2-127427194-T-C

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000312.4(PROC):ā€‹c.768T>Cā€‹(p.Asp256=) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.31 in 1,612,832 control chromosomes in the GnomAD database, including 81,068 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.30 ( 7054 hom., cov: 33)
Exomes š‘“: 0.31 ( 74014 hom. )

Consequence

PROC
NM_000312.4 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts U:1B:7

Conservation

PhyloP100: -1.57
Variant links:
Genes affected
PROC (HGNC:9451): (protein C, inactivator of coagulation factors Va and VIIIa) This gene encodes a vitamin K-dependent plasma glycoprotein. The encoded protein is cleaved to its activated form by the thrombin-thrombomodulin complex. This activated form contains a serine protease domain and functions in degradation of the activated forms of coagulation factors V and VIII. Mutations in this gene have been associated with thrombophilia due to protein C deficiency, neonatal purpura fulminans, and recurrent venous thrombosis.[provided by RefSeq, Dec 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BP6
Variant 2-127427194-T-C is Benign according to our data. Variant chr2-127427194-T-C is described in ClinVar as [Benign]. Clinvar id is 255810.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-127427194-T-C is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=-1.57 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.318 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PROCNM_000312.4 linkuse as main transcriptc.768T>C p.Asp256= synonymous_variant 8/9 ENST00000234071.8 NP_000303.1
LOC105373608XR_007087228.1 linkuse as main transcriptn.2111A>G non_coding_transcript_exon_variant 2/2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PROCENST00000234071.8 linkuse as main transcriptc.768T>C p.Asp256= synonymous_variant 8/91 NM_000312.4 ENSP00000234071 P1P04070-1
PROCENST00000409048.1 linkuse as main transcriptc.870T>C p.Asp290= synonymous_variant 6/75 ENSP00000386679
PROCENST00000402125.2 linkuse as main transcriptc.121-1163T>C intron_variant 2 ENSP00000384225

Frequencies

GnomAD3 genomes
AF:
0.298
AC:
45331
AN:
151956
Hom.:
7058
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.323
Gnomad AMI
AF:
0.351
Gnomad AMR
AF:
0.231
Gnomad ASJ
AF:
0.343
Gnomad EAS
AF:
0.00424
Gnomad SAS
AF:
0.280
Gnomad FIN
AF:
0.285
Gnomad MID
AF:
0.351
Gnomad NFE
AF:
0.321
Gnomad OTH
AF:
0.299
GnomAD3 exomes
AF:
0.272
AC:
67954
AN:
249518
Hom.:
10536
AF XY:
0.278
AC XY:
37537
AN XY:
135024
show subpopulations
Gnomad AFR exome
AF:
0.324
Gnomad AMR exome
AF:
0.170
Gnomad ASJ exome
AF:
0.348
Gnomad EAS exome
AF:
0.00202
Gnomad SAS exome
AF:
0.283
Gnomad FIN exome
AF:
0.286
Gnomad NFE exome
AF:
0.327
Gnomad OTH exome
AF:
0.288
GnomAD4 exome
AF:
0.312
AC:
455241
AN:
1460758
Hom.:
74014
Cov.:
38
AF XY:
0.312
AC XY:
226373
AN XY:
726682
show subpopulations
Gnomad4 AFR exome
AF:
0.324
Gnomad4 AMR exome
AF:
0.176
Gnomad4 ASJ exome
AF:
0.348
Gnomad4 EAS exome
AF:
0.00154
Gnomad4 SAS exome
AF:
0.292
Gnomad4 FIN exome
AF:
0.295
Gnomad4 NFE exome
AF:
0.330
Gnomad4 OTH exome
AF:
0.300
GnomAD4 genome
AF:
0.298
AC:
45340
AN:
152074
Hom.:
7054
Cov.:
33
AF XY:
0.291
AC XY:
21662
AN XY:
74352
show subpopulations
Gnomad4 AFR
AF:
0.322
Gnomad4 AMR
AF:
0.231
Gnomad4 ASJ
AF:
0.343
Gnomad4 EAS
AF:
0.00425
Gnomad4 SAS
AF:
0.280
Gnomad4 FIN
AF:
0.285
Gnomad4 NFE
AF:
0.321
Gnomad4 OTH
AF:
0.296
Alfa
AF:
0.306
Hom.:
13114
Bravo
AF:
0.295
Asia WGS
AF:
0.136
AC:
476
AN:
3478
EpiCase
AF:
0.318
EpiControl
AF:
0.321

ClinVar

Significance: Benign
Submissions summary: Uncertain:1Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Uncertain significance, no assertion criteria providedclinical testingDepartment of Pathology and Laboratory Medicine, Sinai Health System-Allele frequency is common in at least one population database (frequency: 34.828% in gnomAD_ExomesFounderPop) based on the frequency threshold of 0.555% for this gene. Variant was observed in a homozygous state in population databases more than expected for disease. A synonymous variant not located in a splice region. -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018- -
Thrombophilia due to protein C deficiency, autosomal dominant Benign:3
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabOct 25, 2021- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Thrombophilia due to protein C deficiency, autosomal recessive Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabOct 25, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
0.94
DANN
Benign
0.68
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs5937; hg19: chr2-128184770; COSMIC: COSV52167368; COSMIC: COSV52167368; API