2-233772413-T-G
Position:
Variant summary
Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM2PP5_Very_Strong
The ENST00000373409.8(UGT1A4):c.1459T>G(p.Tyr487Asp) variant causes a missense change. The variant allele was found at a frequency of 0.0000985 in 1,614,182 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. Y487Y) has been classified as Likely benign.
Frequency
Genomes: 𝑓 0.00014 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000094 ( 0 hom. )
Consequence
UGT1A4
ENST00000373409.8 missense
ENST00000373409.8 missense
Scores
9
9
1
Clinical Significance
Conservation
PhyloP100: 5.97
Genes affected
UGT1A4 (HGNC:12536): (UDP glucuronosyltransferase family 1 member A4) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. This enzyme has some glucuronidase activity towards bilirubin, although is is more active on amines, steroids, and sapogenins. [provided by RefSeq, Jul 2008]
UGT1A5 (HGNC:12537): (UDP glucuronosyltransferase family 1 member A5) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. [provided by RefSeq, Jul 2008]
UGT1A3 (HGNC:12535): (UDP glucuronosyltransferase family 1 member A3) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. Substrates of this enzyme include estrone, 2-hydroxyestrone, and metabolites of benzo alpha-pyrene. [provided by RefSeq, Jul 2008]
UGT1A1 (HGNC:12530): (UDP glucuronosyltransferase family 1 member A1) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. The preferred substrate of this enzyme is bilirubin, although it also has moderate activity with simple phenols, flavones, and C18 steroids. Mutations in this gene result in Crigler-Najjar syndromes types I and II and in Gilbert syndrome. [provided by RefSeq, Jul 2008]
UGT1A6 (HGNC:12538): (UDP glucuronosyltransferase family 1 member A6) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. The enzyme encoded by this gene is active on phenolic and planar compounds. Alternative splicing in the unique 5' end of this gene results in two transcript variants. [provided by RefSeq, Jul 2008]
UGT1A10 (HGNC:12531): (UDP glucuronosyltransferase family 1 member A10) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. The enzyme encoded by this gene has glucuronidase activity on mycophenolic acid, coumarins, and quinolines. [provided by RefSeq, Jul 2008]
UGT1A8 (HGNC:12540): (UDP glucuronosyltransferase family 1 member A8) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. The enzyme encoded by this gene has glucuronidase activity with many substrates including coumarins, phenols, anthraquinones, flavones, and some opioids. [provided by RefSeq, Jul 2008]
UGT1A7 (HGNC:12539): (UDP glucuronosyltransferase family 1 member A7) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. The enzyme encoded by this gene has moderate glucuronidase activity with phenols. [provided by RefSeq, Jul 2008]
UGT1A9 (HGNC:12541): (UDP glucuronosyltransferase family 1 member A9) This gene encodes a UDP-glucuronosyltransferase, an enzyme of the glucuronidation pathway that transforms small lipophilic molecules, such as steroids, bilirubin, hormones, and drugs, into water-soluble, excretable metabolites. This gene is part of a complex locus that encodes several UDP-glucuronosyltransferases. The locus includes thirteen unique alternate first exons followed by four common exons. Four of the alternate first exons are considered pseudogenes. Each of the remaining nine 5' exons may be spliced to the four common exons, resulting in nine proteins with different N-termini and identical C-termini. Each first exon encodes the substrate binding site, and is regulated by its own promoter. The enzyme encoded by this gene is active on phenols. [provided by RefSeq, Jul 2008]
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ACMG classification
Classification made for transcript
Verdict is Pathogenic. Variant got 10 ACMG points.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-233772413-T-G is Pathogenic according to our data. Variant chr2-233772413-T-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 12281.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-233772413-T-G is described in Lovd as [Pathogenic]. Variant chr2-233772413-T-G is described in Lovd as [Likely_pathogenic]. Variant chr2-233772413-T-G is described in Lovd as [Likely_benign]. Variant chr2-233772413-T-G is described in Lovd as [Pathogenic].
