rs9332239

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 1P and 5B. PP5BP4BS2

The NM_000771.4(CYP2C9):​c.1465C>T​(p.Pro489Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00209 in 1,613,944 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in Lovd as Pathogenic (no stars). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.0017 ( 2 hom., cov: 32)
Exomes 𝑓: 0.0021 ( 7 hom. )

Consequence

CYP2C9
NM_000771.4 missense

Scores

3
2
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 2.40
Variant links:
Genes affected
CYP2C9 (HGNC:2623): (cytochrome P450 family 2 subfamily C member 9) 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. This protein localizes to the endoplasmic reticulum and its expression is induced by rifampin. The enzyme is known to metabolize many xenobiotics, including phenytoin, tolbutamide, ibuprofen and S-warfarin. Studies identifying individuals who are poor metabolizers of phenytoin and tolbutamide suggest that this gene is polymorphic. The gene is located within a cluster of cytochrome P450 genes on chromosome 10q24. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PP5
Variant 10-94989020-C-T is Pathogenic according to our data. Variant chr10-94989020-C-T is described in Lovd as [Pathogenic].
BP4
Computational evidence support a benign effect (MetaRNN=0.015488237). . Strength limited to SUPPORTING due to the PP5.
BS2
High AC in GnomAd4 at 253 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
CYP2C9NM_000771.4 linkuse as main transcriptc.1465C>T p.Pro489Ser missense_variant 9/9 ENST00000260682.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
CYP2C9ENST00000260682.8 linkuse as main transcriptc.1465C>T p.Pro489Ser missense_variant 9/91 NM_000771.4 P1P11712-1
CYP2C9ENST00000643112.1 linkuse as main transcriptc.*474C>T 3_prime_UTR_variant, NMD_transcript_variant 8/8

Frequencies

GnomAD3 genomes
AF:
0.00166
AC:
253
AN:
152200
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000338
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00314
Gnomad ASJ
AF:
0.000865
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00113
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00253
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.00174
AC:
437
AN:
251320
Hom.:
1
AF XY:
0.00163
AC XY:
222
AN XY:
135822
show subpopulations
Gnomad AFR exome
AF:
0.000369
Gnomad AMR exome
AF:
0.00130
Gnomad ASJ exome
AF:
0.000397
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000196
Gnomad FIN exome
AF:
0.00176
Gnomad NFE exome
AF:
0.00286
Gnomad OTH exome
AF:
0.00212
GnomAD4 exome
AF:
0.00214
AC:
3127
AN:
1461626
Hom.:
7
Cov.:
32
AF XY:
0.00207
AC XY:
1505
AN XY:
727124
show subpopulations
Gnomad4 AFR exome
AF:
0.000269
Gnomad4 AMR exome
AF:
0.00136
Gnomad4 ASJ exome
AF:
0.000727
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000174
Gnomad4 FIN exome
AF:
0.00187
Gnomad4 NFE exome
AF:
0.00251
Gnomad4 OTH exome
AF:
0.00209
GnomAD4 genome
AF:
0.00166
AC:
253
AN:
152318
Hom.:
2
Cov.:
32
AF XY:
0.00154
AC XY:
115
AN XY:
74472
show subpopulations
Gnomad4 AFR
AF:
0.000337
Gnomad4 AMR
AF:
0.00314
Gnomad4 ASJ
AF:
0.000865
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00113
Gnomad4 NFE
AF:
0.00253
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.00237
Hom.:
4
Bravo
AF:
0.00187
TwinsUK
AF:
0.00135
AC:
5
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.00191
AC:
232
EpiCase
AF:
0.00196
EpiControl
AF:
0.00213

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
17
DANN
Uncertain
0.98
DEOGEN2
Benign
0.38
T
Eigen
Benign
0.036
Eigen_PC
Benign
-0.14
FATHMM_MKL
Benign
0.53
D
LIST_S2
Benign
0.84
T
M_CAP
Benign
0.0042
T
MetaRNN
Benign
0.015
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Pathogenic
3.0
M
MutationTaster
Benign
0.79
N
PrimateAI
Benign
0.41
T
PROVEAN
Pathogenic
-6.9
D
REVEL
Benign
0.11
Sift
Uncertain
0.0050
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.98
D
Vest4
0.15
MVP
0.56
MPC
0.030
ClinPred
0.10
T
GERP RS
2.5
Varity_R
0.73
gMVP
0.46

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: rs9332239; hg19: chr10-96748777; API