What does CFTR p.Phe508del change?
Normalize an allele, compare transcript consequences and separate VEP annotation from ClinVar classification.
Ask your AI client
Use GeneFoundry to annotate NM_000492.4:c.1521_1523del in CFTR on GRCh38. Show the returned VCF, genomic HGVS and SPDI representations. Identify the MANE Select transcript, consequence term and protein change, then compare one alternative transcript. Find the matching ClinVar record and report its classification, review status and transcript version separately. Flag identifier or normalization differences before joining records; do not turn VEP impact labels into an ACMG classification.
The result
VEP returned an in-frame deletion and confirmed NM_000492.4 as MANE Select. The same gene and cDNA-change search found ClinVar VCV000007105, labeled pathogenic with a practice-guideline review status. These are separate annotation and classification outputs.
| Field | Returned value |
|---|---|
| Input | NM_000492.4:c.1521_1523del |
| Assembly | GRCh38 |
| VEP VCF spelling | 7-117559591-TCTT-T |
| Genomic HGVS | NC_000007.14:g.117559592_117559594del |
| SPDI | NC_000007.14:117559591:CTT: |
| ClinVar VCF spelling | 7-117559590-ATCT-A |
| Transcript | Context | Consequence | Protein change |
|---|---|---|---|
| ENST00000003084.11 | MANE Select: NM_000492.4 | inframe_deletion | ENSP00000003084.6:p.Phe508del |
| ENST00000426809.5 | Alternative protein-coding transcript | inframe_deletion | ENSP00000389119.1:p.Phe478del |
| Field | Returned value |
|---|---|
| Record | VCV000007105 |
| Record name | NM_000492.3(CFTR):c.1521_1523del (p.Phe508del) |
| Aggregate classification | Pathogenic |
| Review status | Practice guideline · 4 stars |
| Source last evaluated | Mar 03, 2004 |
The ClinVar record uses NM_000492.3 in its name, whereas VEP marks NM_000492.4 as MANE Select. The direct versioned ClinVar lookup returned no match; a gene-plus-change search located the accession.
VEP and ClinVar coordinate spellings differ. HGVS, SPDI and VCF use different conventions; retain both source representations and normalize before an automated join.
The ClinVar classification is an aggregate record label. Review condition-specific assertions before applying it to a particular disorder.
The transcript table selects two returned protein-coding annotations, not the entire VEP transcript list. No ACMG criteria are assigned here.
ClinVar release: 31 August 2026. Its release date and star rating do not mean that every assertion was reevaluated recently. VEP supplies retrieval provenance but no upstream release number in this response.
Original source records
How GeneFoundry got this
Annotate the transcript HGVS
Start with the supplied transcript version and explicit GRCh38 assembly. VEP returns an allele representation and a prioritized transcript.
vep_annotate_variant{ "variant": "NM_000492.4:c.1521_1523del", "assembly": "GRCh38", "response_mode": "compact" }Locate the ClinVar record
The exact versioned HGVS lookup found no indexed record. Search the gene and cDNA change, then inspect the returned accession.
clinvar_search_variants{ "query": "c.1521_1523del", "gene_symbol": "CFTR", "limit": 5, "response_mode": "compact", "request_id": "genefoundry-cftr-f508del-clinvar-03" }Read the source classification
Retrieve the matched ClinVar accession and preserve its transcript version, assembly, review status and coordinates.
clinvar_get_variant{ "identifier": "VCV000007105", "id_type": "vcv", "response_mode": "standard", "request_id": "genefoundry-cftr-f508del-clinvar-04" }Record alternative representations
Ask the Variant Recoder for genomic HGVS, SPDI and VCF spellings using the original transcript HGVS.
vep_recode_variant{ "variants": [ "NM_000492.4:c.1521_1523del" ], "assembly": "GRCh38", "fields": "hgvsg,spdi,vcf_string" }Confirm the relevant transcript
Inspect the full VEP annotation for MANE Select and one alternative protein-coding transcript.
vep_annotate_variant{ "variant": "7-117559591-TCTT-T", "assembly": "GRCh38", "response_mode": "full" }
One small deletion on one assembly is shown; structural variants and other reference assemblies need their own supported queries.
Consequence terms describe predicted sequence effects. MODERATE is a VEP impact category, not an ACMG evidence strength or a clinical classification.
ClinVar and VEP returned different VCF spellings. Preserve their provenance and normalize against the same reference before automated record matching.