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
UGT1A4 | NM_007120.3 | c.1459T>G | p.Tyr487Asp | missense_variant | 5/5 | ENST00000373409.8 | NP_009051.1 | |
UGT1A5 | NM_019078.2 | c.1459T>G | p.Tyr487Asp | missense_variant | 5/5 | ENST00000373414.4 | NP_061951.1 | |
UGT1A3 | NM_019093.4 | c.1459T>G | p.Tyr487Asp | missense_variant | 5/5 | ENST00000482026.6 | NP_061966.1 | |
UGT1A1 | NM_000463.3 | c.1456T>G | p.Tyr486Asp | missense_variant | 5/5 | ENST00000305208.10 | NP_000454.1 | |
UGT1A6 | NM_001072.4 | c.1453T>G | p.Tyr485Asp | missense_variant | 5/5 | ENST00000305139.11 | NP_001063.2 | |
UGT1A10 | NM_019075.4 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | ENST00000344644.10 | NP_061948.1 | |
UGT1A8 | NM_019076.5 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | ENST00000373450.5 | NP_061949.3 | |
UGT1A7 | NM_019077.3 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | ENST00000373426.4 | NP_061950.2 | |
UGT1A9 | NM_021027.3 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | ENST00000354728.5 | NP_066307.1 |
Ensembl
Gene | Transcript | HGVSc | HGVSp | Effect | #exon/exons | TSL | MANE | Protein | Appris | UniProt |
---|---|---|---|---|---|---|---|---|---|---|
UGT1A4 | ENST00000373409.8 | c.1459T>G | p.Tyr487Asp | missense_variant | 5/5 | 1 | NM_007120.3 | ENSP00000362508 | P1 | |
UGT1A5 | ENST00000373414.4 | c.1459T>G | p.Tyr487Asp | missense_variant | 5/5 | 1 | NM_019078.2 | ENSP00000362513 | P1 | |
UGT1A3 | ENST00000482026.6 | c.1459T>G | p.Tyr487Asp | missense_variant | 5/5 | 1 | NM_019093.4 | ENSP00000418532 | P1 | |
UGT1A1 | ENST00000305208.10 | c.1456T>G | p.Tyr486Asp | missense_variant | 5/5 | 1 | NM_000463.3 | ENSP00000304845 | P1 | |
UGT1A6 | ENST00000305139.11 | c.1453T>G | p.Tyr485Asp | missense_variant | 5/5 | 1 | NM_001072.4 | ENSP00000303174 | P1 | |
UGT1A10 | ENST00000344644.10 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | 1 | NM_019075.4 | ENSP00000343838 | P1 | |
UGT1A9 | ENST00000354728.5 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | 1 | NM_021027.3 | ENSP00000346768 | P1 | |
UGT1A7 | ENST00000373426.4 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | 1 | NM_019077.3 | ENSP00000362525 | P1 | |
UGT1A8 | ENST00000373450.5 | c.1447T>G | p.Tyr483Asp | missense_variant | 5/5 | 1 | NM_019076.5 | ENSP00000362549 | P1 |
Frequencies
GnomAD3 genomes AF: 0.000138 AC: 21AN: 152170Hom.: 0 Cov.: 32
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GnomAD3 exomes AF: 0.000223 AC: 56AN: 251172Hom.: 0 AF XY: 0.000228 AC XY: 31AN XY: 135804
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GnomAD4 exome AF: 0.0000944 AC: 138AN: 1461894Hom.: 0 Cov.: 33 AF XY: 0.000103 AC XY: 75AN XY: 727248
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GnomAD4 genome AF: 0.000138 AC: 21AN: 152288Hom.: 0 Cov.: 32 AF XY: 0.000175 AC XY: 13AN XY: 74472
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ClinVar
Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:14
Revision: criteria provided, multiple submitters, no conflicts
LINK: link
Submissions by phenotype
Crigler-Najjar syndrome, type II Pathogenic:4
Pathogenic, criteria provided, single submitter | clinical testing | 3billion | Jan 03, 2022 | Same nucleotide change resulting in same amino acid change has been previously reported as pathogenic/likely pathogenic with strong evidence (ClinVar ID: VCV000012281, PMID:8280139, PS1_S). The variant has been reported to be in trans with a pathogenic variant as either compound heterozygous or homozygous in at least one similarly affected unrelated individual (PMID: 25993113, PM3_M). It was co-segregated with Crigler-Najjar syndrome, type II in multiple affected family members (PP1_P). Functional studies provide moderate evidence of the variant having a damaging effect on the gene or gene product(PMID: 18004206, PS3_M). In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.894, PP3_P). A missense variant is a common mechanism associated with Crigler-Najjar syndrome (PP2_P). It is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.000216, PM2_M).herefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline. - |
