/or other properties. This substitution occurs at a position that is not conserved. In silico analysis predicts this variant is probably damaging to the protein structure/function. Based on currently available evidence, we interpret R126C as a variant of uncertain significance. -
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Long QT syndrome Uncertain:1
This sequence change replaces arginine with cysteine at codon 126 of the CAV3 protein (p.Arg126Cys). The arginine residue is moderately conserved and there is a large physicochemical difference between arginine and cysteine. This variant is present in population databases (rs776563500, ExAC 0.001%). This variant has not been reported in the literature in individuals affected with CAV3-related conditions. ClinVar contains an entry for this variant (Variation ID: 279735). 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 disruptive. 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. -
Cardiovascular phenotype Uncertain:1
The p.R126C variant (also known as c.376C>T), located in coding exon 2 of the CAV3 gene, results from a C to T substitution at nucleotide position 376. The arginine at codon 126 is replaced by cysteine, an amino acid with highly dissimilar properties. This alteration has been reported in a peripartum cardiomyopathy cohort and a pediatric cardiomyopathy cohort (Goli R et al. Circulation, 2021 May;143:1852-1862; Ware SM et al. Am J Hum Genet, 2022 Feb;109:282-298). 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 alteration remains unclear. -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at