13-113163011-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_003891.3(PROZ):​c.262G>A​(p.Gly88Ser) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000329 in 1,519,694 control chromosomes in the GnomAD database, with no homozygous occurrence. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000077 ( 0 hom., cov: 30)
Exomes 𝑓: 0.000028 ( 0 hom. )

Consequence

PROZ
NM_003891.3 missense, splice_region

Scores

4
5
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.25
Variant links:
Genes affected
PROZ (HGNC:9460): (protein Z, vitamin K dependent plasma glycoprotein) This gene encodes a liver vitamin K-dependent glycoprotein that is synthesized in the liver and secreted into the plasma. The encoded protein plays a role in regulating blood coagulation by complexing with protein Z-dependent protease inhibitor to directly inhibit activated factor X at the phospholipid surface. Deficiencies in this protein are associated with an increased risk of ischemic arterial diseases and fetal loss. Mutations in this gene are the cause of protein Z deficiency. Alternate splicing results in multiple transcript variants. [provided by RefSeq, Jan 2012]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High AC in GnomAd4 at 11 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
PROZNM_003891.3 linkuse as main transcriptc.262G>A p.Gly88Ser missense_variant, splice_region_variant 4/8 ENST00000375547.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
PROZENST00000375547.7 linkuse as main transcriptc.262G>A p.Gly88Ser missense_variant, splice_region_variant 4/81 NM_003891.3 P2P22891-1
PROZENST00000342783.5 linkuse as main transcriptc.328G>A p.Gly110Ser missense_variant, splice_region_variant 5/91 A2P22891-2

Frequencies

GnomAD3 genomes
AF:
0.0000769
AC:
11
AN:
143132
Hom.:
0
Cov.:
30
show subpopulations
Gnomad AFR
AF:
0.000103
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000214
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000209
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000460
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000871
AC:
14
AN:
160648
Hom.:
0
AF XY:
0.000118
AC XY:
10
AN XY:
84946
show subpopulations
Gnomad AFR exome
AF:
0.000109
Gnomad AMR exome
AF:
0.000275
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000168
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000321
Gnomad OTH exome
AF:
0.000444
GnomAD4 exome
AF:
0.0000283
AC:
39
AN:
1376446
Hom.:
0
Cov.:
35
AF XY:
0.0000353
AC XY:
24
AN XY:
679190
show subpopulations
Gnomad4 AFR exome
AF:
0.0000322
Gnomad4 AMR exome
AF:
0.000253
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000126
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000235
Gnomad4 OTH exome
AF:
0.0000533
GnomAD4 genome
AF:
0.0000768
AC:
11
AN:
143248
Hom.:
0
Cov.:
30
AF XY:
0.000101
AC XY:
7
AN XY:
69554
show subpopulations
Gnomad4 AFR
AF:
0.000103
Gnomad4 AMR
AF:
0.000213
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000210
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000460
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000494
Hom.:
0
ESP6500AA
AF:
0.000232
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000446
AC:
5

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 04, 2024The c.262G>A (p.G88S) alteration is located in exon 4 (coding exon 4) of the PROZ gene. This alteration results from a G to A substitution at nucleotide position 262, causing the glycine (G) at amino acid position 88 to be replaced by a serine (S). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.14
BayesDel_addAF
Benign
-0.043
T
BayesDel_noAF
Uncertain
-0.010
CADD
Uncertain
23
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.84
.;D
Eigen
Benign
-0.0045
Eigen_PC
Benign
-0.085
FATHMM_MKL
Benign
0.58
D
LIST_S2
Benign
0.72
T;T
M_CAP
Pathogenic
0.34
D
MetaRNN
Uncertain
0.51
D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Benign
1.5
.;L
MutationTaster
Benign
0.65
N;N
PrimateAI
Benign
0.43
T
PROVEAN
Pathogenic
-5.3
D;D
REVEL
Uncertain
0.47
Sift
Uncertain
0.0050
D;D
Sift4G
Benign
0.065
T;T
Polyphen
0.93
P;D
Vest4
0.25
MVP
0.98
MPC
0.60
ClinPred
0.15
T
GERP RS
4.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.64
gMVP
0.81

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.10
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: rs199755961; hg19: chr13-113817325; API