Likely pathogenic, criteria provided, single submitter | clinical testing | Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine | Jun 09, 2020 | The p.Tyr486Asp variant in UGT1A1 (variant also known as UGT1A1*7) has been reported in the homozygous or compound heterogygous state in numerous individuals with Gilbert syndrome or Crigler-Najjar syndrome type II (Maruo 2000 PMID: 11061796, Kraemer 2002 PMID: 11983459, Takeuchi 2004 PMID: 15304120, Maruo 2016 PMID: 26250421, Sun 2017 PMID 29137095). The majority of p.Tyr486Asp homozygous individuals with Gilbert syndrome or Crigler-Najjar syndrome type II also carry the p.Gly71Arg variant in the heterozygous or homozygous state. This variant has also been reported in ClinVar (Variation ID 12281). It has been identified in 0.1% (36/19954) of East Asian chromosomes by gnomAD (https://gnomad.broadinstitute.org/). Computational prediction tools and conservation analyses suggest that this variant may impact the protein, though this information is not predictive enough to determine pathogenicity. In vitro functional studies provide some evidence that this variant impacts protein function (Takahashi 2008 PMID: 18816295, Gagne 2002 PMID: 12181437, Jinno 2003 PMID: 12485959); however, these types of assays may not accurately represent biological function. In summary, although additional studies are required to fully establish its clinical significance, this variant meets criteria to be classified as likely pathogenic for autosomal recessive Crigler-Najjar syndrome type II. ACMG/AMP Criteria applied: PS3_Moderate, PM2_Supporting, PP3, PM3_Strong. - |
Pathogenic, criteria provided, single submitter | clinical testing | Neuberg Centre For Genomic Medicine, NCGM | - | The p.Tyr486Asp variant in UGT1A1 (NM_000463.3) has been reported in the homozygous or compound heterogygous state in numerous individuals with Gilbert syndrome or Crigler-Najjar syndrome type II (Maruo et al, 2000). Functional studies have reported a reduction in enzyme activity (Udomuksorn W et al). It has been submitted to ClinVar as a Pathogenic/Likely Pathogenic variant. The p.Y486D variant is observed at a relatively high frequency in 32/18,394 (0.174%) alleles from individuals of East Asian background in gnomAD Exomes and in 3/1,008 (0.2976%) alleles from individuals of East Asian background in 1000 Genomes. The p.Y486D missense variant is predicted to be damaging by both SIFT and PolyPhen2. The tyrosine residue at codon 486 of UGT1A1 is conserved in all mammalian species. The nucleotide c.1456 in UGT1A1 is predicted conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Pathogenic - |
Pathogenic, no assertion criteria provided | literature only | OMIM | Dec 01, 2007 | - - |
not provided Pathogenic:3
Pathogenic, criteria provided, single submitter | clinical testing | ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories | Jul 26, 2019 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Mayo Clinic Laboratories, Mayo Clinic | Jul 19, 2022 | PP3, PP5, PM1, PS3, PS4_moderate - |
