18-63639643-C-G

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_002974.4(SERPINB4):ā€‹c.603G>Cā€‹(p.Trp201Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000256 in 1,600,320 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00016 ( 0 hom., cov: 32)
Exomes š‘“: 0.000011 ( 0 hom. )

Consequence

SERPINB4
NM_002974.4 missense

Scores

1
11
6

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.902
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 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINB4NM_002974.4 linkc.603G>C p.Trp201Cys missense_variant 6/8 ENST00000341074.10 NP_002965.1
SERPINB4NM_175041.2 linkc.603G>C p.Trp201Cys missense_variant 6/8 NP_778206.1
SERPINB4XM_011526138.2 linkc.603G>C p.Trp201Cys missense_variant 6/8 XP_011524440.1 P48594

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINB4ENST00000341074.10 linkc.603G>C p.Trp201Cys missense_variant 6/81 NM_002974.4 ENSP00000343445.5 P48594
SERPINB4ENST00000413673.5 linkc.606G>C p.Trp202Cys missense_variant 5/71 ENSP00000398645.1 H0Y5H9
SERPINB4ENST00000436264.1 linkc.474G>C p.Trp158Cys missense_variant 5/65 ENSP00000399796.1 C9JZ65

Frequencies

GnomAD3 genomes
AF:
0.000164
AC:
25
AN:
152002
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000604
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:
0.0000523
AC:
13
AN:
248786
Hom.:
0
AF XY:
0.0000371
AC XY:
5
AN XY:
134838
show subpopulations
Gnomad AFR exome
AF:
0.000632
Gnomad AMR exome
AF:
0.0000878
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:
0.0000110
AC:
16
AN:
1448318
Hom.:
0
Cov.:
29
AF XY:
0.00000970
AC XY:
7
AN XY:
721366
show subpopulations
Gnomad4 AFR exome
AF:
0.000333
Gnomad4 AMR exome
AF:
0.0000902
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:
0.0000167
GnomAD4 genome
AF:
0.000164
AC:
25
AN:
152002
Hom.:
0
Cov.:
32
AF XY:
0.000108
AC XY:
8
AN XY:
74236
show subpopulations
Gnomad4 AFR
AF:
0.000604
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:
0.000181
ExAC
AF:
0.0000495
AC:
6

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 22, 2023The c.603G>C (p.W201C) alteration is located in exon 6 (coding exon 5) of the SERPINB4 gene. This alteration results from a G to C substitution at nucleotide position 603, causing the tryptophan (W) at amino acid position 201 to be replaced by a cysteine (C). 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
Uncertain
0.47
BayesDel_addAF
Benign
-0.22
T
BayesDel_noAF
Benign
-0.21
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Uncertain
0.43
T;.
Eigen
Uncertain
0.42
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Benign
0.27
N
LIST_S2
Uncertain
0.94
D;D
M_CAP
Benign
0.050
D
MetaRNN
Uncertain
0.47
T;T
MetaSVM
Uncertain
-0.086
T
MutationAssessor
Uncertain
2.6
M;.
PROVEAN
Pathogenic
-11
D;D
REVEL
Uncertain
0.33
Sift
Uncertain
0.0020
D;D
Sift4G
Benign
0.18
T;.
Polyphen
1.0
D;.
Vest4
0.39
MutPred
0.61
Loss of MoRF binding (P = 0.0295);.;
MVP
0.53
MPC
0.057
ClinPred
0.75
D
GERP RS
4.5
Varity_R
0.29
gMVP
0.44

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: rs140456610; hg19: chr18-61306877; API