18-63639286-A-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_002974.4(SERPINB4):​c.667T>A​(p.Leu223Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000171 in 1,460,410 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.000017 ( 0 hom. )

Consequence

SERPINB4
NM_002974.4 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0590
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 Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.14483607).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINB4NM_002974.4 linkuse as main transcriptc.667T>A p.Leu223Met missense_variant 7/8 ENST00000341074.10 NP_002965.1
SERPINB4XM_011526138.2 linkuse as main transcriptc.667T>A p.Leu223Met missense_variant 7/8 XP_011524440.1 P48594
SERPINB4NM_175041.2 linkuse as main transcriptc.613-9T>A intron_variant NP_778206.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINB4ENST00000341074.10 linkuse as main transcriptc.667T>A p.Leu223Met missense_variant 7/81 NM_002974.4 ENSP00000343445.5 P48594
SERPINB4ENST00000413673.5 linkuse as main transcriptc.616-9T>A intron_variant 1 ENSP00000398645.1 H0Y5H9
SERPINB4ENST00000436264.1 linkuse as main transcriptc.538T>A p.Leu180Met missense_variant 6/65 ENSP00000399796.1 C9JZ65

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000998
AC:
25
AN:
250582
Hom.:
0
AF XY:
0.0000665
AC XY:
9
AN XY:
135418
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000726
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
AF:
0.0000171
AC:
25
AN:
1460410
Hom.:
0
Cov.:
31
AF XY:
0.0000151
AC XY:
11
AN XY:
726492
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000538
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:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
32
Alfa
AF:
0.0000434
Hom.:
0
Bravo
AF:
0.000102
ExAC
AF:
0.0000659
AC:
8

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 GeneticsAug 02, 2022The c.667T>A (p.L223M) alteration is located in exon 7 (coding exon 6) of the SERPINB4 gene. This alteration results from a T to A substitution at nucleotide position 667, causing the leucine (L) at amino acid position 223 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
0.10
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
12
DANN
Uncertain
0.99
DEOGEN2
Benign
0.10
T;.
Eigen
Benign
-0.43
Eigen_PC
Benign
-0.61
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.060
T;T
M_CAP
Benign
0.030
D
MetaRNN
Benign
0.14
T;T
MetaSVM
Benign
-0.38
T
MutationAssessor
Benign
1.7
L;.
PROVEAN
Benign
0.19
N;N
REVEL
Benign
0.24
Sift
Benign
0.12
T;T
Sift4G
Benign
0.076
T;.
Polyphen
0.80
P;.
Vest4
0.23
MutPred
0.54
Loss of stability (P = 0.0502);.;
MVP
0.20
MPC
0.023
ClinPred
0.16
T
GERP RS
2.4
Varity_R
0.084
gMVP
0.18

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs755158767; hg19: chr18-61306520; API