1-28987700-A-G

Variant summary

Our verdict is Benign. Variant got -7 ACMG points: 2P and 9B. PM2BP4_StrongBP6BS1

The NM_001376013.1(EPB41):ā€‹c.263A>Gā€‹(p.Lys88Arg) variant causes a missense change. The variant allele was found at a frequency of 0.000213 in 1,614,204 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: š‘“ 0.0011 ( 0 hom., cov: 32)
Exomes š‘“: 0.00012 ( 0 hom. )

Consequence

EPB41
NM_001376013.1 missense

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:1

Conservation

PhyloP100: 4.04
Variant links:
Genes affected
EPB41 (HGNC:3377): (erythrocyte membrane protein band 4.1) The protein encoded by this gene, together with spectrin and actin, constitute the red cell membrane cytoskeletal network. This complex plays a critical role in erythrocyte shape and deformability. Mutations in this gene are associated with type 1 elliptocytosis (EL1). Alternatively spliced transcript variants encoding different isoforms have been described for this gene.[provided by RefSeq, Oct 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -7 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0083812475).
BP6
Variant 1-28987700-A-G is Benign according to our data. Variant chr1-28987700-A-G is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 2428563.We mark this variant Likely_benign, oryginal submissions are: {Benign=1, Uncertain_significance=1}.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00114 (174/152314) while in subpopulation AFR AF= 0.00407 (169/41574). AF 95% confidence interval is 0.00356. There are 0 homozygotes in gnomad4. There are 79 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EPB41NM_001376013.1 linkuse as main transcriptc.263A>G p.Lys88Arg missense_variant 2/21 ENST00000343067.9 NP_001362942.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EPB41ENST00000343067.9 linkuse as main transcriptc.263A>G p.Lys88Arg missense_variant 2/215 NM_001376013.1 ENSP00000345259 P11171-1

Frequencies

GnomAD3 genomes
AF:
0.00114
AC:
174
AN:
152196
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00408
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.000271
AC:
68
AN:
251126
Hom.:
0
AF XY:
0.000192
AC XY:
26
AN XY:
135722
show subpopulations
Gnomad AFR exome
AF:
0.00400
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000116
AC:
170
AN:
1461890
Hom.:
0
Cov.:
31
AF XY:
0.0000921
AC XY:
67
AN XY:
727246
show subpopulations
Gnomad4 AFR exome
AF:
0.00439
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000270
Gnomad4 OTH exome
AF:
0.000281
GnomAD4 genome
AF:
0.00114
AC:
174
AN:
152314
Hom.:
0
Cov.:
32
AF XY:
0.00106
AC XY:
79
AN XY:
74488
show subpopulations
Gnomad4 AFR
AF:
0.00407
Gnomad4 AMR
AF:
0.000262
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000223
Hom.:
0
Bravo
AF:
0.00124
ESP6500AA
AF:
0.00522
AC:
23
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000354
AC:
43

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Elliptocytosis 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesApr 06, 2022- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 27, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.081
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.39
T;.;.;T;.;.;.;.;.;.;.;.;.
Eigen
Benign
-0.12
Eigen_PC
Benign
0.088
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Uncertain
0.92
D;D;D;.;D;D;D;D;D;D;D;D;D
M_CAP
Benign
0.023
T
MetaRNN
Benign
0.0084
T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.63
T
MutationAssessor
Benign
0.63
N;N;.;N;.;.;.;.;.;.;N;.;.
MutationTaster
Benign
1.0
D;D;N;N;N;N;N;N
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-1.1
N;N;.;N;.;.;.;.;.;.;N;.;.
REVEL
Benign
0.25
Sift
Benign
0.12
T;T;.;T;.;.;.;.;.;.;T;.;.
Sift4G
Benign
0.090
T;T;.;T;.;.;.;.;.;.;T;.;.
Polyphen
0.0040
B;B;.;B;.;.;.;.;.;.;B;.;.
Vest4
0.12
MVP
0.93
MPC
0.17
ClinPred
0.027
T
GERP RS
4.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.068
gMVP
0.36

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs141680585; hg19: chr1-29314212; API