SERPINA6

protein-coding

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

Gene summary

This gene encodes an alpha-globulin protein with corticosteroid-binding properties. This is the major transport protein for glucorticoids and progestins in the blood of most vertebrates. The gene localizes to a chromosomal region containing several closely related serine protease inhibitors which may have evolved by duplication events. [provided by RefSeq, Jul 2008]

Previous symbols:
  • CBG

MANE transcript

NM_001756.4

Inheritance

AR, SD, AD

ClinVar variants

P:3U:72B:12

Top phenotype

Corticosteroid-binding globulin deficiency

gnomAD constraint

pLI —, LoF o/e 0.88

Max pathogenic AF

—

Genomic locus

chr14:94,304,248-94,323,389

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~19.1 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

corticosteroid-binding globulin deficiencySTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0012675

Submitter: Labcorp Genetics (formerly Invitae)

corticosteroid-binding globulin deficiencyLIMITED

Inheritance Pattern: Unknown

Disease ID:MONDO:0012675

Submitter: Labcorp Genetics (formerly Invitae)

corticosteroid-binding globulin deficiencySTRONG

Inheritance Pattern: SD

Disease ID:MONDO:0012675

Submitter: PanelApp Australia

corticosteroid-binding globulin deficiencySUPPORTIVE

Inheritance Pattern: SD

Disease ID:MONDO:0012675

Submitter: Orphanet

corticosteroid-binding globulin deficiencyMODERATE

Inheritance Pattern: AD

Disease ID:MONDO:0012675

Submitter: Ambry Genetics

Clinical Genomic Database (CGD)

Corticosteroid-binding globulin deficiencyAD/AR

Manifestation: Endocrine

Intervention: General

Rationale: 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

Refs: 7061486; 8212073; 10634411; 11502797; 17245537; 20610591; 22013108; 22337907; 22948765Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SERPINA6 variants in ClinVar

5 Conditions Cataloged
Inborn genetic diseasesTotal: 62
not specifiedTotal: 12
not providedTotal: 11
Corticosteroid-binding globulin deficiencyTotal: 8
SERPINA6-related disorderTotal: 5

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_001756.4. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
8
clinvar
1
clinvar
9
missense
1
clinvar
68
clinvar
3
clinvar
72
nonsense
1
clinvar
2
clinvar
3
start loss
0
frameshift
1
clinvar
2
clinvar
3
splice donor/acceptor (+/-2bp)
0
Total127211187

Highest pathogenic variant AF is 0.00035811425

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 21 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_001756.4RefSeqNP_001747.34MANE Select
ENST00000341584.4EnsemblENSP00000342850.34MANE Select
ENST00000555056.1EnsemblENSP00000451045.12Standard
ENST00000557225.1EnsemblENSP00000452018.11Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Glucocorticoid Pathway (Peripheral Tissue), Pharmacodynamics

Biological Process

  • glucocorticoid metabolic process
  • negative regulation of endopeptidase activity

Molecular Function

  • serine-type endopeptidase inhibitor activity
  • steroid binding

Cellular Component

  • extracellular space
  • extracellular exosome

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000341584
Coding exons
4
Length
19147
Individuals with no LoFs
125720
Homozygous LoFs
0
Heterozygous LoFs
26
Defined
125746
p
0.000103
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense-0.6622442171.130.00001242685
Missense (PolyPhen)5958.9421.001830
Synonymous-0.6479789.21.090.00000537800
Loss of Function0.3671011.30.8824.99e-7142

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000620.00062rare
Latino/Admixed American0.0000870.000087rare
Ashkenazi Jewish00.0absent
East Asian0.000110.00011rare
Finnish00.0absent
European (Non-Finnish)0.0000700.000070rare
South Asian0.0000650.000065rare
Other0.000160.00016rare

dbNSFP Gene Annotations

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.;

Recessive Scores

pRec
0.212

Intolerance Scores

LoFtool
0.173
RVIS EVS
-0.49
RVIS percentile EVS
22.51

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.160

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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