About CYP21A2
No gene-level summary was recorded for this case.
No variant summary was recorded for this case.
Five-step scale from benign to pathogenic. This variant is likely benign. Select a step to read what it means.
Likely benign.A likely benign classification under the recorded framework.
Gene-level background from the recorded interpretation.
Words with a dotted underline have a short definition. Hover or tap them.No gene-level summary was recorded for this case.
The recorded framework is Not recorded. The criteria and strengths shown below come from the saved assessment; this page does not recalculate the classification.
The applied criteria and their strengths are shown as assessed under the stated framework.
Functional studies in transiently transfected COS-1 cells demonstrated that the p.Arg480Leu (R479L in older numbering) mutant retains approximately 75-80% of wild-type 21-hydroxylase activity toward both 17-hydroxyprogesterone and progesterone, consistent with a mild non-classical CAH phenotype. This partial reduction in enzyme activity supports a damaging effect at the supporting level.
BS1 requires allele frequency >0.3% in population databases for a recessive disorder. The variant is present in gnomAD v2.1 at global AF 0.62% (1521/244182 alleles) and in v4.1 at global AF 0.33% (5128/1571116 alleles). Both exceed the 0.3% threshold. Additionally, the variant was observed in heterozygous state in 1 of 92 healthy individuals in a Hungarian population study (PMID:19505723).
BP4 requires multiple lines of computational evidence suggesting no impact. REVEL score is 0.334 (below 0.5 pathogenic threshold), BayesDel score is -0.316 (negative, predicts benign), and SpliceAI predicts no splice impact (max delta 0.00). All three in silico tools consistently predict a benign effect.
BP6 applies when a reputable source reports the variant as benign without access to the underlying evidence. ClinVar reports this variant as Benign by 3 clinical laboratories, Likely benign by 3 additional laboratories, and VUS by 2 laboratories. The majority clinical consensus across multiple submitters supports a benign interpretation.
gene-specific framework lacked a usable explicit final combination framework, so generic ACMG/AMP 2015 final-combination rules were applied as fallback; applied criteria: PS3 supporting, BS1 supporting benign, BP4 supporting benign, BP6 supporting benign; combination = 1 supporting + 3 supporting benign, which maps to Likely Benign.
Evidence summaries and captured source records, where available. Missing entries should not be interpreted as negative findings.
gnomAD v4.1: 5,128 / 1,571,116 alleles. Recorded AF 0.00326392. Recorded homozygote count 1.
This variant is present in gnomAD v2.1 (AF= 0.00622896; MAF= 0.62290%, 1521/244182 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.0607908; MAF= 6.07908%, 1316/21648 alleles, homozygotes = 0); grpmax FAF= 0.0615449.
Recorded SpliceAI maximum delta score: 0.000. Refer to the recorded PP3/BP4 rationale for interpretation.
3 Benign · 2 Uncertain significance · 1 Likely benign · 1 likely benign · 1 Likely Benign.
No standalone functional evidence summary is recorded in evidence_summary.functional.
This variant has previously been reported in somatic cancers (COSMIC; COSV99056687, n = 3 times).
This variant does not lie in a statistically significant hotspot.
ACMG/AMP criteria under Not recorded, with the data and sources behind each one.
26 criteria with recorded statuses: 4 met · 13 not met · 5 not assessed · 4 not applicable. Open any row for the full reasoning, the rule and the evidence behind it.
NM_000500.9:c.1439G>T (p.Arg480Leu) is a missense variant in exon 10 of CYP21A2, a gene associated with autosomal recessive congenital adrenal hyperplasia due to 21-hydroxylase deficiency.
The variant is present in gnomAD at an appreciable global allele frequency of 0.62% (v2.1, 1521/244182 alleles) and 0.33% (v4.1, 5128/1571116 alleles), exceeding the BS1 threshold (>0.3%) for a recessive disorder.
In silico predictions are uniformly benign: REVEL score 0.334, BayesDel score -0.316 (predicting benign), and SpliceAI detects no splice alteration (max delta 0.00), satisfying BP4.
ClinVar reports this variant as Benign by three clinical laboratories and Likely benign by three additional laboratories, with two VUS submissions, supporting BP6.
Functional studies demonstrate the variant retains ~75-80% of wild-type 21-hydroxylase activity in transfected COS-1 cells, consistent with a mild functional impact, providing PS3 at the supporting level.
Applying the generic ACMG/AMP 2015 combination rules (PMID:25741868), the criteria met are three supporting benign (BS1, BP4, BP6) and one supporting pathogenic (PS3). Likely benign requires at least two supporting benign criteria, which is satisfied.
No criteria match.
Every interpreted variant in CYP21A2, mapped onto the exon structure of NM_000500.9. Select a row to find it on the plot.
| Protein | Location | Classification | Link |
|---|
| African/African American4316 / 73,584 | 0.0591 hom |
| Middle Eastern25 / 4,656 | 0.0054 |
| Admixed American308 / 58,074 | 0.0053 |
| Remaining individuals305 / 61,106 | 0.005 |
| South Asian50 / 88,918 | 0.00056 |
| European (non-Finnish)124 / 1,159,074 | 0.00011 |
| African/African American1316 / 21,648 | 0.061 |
| Admixed American140 / 33,094 | 0.0042 |
| Remaining individuals17 / 6,458 | 0.0026 |
| South Asian20 / 28,606 | 0.0007 |
| European (non-Finnish)28 / 111,522 | 0.00025 |
This variant is present in gnomAD v4.1 (AF= 0.00326392; MAF= 0.32639%, 5128/1571116 alleles, homozygotes = 1) and has highest observed frequency in the African/African American population (AF= 0.0586541; MAF= 5.86541%, 4316/73584 alleles, homozygotes = 1); grpmax FAF= 0.0571923.
This variant is present in gnomAD v2.1 (AF= 0.00622896; MAF= 0.62290%, 1521/244182 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.0607908; MAF= 6.07908%, 1316/21648 alleles, homozygotes = 0); grpmax FAF= 0.0615449.
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.334. BayesDel score = -0.315808.
8 paper records listed. No publication is explicitly linked to an applied criterion in the recorded metadata. None of the listed paper records explicitly indicates that the variant is named.
Screenshots represent source records captured during evidence collection. Select one to view the recorded source content.
The evidence statements recorded by the interpretation pipeline. They have not been reinterpreted by the page.
This variant is present in gnomAD v4.1 (AF= 0.00326392; MAF= 0.32639%, 5128/1571116 alleles, homozygotes = 1) and has highest observed frequency in the African/African American population (AF= 0.0586541; MAF= 5.86541%, 4316/73584 alleles, homozygotes = 1); grpmax FAF= 0.0571923.
This variant is present in gnomAD v2.1 (AF= 0.00622896; MAF= 0.62290%, 1521/244182 alleles, homozygotes = 0) and has highest observed frequency in the African/African American population (AF= 0.0607908; MAF= 6.07908%, 1316/21648 alleles, homozygotes = 0); grpmax FAF= 0.0615449.
This variant has been reported in ClinVar as Benign (3 clinical laboratories) and as Uncertain significance (2 clinical laboratories) and as Likely benign (1 clinical laboratory) and as likely benign (1 clinical laboratory) and as Likely Benign (1 clinical laboratory). (ClinVarID = 445854)
SpliceAI predicts no significant splice impact for this variant (max delta score = 0.00). REVEL score = 0.334. BayesDel score = -0.315808.
This variant does not lie in a statistically significant hotspot. This variant has previously been reported in somatic cancers (COSMIC; COSV99056687, n = 3 times).
This variant does not lie in a statistically significant hotspot.