1-173907567-C-T

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BA1BS2

This summary comes from the ClinGen Evidence Repository: The NM_000488.4:c.1154-53G>A variant is reported at a popmax FAF of 0.3028 and the highest MAF of 0.3263 (32%; 507/1554 alleles with 81 homozygotes) in the East Asian population in gnomAD v2.1.1, meeting criteria for BA1 (MAF >0.002). The variant is reported in 8 individuals with normal antithrombin levels. In summary, this variant meets criteria to be classified as benign. ACMG/AMP criteria applied, as specified by the Thrombosis Variant Curation Expert Panel for SERPINC1: BA1, BS2. LINK:https://erepo.genome.network/evrepo/ui/classification/CA10960823/MONDO:0013144/084

Frequency

Genomes: 𝑓 0.10 ( 950 hom., cov: 31)
Exomes 𝑓: 0.11 ( 8402 hom. )

Consequence

SERPINC1
NM_000488.4 intron

Scores

2

Clinical Significance

Benign reviewed by expert panel B:3

Conservation

PhyloP100: 0.0860
Variant links:
Genes affected
SERPINC1 (HGNC:775): (serpin family C member 1) The protein encoded by this gene, antithrombin III, is a plasma protease inhibitor and a member of the serpin superfamily. This protein inhibits thrombin as well as other activated serine proteases of the coagulation system, and it regulates the blood coagulation cascade. The protein includes two functional domains: the heparin binding-domain at the N-terminus of the mature protein, and the reactive site domain at the C-terminus. The inhibitory activity is enhanced by the presence of heparin. Numerous mutations have been identified for this gene, many of which are known to cause antithrombin-III deficiency which constitutes a strong risk factor for thrombosis. A reduction in the serum level of this protein is associated with severe cases of Coronavirus Disease 19 (COVID-19). [provided by RefSeq, Sep 2020]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BS2
BA1

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SERPINC1NM_000488.4 linkuse as main transcriptc.1154-53G>A intron_variant ENST00000367698.4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SERPINC1ENST00000367698.4 linkuse as main transcriptc.1154-53G>A intron_variant 1 NM_000488.4 P1

Frequencies

GnomAD3 genomes
AF:
0.100
AC:
15213
AN:
152108
Hom.:
950
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0643
Gnomad AMI
AF:
0.0989
Gnomad AMR
AF:
0.0870
Gnomad ASJ
AF:
0.158
Gnomad EAS
AF:
0.309
Gnomad SAS
AF:
0.141
Gnomad FIN
AF:
0.106
Gnomad MID
AF:
0.108
Gnomad NFE
AF:
0.102
Gnomad OTH
AF:
0.111
GnomAD4 exome
AF:
0.115
AC:
133561
AN:
1161880
Hom.:
8402
AF XY:
0.116
AC XY:
68918
AN XY:
592314
show subpopulations
Gnomad4 AFR exome
AF:
0.0638
Gnomad4 AMR exome
AF:
0.0522
Gnomad4 ASJ exome
AF:
0.152
Gnomad4 EAS exome
AF:
0.283
Gnomad4 SAS exome
AF:
0.149
Gnomad4 FIN exome
AF:
0.102
Gnomad4 NFE exome
AF:
0.108
Gnomad4 OTH exome
AF:
0.126
GnomAD4 genome
AF:
0.100
AC:
15219
AN:
152226
Hom.:
950
Cov.:
31
AF XY:
0.102
AC XY:
7585
AN XY:
74420
show subpopulations
Gnomad4 AFR
AF:
0.0642
Gnomad4 AMR
AF:
0.0869
Gnomad4 ASJ
AF:
0.158
Gnomad4 EAS
AF:
0.309
Gnomad4 SAS
AF:
0.141
Gnomad4 FIN
AF:
0.106
Gnomad4 NFE
AF:
0.102
Gnomad4 OTH
AF:
0.113
Alfa
AF:
0.0896
Hom.:
144
Bravo
AF:
0.0967
Asia WGS
AF:
0.225
AC:
779
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:3
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Hereditary antithrombin deficiency Benign:1
Benign, reviewed by expert panelcurationClingen Thrombosis Variant Curation Expert Panel, ClinGenJul 25, 2023The NM_000488.4:c.1154-53G>A variant is reported at a popmax FAF of 0.3028 and the highest MAF of 0.3263 (32%; 507/1554 alleles with 81 homozygotes) in the East Asian population in gnomAD v2.1.1, meeting criteria for BA1 (MAF >0.002). The variant is reported in 8 individuals with normal antithrombin levels. In summary, this variant meets criteria to be classified as benign. ACMG/AMP criteria applied, as specified by the Thrombosis Variant Curation Expert Panel for SERPINC1: BA1, BS2. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.78
CADD
Benign
6.0
DANN
Benign
0.59

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.060
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: rs2759328; hg19: chr1-173876705; COSMIC: COSV62929491; COSMIC: COSV62929491; API