14-64774392-C-T

Variant summary

Our verdict is Pathogenic. The variant received 14 ACMG points: 14P and 0B. PM2PP3_StrongPP5_Very_Strong

The NM_001355436.2(SPTB):​c.4973+5G>A variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000697 in 1,434,202 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Likely pathogenic (★★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 7.0e-7 ( 0 hom. )

Consequence

SPTB
NM_001355436.2 splice_region, intron

Scores

2
Splicing: ADA: 1.000
2

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:5

Conservation

PhyloP100: 3.35

Publications

1 publications found
Variant links:
Genes affected
SPTB (HGNC:11274): (spectrin beta, erythrocytic) This locus encodes a member of the spectrin gene family. Spectrin proteins, along with ankyrin, play a role in cell membrane organization and stability. The protein encoded by this locus functions in stability of erythrocyte membranes, and mutations in this gene have been associated with spherocytosis type 2, hereditary elliptocytosis, and neonatal hemolytic anemia. Alternatively spliced transcript variants have been described. [provided by RefSeq, Nov 2009]
SPTB Gene-Disease associations (from GenCC):
  • hereditary spherocytosis type 2
    Inheritance: AD Classification: STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae)
  • elliptocytosis 3
    Inheritance: AR, AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), PanelApp Australia
  • hereditary elliptocytosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hereditary spherocytosis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 14 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF, max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
PP5
Variant 14-64774392-C-T is Pathogenic according to our data. Variant chr14-64774392-C-T is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 544813.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001355436.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SPTB
NM_001355436.2
MANE Select
c.4973+5G>A
splice_region intron
N/ANP_001342365.1P11277-2
SPTB
NM_001024858.4
c.4973+5G>A
splice_region intron
N/ANP_001020029.1P11277-2
SPTB
NM_001355437.2
c.4973+5G>A
splice_region intron
N/ANP_001342366.1P11277-1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SPTB
ENST00000644917.1
MANE Select
c.4973+5G>A
splice_region intron
N/AENSP00000495909.1P11277-2
SPTB
ENST00000553938.5
TSL:1
c.968+5G>A
splice_region intron
N/AENSP00000451324.1H0YJE6
SPTB
ENST00000389722.7
TSL:2
c.4973+5G>A
splice_region intron
N/AENSP00000374372.3P11277-2

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.97e-7
AC:
1
AN:
1434202
Hom.:
0
Cov.:
31
AF XY:
0.00000141
AC XY:
1
AN XY:
711050
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32930
American (AMR)
AF:
0.00
AC:
0
AN:
41834
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25626
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38440
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82362
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49298
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5078
European-Non Finnish (NFE)
AF:
9.10e-7
AC:
1
AN:
1099374
Other (OTH)
AF:
0.00
AC:
0
AN:
59260
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.625
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
Cov.:
33
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

ClinVar submissions
Significance:Pathogenic/Likely pathogenic
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
4
-
-
not provided (4)
1
-
-
Hereditary spherocytosis type 2 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.52
CADD
Pathogenic
33
DANN
Benign
0.63
PhyloP100
3.4
Mutation Taster
=0/100
disease causing (ClinVar)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.99
SpliceAI score (max)
0.56
Details are displayed if max score is > 0.2
DS_DG_spliceai
0.56
Position offset: -21
DS_DL_spliceai
0.38
Position offset: 5

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs1555367789; hg19: chr14-65241110; API