18-63637976-T-G

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_002974.4(SERPINB4):ā€‹c.916A>Cā€‹(p.Asn306His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00017 in 1,613,542 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00019 ( 1 hom., cov: 31)
Exomes š‘“: 0.00017 ( 0 hom. )

Consequence

SERPINB4
NM_002974.4 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.24
Variant links:
Genes affected
SERPINB4 (HGNC:10570): (serpin family B member 4) The protein encoded by this gene is a member of the serpin family of serine protease inhibitors. The encoded protein is highly expressed in many tumor cells and can inactivate granzyme M, an enzyme that kills tumor cells. This protein, along with serpin B3, can be processed into smaller fragments that aggregate to form an autoantigen in psoriasis, probably by causing chronic inflammation. [provided by RefSeq, Jan 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.00910148).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINB4NM_002974.4 linkuse as main transcriptc.916A>C p.Asn306His missense_variant 8/8 ENST00000341074.10 NP_002965.1
SERPINB4NM_175041.2 linkuse as main transcriptc.853A>C p.Asn285His missense_variant 8/8 NP_778206.1
SERPINB4XM_011526138.2 linkuse as main transcriptc.916A>C p.Asn306His missense_variant 8/8 XP_011524440.1 P48594

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINB4ENST00000341074.10 linkuse as main transcriptc.916A>C p.Asn306His missense_variant 8/81 NM_002974.4 ENSP00000343445.5 P48594
SERPINB4ENST00000413673.5 linkuse as main transcriptc.856A>C p.Asn286His missense_variant 7/71 ENSP00000398645.1 H0Y5H9

Frequencies

GnomAD3 genomes
AF:
0.000191
AC:
29
AN:
152068
Hom.:
1
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00807
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:
0.000478
GnomAD3 exomes
AF:
0.000319
AC:
80
AN:
251096
Hom.:
0
AF XY:
0.000287
AC XY:
39
AN XY:
135698
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00655
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000705
Gnomad OTH exome
AF:
0.000980
GnomAD4 exome
AF:
0.000168
AC:
246
AN:
1461474
Hom.:
0
Cov.:
31
AF XY:
0.000164
AC XY:
119
AN XY:
727052
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00697
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000297
Gnomad4 OTH exome
AF:
0.000513
GnomAD4 genome
AF:
0.000191
AC:
29
AN:
152068
Hom.:
1
Cov.:
31
AF XY:
0.000148
AC XY:
11
AN XY:
74284
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00807
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.000478
Alfa
AF:
0.00103
Hom.:
0
Bravo
AF:
0.000185
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000296
AC:
36
EpiCase
AF:
0.000109
EpiControl
AF:
0.000237

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 GeneticsFeb 16, 2023The c.916A>C (p.N306H) alteration is located in exon 8 (coding exon 7) of the SERPINB4 gene. This alteration results from a A to C substitution at nucleotide position 916, causing the asparagine (N) at amino acid position 306 to be replaced by a histidine (H). 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
0.18
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
12
DANN
Benign
0.95
DEOGEN2
Benign
0.18
T
Eigen
Benign
-0.67
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.20
N
LIST_S2
Benign
0.17
T
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.0091
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.53
N
PROVEAN
Benign
-1.7
N
REVEL
Benign
0.20
Sift
Benign
0.032
D
Sift4G
Uncertain
0.020
D
Polyphen
0.0010
B
Vest4
0.076
MVP
0.43
MPC
0.0098
ClinPred
0.023
T
GERP RS
2.7
Varity_R
0.067
gMVP
0.25

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: rs199573595; hg19: chr18-61305210; API