14-94309892-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001756.4(SERPINA6):ā€‹c.728T>Cā€‹(p.Leu243Pro) variant causes a missense change. The variant allele was found at a frequency of 0.000000684 in 1,461,886 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 6.8e-7 ( 0 hom. )

Consequence

SERPINA6
NM_001756.4 missense

Scores

3
9
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.60
Variant links:
Genes affected
SERPINA6 (HGNC:1540): (serpin family A member 6) 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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.893

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINA6NM_001756.4 linkuse as main transcriptc.728T>C p.Leu243Pro missense_variant 3/5 ENST00000341584.4 NP_001747.3 P08185A0A2Z4LCH4
SERPINA6XM_047431827.1 linkuse as main transcriptc.899T>C p.Leu300Pro missense_variant 3/5 XP_047287783.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINA6ENST00000341584.4 linkuse as main transcriptc.728T>C p.Leu243Pro missense_variant 3/51 NM_001756.4 ENSP00000342850.3 P08185
SERPINA6ENST00000555056.1 linkuse as main transcriptn.*40T>C non_coding_transcript_exon_variant 3/52 ENSP00000451045.1 G3V350
SERPINA6ENST00000555056.1 linkuse as main transcriptn.*40T>C 3_prime_UTR_variant 3/52 ENSP00000451045.1 G3V350

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251344
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135838
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461886
Hom.:
0
Cov.:
39
AF XY:
0.00000138
AC XY:
1
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
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:
8.99e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

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

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 07, 2024The c.728T>C (p.L243P) alteration is located in exon 3 (coding exon 2) of the SERPINA6 gene. This alteration results from a T to C substitution at nucleotide position 728, causing the leucine (L) at amino acid position 243 to be replaced by a proline (P). 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
Pathogenic
0.86
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Uncertain
0.060
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.75
D
Eigen
Benign
-0.18
Eigen_PC
Benign
-0.25
FATHMM_MKL
Benign
0.24
N
M_CAP
Uncertain
0.17
D
MetaRNN
Pathogenic
0.89
D
MetaSVM
Uncertain
0.069
D
MutationAssessor
Uncertain
2.7
M
PrimateAI
Benign
0.32
T
PROVEAN
Uncertain
-3.8
D
REVEL
Uncertain
0.52
Sift
Uncertain
0.0010
D
Sift4G
Benign
0.17
T
Polyphen
0.15
B
Vest4
0.60
MutPred
0.68
Loss of stability (P = 0.0038);
MVP
0.89
MPC
0.63
ClinPred
0.94
D
GERP RS
5.3
Varity_R
0.88
gMVP
0.73

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs1368821406; hg19: chr14-94776229; API