Pathogenic, criteria provided, single submitter | clinical testing | Labcorp Genetics (formerly Invitae), Labcorp | Dec 07, 2023 | This sequence change replaces tyrosine, which is neutral and polar, with aspartic acid, which is acidic and polar, at codon 486 of the UGT1A1 protein (p.Tyr486Asp). This variant is present in population databases (rs34993780, gnomAD 0.2%). This variant has been observed in individual(s) with hyperbilirubinemia. Individuals homozygous for this variant present with Gilbert syndrome or Crigler-Najjar syndrome type II (PMID: 18419642, 22169899, 29137095). This variant is sometimes seen on the same chromosome (in cis) with p.Gly71Arg in some individuals affected with Crigler-Najjar syndrome type II (PMID: 9630669, 21297505, 21319362, 24749086). This variant is also known as UGT1A1*7. ClinVar contains an entry for this variant (Variation ID: 12281). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt UGT1A1 protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects UGT1A1 function (PMID: 12181437). For these reasons, this variant has been classified as Pathogenic. - |
Crigler-Najjar syndrome type 1;C0017551:Gilbert syndrome;C0270210:Lucey-Driscoll syndrome;C1866173:Bilirubin, serum level of, quantitative trait locus 1;C2931132:Crigler-Najjar syndrome, type II Pathogenic:2
Likely pathogenic, criteria provided, single submitter | clinical testing | Fulgent Genetics, Fulgent Genetics | Oct 31, 2018 | - - |
Pathogenic, criteria provided, single submitter | clinical testing | Juno Genomics, Hangzhou Juno Genomics, Inc | - | PM3_VeryStrong+PP1+PS3 - |
Lucey-Driscoll syndrome Pathogenic:1
Pathogenic, no assertion criteria provided | literature only | OMIM | Dec 01, 2007 | - - |
Gilbert syndrome Pathogenic:1
Pathogenic, no assertion criteria provided | case-control | Difficult and Complicated Liver Diseases and Artificial Liver Center, Beijing You An Hospital, Capital Medical University | May 01, 2019 | - - |
UGT1A1-related disorder Pathogenic:1
Pathogenic, no assertion criteria provided | clinical testing | PreventionGenetics, part of Exact Sciences | Aug 08, 2024 | The UGT1A1 c.1456T>G variant is predicted to result in the amino acid substitution p.Tyr486Asp. This variant has been reported to be causative for Crigler-Najjar syndrome or Gilbert syndrome when present in the homozygous state. Functional studies showed that the substitution p.Tyr486Asp dramatically reduced UGT1A1 enzyme activity (see, for example, Aono et al. 1993. PubMed ID: 8280139; Yamamoto et al. 1998. PubMed ID: 9630669; Nakagawa et al. 2012. PubMed ID: 23279026; Gagné et al. 2002. PubMed ID: 12181437). This variant has also been found to be causative for Crigler-Najjar syndrome type II in the compound heterozygous state (Luo et al. 2023. PubMed ID: 37137832). This variant is reported in 0.18% of alleles in individuals of East Asian descent in gnomAD. This variant is interpreted as pathogenic. - |
Hyperbilirubinemia Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Genetic Services Laboratory, University of Chicago | Apr 10, 2014 | - - |
Crigler-Najjar syndrome type 1 Pathogenic:1
Pathogenic, criteria provided, single submitter | clinical testing | Center for Genomic Medicine, King Faisal Specialist Hospital and Research Center | Sep 22, 2024 | - - |
Computational scores
Source:
Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
BayesDel_addAF
Uncertain
T
BayesDel_noAF
Pathogenic
CADD
Pathogenic
DANN
Uncertain
DEOGEN2
Uncertain
D;D;D;D;.;D;D;D;D;D
Eigen
Pathogenic
Eigen_PC
Pathogenic
FATHMM_MKL
Uncertain
D
LIST_S2
Uncertain
D;D;D;D;D;D;D;D;D;D
M_CAP
Pathogenic
D
MetaRNN
Uncertain
D;D;D;D;D;D;D;D;D;D
MetaSVM
Uncertain
D
MutationAssessor
Pathogenic
.;.;H;.;.;.;.;.;.;.
MutationTaster
Benign
D;D;D;D;D;D;D;D;D;D
PrimateAI
Pathogenic
D
PROVEAN
Pathogenic
D;D;D;D;D;D;D;D;D;D
REVEL
Pathogenic
Sift
Uncertain
D;D;D;D;D;D;D;D;D;D
Sift4G
Uncertain
D;D;D;D;D;D;D;D;D;D
Polyphen
D;D;D;D;.;D;D;D;D;D
Vest4
MVP
MPC
0.25, 0.43, 0.70, 0.68, 0.93, 0.25, 0.24, 0.74
ClinPred
T
GERP RS
Varity_R
gMVP
Splicing
Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
Details are displayed if max score is > 0.2
Find out detailed SpliceAI scores and Pangolin per-transcript scores at