18-63954463-A-T

Variant summary

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

The NM_001123366.2(HMSD):​c.128A>T​(p.Gln43Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000684 in 1,461,128 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)
Exomes 𝑓: 6.8e-7 ( 0 hom. )

Consequence

HMSD
NM_001123366.2 missense

Scores

2
5
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.41
Variant links:
Genes affected
HMSD (HGNC:23037): (histocompatibility minor serpin domain containing) This gene encodes a serpin-domain containing protein that may function as a serine protease inhibitor. This gene is primarily expressed in cells of myeloid lineage. A polymorphism in this gene may result in the expression a splice variant that encodes a minor histocompatibility antigen. [provided by RefSeq, Oct 2010]

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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
HMSDNM_001123366.2 linkuse as main transcriptc.128A>T p.Gln43Leu missense_variant 3/4 ENST00000408945.5 NP_001116838.1 A8MTL9-1
HMSDXM_017025710.2 linkuse as main transcriptc.128A>T p.Gln43Leu missense_variant 3/5 XP_016881199.1
HMSDXM_011525930.3 linkuse as main transcriptc.128A>T p.Gln43Leu missense_variant 3/5 XP_011524232.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HMSDENST00000408945.5 linkuse as main transcriptc.128A>T p.Gln43Leu missense_variant 3/43 NM_001123366.2 ENSP00000386207.3 A8MTL9-1
HMSDENST00000526932.1 linkuse as main transcriptc.25A>T p.Ser9Cys missense_variant 1/23 ENSP00000431632.1 P0C7T4-1
HMSDENST00000481726.1 linkuse as main transcriptn.100A>T non_coding_transcript_exon_variant 2/65

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD3 exomes
AF:
0.00000402
AC:
1
AN:
249030
Hom.:
0
AF XY:
0.00000739
AC XY:
1
AN XY:
135332
show subpopulations
Gnomad AFR exome
AF:
0.00
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:
0.00
Gnomad OTH exome
AF:
0.000165
GnomAD4 exome
AF:
6.84e-7
AC:
1
AN:
1461128
Hom.:
0
Cov.:
29
AF XY:
0.00000138
AC XY:
1
AN XY:
726910
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
Cov.:
33
Bravo
AF:
0.0000302

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 GeneticsMar 25, 2024The c.128A>T (p.Q43L) alteration is located in exon 3 (coding exon 2) of the HMSD gene. This alteration results from a A to T substitution at nucleotide position 128, causing the glutamine (Q) at amino acid position 43 to be replaced by a leucine (L). 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
0.29
BayesDel_addAF
Uncertain
0.077
D
BayesDel_noAF
Benign
-0.13
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.38
T
Eigen
Benign
-0.090
Eigen_PC
Benign
-0.24
FATHMM_MKL
Benign
0.72
D
LIST_S2
Uncertain
0.94
D
M_CAP
Benign
0.012
T
MetaRNN
Uncertain
0.57
D
MetaSVM
Benign
-0.82
T
MutationAssessor
Pathogenic
3.1
M
PrimateAI
Benign
0.31
T
PROVEAN
Pathogenic
-6.2
D
REVEL
Uncertain
0.38
Sift
Benign
0.048
D
Sift4G
Benign
0.071
T
Polyphen
0.83
P
Vest4
0.40
MutPred
0.52
Gain of catalytic residue at S44 (P = 0.0565);
MVP
0.63
MPC
0.61
ClinPred
0.94
D
GERP RS
3.2
Varity_R
0.29
gMVP
0.34

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.14
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: rs891964366; hg19: chr18-61621697; API