20-33036447-C-T

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_174897.2(BPIFB6):​c.580C>T​(p.Pro194Ser) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,459,748 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. P194L) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

BPIFB6
NM_174897.2 missense, splice_region

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0270
Variant links:
Genes affected
BPIFB6 (HGNC:16504): (BPI fold containing family B member 6) Predicted to enable lipid binding activity. Predicted to be located in extracellular region. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.0666424).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
BPIFB6NM_174897.2 linkuse as main transcriptc.580C>T p.Pro194Ser missense_variant, splice_region_variant 7/15 ENST00000349552.1
BPIFB6XM_017027663.1 linkuse as main transcriptc.628C>T p.Pro210Ser missense_variant, splice_region_variant 7/15

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
BPIFB6ENST00000349552.1 linkuse as main transcriptc.580C>T p.Pro194Ser missense_variant, splice_region_variant 7/151 NM_174897.2 P1
BPIFB6ENST00000542375.5 linkuse as main transcriptc.*627C>T splice_region_variant, 3_prime_UTR_variant, NMD_transcript_variant 8/162

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1459748
Hom.:
0
Cov.:
30
AF XY:
0.00
AC XY:
0
AN XY:
726132
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsOct 13, 2023The c.580C>T (p.P194S) alteration is located in exon 7 (coding exon 7) of the BPIFB6 gene. This alteration results from a C to T substitution at nucleotide position 580, causing the proline (P) at amino acid position 194 to be replaced by a serine (S). 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
0.089
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.59
CADD
Benign
5.8
DANN
Benign
0.96
DEOGEN2
Benign
0.00065
T
Eigen
Benign
-0.75
Eigen_PC
Benign
-0.70
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.51
T
M_CAP
Benign
0.0017
T
MetaRNN
Benign
0.067
T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
1.6
L
MutationTaster
Benign
0.90
N
PrimateAI
Benign
0.35
T
PROVEAN
Benign
-1.2
N
REVEL
Benign
0.039
Sift
Benign
0.61
T
Sift4G
Benign
0.14
T
Polyphen
0.0060
B
Vest4
0.19
MutPred
0.38
Gain of relative solvent accessibility (P = 0.09);
MVP
0.040
MPC
0.051
ClinPred
0.11
T
GERP RS
1.3
Varity_R
0.056
gMVP
0.20

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr20-31624253; API