SERPINA6

serpin family A member 6, the group of Serpin peptidase inhibitors

Basic information

Region (hg38): 14:94304248-94323389

Previous symbols: [ "CBG" ]

Links

ENSG00000170099

∙ NCBI:866 ∙ OMIM:122500 ∙ HGNC:1540 ∙ Uniprot:P08185 ∙ AlphaFold ∙ GenCC ∙ jax ∙ Sfari ∙ GnomAD ∙ Pubmed ∙ ClinVar

Phenotypes

GenCC

Source: genCC

corticosteroid-binding globulin deficiency (Supportive), mode of inheritance: Semidominant
corticosteroid-binding globulin deficiency (Strong), mode of inheritance: AR
corticosteroid-binding globulin deficiency (Moderate), mode of inheritance: AD
corticosteroid-binding globulin deficiency (Limited), mode of inheritance: Unknown

Clinical Genomic Database

Source: CGD

Condition	Inheritance	Intervention Categories	Intervention/Rationale	Manifestation Categories	References
Corticosteroid-binding globulin deficiency	AD/AR	General	Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing	Endocrine	7061486; 8212073; 10634411; 11502797; 17245537; 20610591; 22013108; 22337907; 22948765

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the SERPINA6 gene.

Inborn_genetic_diseases (53 variants)
not_provided (9 variants)
Corticosteroid-binding_globulin_deficiency (8 variants)
SERPINA6-related_disorder (5 variants)
not_specified (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the SERPINA6 gene is commonly pathogenic or not. These statistics are base on transcript: NM_000001756.4. Only rare variants are included in the table.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

Effect	PathogenicP	Likely pathogenicLP	VUSVUS	Likely benignLB	BenignB	Sum
synonymous				1 clinvar	1 clinvar	2
missense		1 clinvar	56 clinvar	3 clinvar		60
nonsense	1 clinvar		2 clinvar			3
start loss						0
frameshift		1 clinvar	1 clinvar			2
splice donor/acceptor (+/-2bp)						0
Total	1	2	59	4	1

Highest pathogenic variant AF is 0.000358114

Loading clinvar variants...

GnomAD

Source: gnomAD

Gene	Type	Bio Type	Transcript	Coding Exons	Length
SERPINA6	protein_coding	protein_coding	ENST00000341584	4	19147

pLI Probability LOF Intolerant	pRec Probability LOF Recessive	Individuals with no LOFs	Individuals with Homozygous LOFs	Individuals with Heterozygous LOFs	Defined	p
8.34e-7	0.312	125720	0	26	125746	0.000103

	Z-Score	Observed	Expected	Observed/Expected	Mutation Rate	Total Possible in Transcript
Missense	-0.662	244	217	1.13	0.0000124	2685
Missense in Polyphen		59	58.942	1.001		830
Synonymous	-0.647	97	89.2	1.09	0.00000537	800
Loss of Function	0.367	10	11.3	0.882	4.99e-7	142

LoF frequencies by population

Ethnicity	Sum of pLOFs	p
African & African-American	0.000702	0.000702
Ashkenazi Jewish	0.00	0.00
East Asian	0.000109	0.000109
Finnish	0.00	0.00
European (Non-Finnish)	0.0000704	0.0000703
Middle Eastern	0.000109	0.000109
South Asian	0.0000653	0.0000653
Other	0.000163	0.000163

dbNSFP

Source: dbNSFP

Function: FUNCTION: Major transport protein for glucocorticoids and progestins in the blood of almost all vertebrate species. {ECO:0000269|PubMed:18513745}.;
Disease: DISEASE: Corticosteroid-binding globulin deficiency (CBG deficiency) [MIM:611489]: Extremely rare hereditary disorder characterized by reduced corticosteroid-binding capacity with normal or low plasma corticosteroid-binding globulin concentration, and normal or low basal cortisol levels associated with hypo/hypertension and muscle fatigue. {ECO:0000269|PubMed:10634411, ECO:0000269|PubMed:1504007, ECO:0000269|PubMed:17245537, ECO:0000269|PubMed:8212073}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway: Glucocorticoid Pathway (Peripheral Tissue), Pharmacodynamics (Consensus)

Recessive Scores

pRec: 0.212

Intolerance Scores

loftool: 0.173
rvis_EVS: -0.49
rvis_percentile_EVS: 22.51

Haploinsufficiency Scores

pHI: 0.245
hipred: N
hipred_score: 0.123
ghis: 0.426

Essentials

essential_gene_CRISPR: N
essential_gene_CRISPR2: N
essential_gene_gene_trap: N
gene_indispensability_pred: N
gene_indispensability_score: 0.160

Gene Damage Prediction

	All	Recessive	Dominant
Mendelian	Medium	Medium	Medium
Primary Immunodeficiency	Medium	Medium	Medium
Cancer	Medium	Medium	Medium

Mouse Genome Informatics

Gene name: Serpina6
Phenotype: homeostasis/metabolism phenotype; behavior/neurological phenotype (the observable actions or reactions of mammalian organisms that are manifested through development and lifespan); immune system phenotype;

Gene ontology

Biological process: glucocorticoid metabolic process;negative regulation of endopeptidase activity
Cellular component: extracellular space;extracellular exosome
Molecular function: serine-type endopeptidase inhibitor activity;steroid binding