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GeneBe

18-63499160-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_002639.5(SERPINB5):c.608C>T(p.Thr203Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000567 in 1,587,054 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000056 ( 0 hom. )

Consequence

SERPINB5
NM_002639.5 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.42
Variant links:
Genes affected
SERPINB5 (HGNC:8949): (serpin family B member 5) Predicted to enable serine-type endopeptidase inhibitor activity. Predicted to be involved in negative regulation of endopeptidase activity. Predicted to act upstream of or within several processes, including extracellular matrix organization; prostate gland morphogenesis; and regulation of epithelial cell proliferation. Located in cytoplasm. Biomarker of hepatocellular carcinoma. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.31816047).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SERPINB5NM_002639.5 linkuse as main transcriptc.608C>T p.Thr203Met missense_variant 6/7 ENST00000382771.9
SERPINB5XM_006722483.4 linkuse as main transcriptc.95C>T p.Thr32Met missense_variant 3/4

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SERPINB5ENST00000382771.9 linkuse as main transcriptc.608C>T p.Thr203Met missense_variant 6/71 NM_002639.5 P1P36952-1
SERPINB5ENST00000464346.1 linkuse as main transcriptn.290C>T non_coding_transcript_exon_variant 3/43
SERPINB5ENST00000465652.5 linkuse as main transcriptn.281C>T non_coding_transcript_exon_variant 3/43

Frequencies

GnomAD3 genomes
AF:
0.00000659
AC:
1
AN:
151760
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000242
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:
0.0000128
AC:
3
AN:
235148
Hom.:
0
AF XY:
0.0000235
AC XY:
3
AN XY:
127602
show subpopulations
Gnomad AFR exome
AF:
0.0000656
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:
0.0000186
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000557
AC:
8
AN:
1435294
Hom.:
0
Cov.:
31
AF XY:
0.00000280
AC XY:
2
AN XY:
713508
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:
0.0000122
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000638
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000659
AC:
1
AN:
151760
Hom.:
0
Cov.:
31
AF XY:
0.0000135
AC XY:
1
AN XY:
74092
show subpopulations
Gnomad4 AFR
AF:
0.0000242
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
ExAC
AF:
0.00000824
AC:
1

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 GeneticsDec 14, 2022The c.608C>T (p.T203M) alteration is located in exon 6 (coding exon 5) of the SERPINB5 gene. This alteration results from a C to T substitution at nucleotide position 608, causing the threonine (T) at amino acid position 203 to be replaced by a methionine (M). 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
0.16
BayesDel_addAF
Uncertain
0.070
D
BayesDel_noAF
Benign
-0.14
Cadd
Benign
19
Dann
Uncertain
0.98
DEOGEN2
Benign
0.25
T
Eigen
Benign
-0.17
Eigen_PC
Benign
-0.14
FATHMM_MKL
Benign
0.70
D
LIST_S2
Benign
0.82
T
M_CAP
Uncertain
0.092
D
MetaRNN
Benign
0.32
T
MetaSVM
Benign
-0.34
T
MutationAssessor
Benign
2.0
M
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-0.72
N
REVEL
Uncertain
0.51
Sift
Benign
0.042
D
Sift4G
Benign
0.061
T
Polyphen
0.27
B
Vest4
0.22
MutPred
0.54
Gain of catalytic residue at T203 (P = 0.0091);
MVP
0.91
MPC
0.13
ClinPred
0.67
D
GERP RS
4.2
Varity_R
0.18
gMVP
0.70

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: rs746448260; hg19: chr18-61166393; API