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GeneBe

16-176931-T-C

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM5PP3_Strong

The NM_000558.5(HBA1):c.98T>C(p.Met33Thr) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a pathogenic outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M33K) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 30)
Exomes 𝑓: 0.0000043 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

HBA1
NM_000558.5 missense, splice_region

Scores

2
6
10

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.31
Variant links:
Genes affected
HBA1 (HGNC:4823): (hemoglobin subunit alpha 1) The human alpha globin gene cluster located on chromosome 16 spans about 30 kb and includes seven loci: 5'- zeta - pseudozeta - mu - pseudoalpha-1 - alpha-2 - alpha-1 - theta - 3'. The alpha-2 (HBA2) and alpha-1 (HBA1) coding sequences are identical. These genes differ slightly over the 5' untranslated regions and the introns, but they differ significantly over the 3' untranslated regions. Two alpha chains plus two beta chains constitute HbA, which in normal adult life comprises about 97% of the total hemoglobin; alpha chains combine with delta chains to constitute HbA-2, which with HbF (fetal hemoglobin) makes up the remaining 3% of adult hemoglobin. Alpha thalassemias result from deletions of each of the alpha genes as well as deletions of both HBA2 and HBA1; some nondeletion alpha thalassemias have also been reported. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM5
Other missense variant is known to change same aminoacid residue: Variant chr16-176932-G-A is described in ClinVar as [Likely_pathogenic]. Clinvar id is 3075901.Status of the report is criteria_provided_single_submitter, 1 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.943

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HBA1NM_000558.5 linkuse as main transcriptc.98T>C p.Met33Thr missense_variant, splice_region_variant 2/3 ENST00000320868.9

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HBA1ENST00000320868.9 linkuse as main transcriptc.98T>C p.Met33Thr missense_variant, splice_region_variant 2/31 NM_000558.5 P1
HBA1ENST00000472694.1 linkuse as main transcriptn.234T>C non_coding_transcript_exon_variant 1/21
HBA1ENST00000487791.1 linkuse as main transcriptn.67T>C splice_region_variant, non_coding_transcript_exon_variant 2/21
HBA1ENST00000397797.1 linkuse as main transcriptc.2T>C p.Met1? start_lost, splice_region_variant 2/32

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
1
AN:
148838
Hom.:
0
Cov.:
30
FAILED QC
Gnomad AFR
AF:
0.0000250
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
GnomAD3 exomes
AF:
0.00000770
AC:
1
AN:
129824
Hom.:
0
AF XY:
0.0000142
AC XY:
1
AN XY:
70286
show subpopulations
Gnomad AFR exome
AF:
0.000141
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000433
AC:
4
AN:
924506
Hom.:
0
Cov.:
13
AF XY:
0.00000422
AC XY:
2
AN XY:
473620
show subpopulations
Gnomad4 AFR exome
AF:
0.0000450
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:
0.00000459
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.00000672
AC:
1
AN:
148838
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
72572
show subpopulations
Gnomad4 AFR
AF:
0.0000250
Gnomad4 AMR
AF:
0.00
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:
0.00
Bravo
AF:
0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.087
BayesDel_addAF
Benign
0.0027
T
BayesDel_noAF
Uncertain
0.020
Cadd
Benign
17
Dann
Benign
0.76
DEOGEN2
Benign
0.24
T;.
Eigen
Uncertain
0.44
Eigen_PC
Benign
0.15
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.65
T;D
M_CAP
Pathogenic
0.49
D
MetaRNN
Pathogenic
0.90
D;D
MetaSVM
Uncertain
0.41
D
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-2.1
N;D
REVEL
Uncertain
0.64
Sift
Benign
0.14
T;D
Sift4G
Benign
0.19
T;D
Vest4
0.53
MutPred
0.79
Loss of stability (P = 0.0012);.;
MVP
0.90
ClinPred
0.035
T
GERP RS
0.77
Varity_R
0.54
gMVP
0.95

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: rs281864566; hg19: chr16-226930; API