18-63901872-G-A

Variant summary

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

The NM_002575.3(SERPINB2):​c.668G>A​(p.Arg223His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000121 in 1,598,134 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000099 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00012 ( 0 hom. )

Consequence

SERPINB2
NM_002575.3 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.247
Variant links:
Genes affected
SERPINB2 (HGNC:8584): (serpin family B member 2) Predicted to enable serine-type endopeptidase inhibitor activity. Predicted to be involved in negative regulation of endopeptidase activity. Predicted to be located in extracellular region and plasma membrane. Predicted to be active in extracellular space. [provided by Alliance of Genome Resources, Apr 2022]

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=0.091499984).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SERPINB2NM_002575.3 linkuse as main transcriptc.668G>A p.Arg223His missense_variant 6/8 ENST00000299502.9
SERPINB2NM_001143818.2 linkuse as main transcriptc.668G>A p.Arg223His missense_variant 7/9
SERPINB2XM_024451192.2 linkuse as main transcriptc.668G>A p.Arg223His missense_variant 6/8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SERPINB2ENST00000299502.9 linkuse as main transcriptc.668G>A p.Arg223His missense_variant 6/81 NM_002575.3 P1
SERPINB2ENST00000457692.5 linkuse as main transcriptc.668G>A p.Arg223His missense_variant 7/95 P1
SERPINB2ENST00000482254.1 linkuse as main transcriptn.624G>A non_coding_transcript_exon_variant 5/65

Frequencies

GnomAD3 genomes
AF:
0.0000986
AC:
15
AN:
152156
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000121
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:
0.000147
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000132
AC:
31
AN:
234808
Hom.:
0
AF XY:
0.000133
AC XY:
17
AN XY:
127384
show subpopulations
Gnomad AFR exome
AF:
0.000131
Gnomad AMR exome
AF:
0.000169
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000255
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000147
Gnomad OTH exome
AF:
0.000177
GnomAD4 exome
AF:
0.000123
AC:
178
AN:
1445860
Hom.:
0
Cov.:
30
AF XY:
0.000132
AC XY:
95
AN XY:
718964
show subpopulations
Gnomad4 AFR exome
AF:
0.0000309
Gnomad4 AMR exome
AF:
0.000174
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000258
Gnomad4 SAS exome
AF:
0.000242
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000132
Gnomad4 OTH exome
AF:
0.0000502
GnomAD4 genome
AF:
0.0000985
AC:
15
AN:
152274
Hom.:
0
Cov.:
32
AF XY:
0.000107
AC XY:
8
AN XY:
74450
show subpopulations
Gnomad4 AFR
AF:
0.000120
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:
0.000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000976
Hom.:
0
Bravo
AF:
0.0000793
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000140
AC:
17

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 GeneticsJun 01, 2023The c.668G>A (p.R223H) alteration is located in exon 7 (coding exon 5) of the SERPINB2 gene. This alteration results from a G to A substitution at nucleotide position 668, causing the arginine (R) at amino acid position 223 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
0.070
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
18
DANN
Uncertain
1.0
DEOGEN2
Benign
0.40
T;T
Eigen
Benign
-0.55
Eigen_PC
Benign
-0.42
FATHMM_MKL
Benign
0.25
N
LIST_S2
Benign
0.75
.;T
M_CAP
Benign
0.0059
T
MetaRNN
Benign
0.091
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
0.46
N;N
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.24
T
PROVEAN
Uncertain
-3.4
D;D
REVEL
Benign
0.045
Sift
Uncertain
0.025
D;D
Sift4G
Uncertain
0.033
D;D
Polyphen
0.037
B;B
Vest4
0.25
MVP
0.040
MPC
0.018
ClinPred
0.072
T
GERP RS
2.0
Varity_R
0.41
gMVP
0.35

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs184826316; hg19: chr18-61569106; COSMIC: COSV55092540; COSMIC: COSV55092540; API