20-33083415-C-A

Variant summary

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

The NM_182519.3(BPIFB4):​c.218C>A​(p.Pro73Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000057 in 1,613,320 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. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00028 ( 0 hom., cov: 31)
Exomes 𝑓: 0.000034 ( 0 hom. )

Consequence

BPIFB4
NM_182519.3 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.265
Variant links:
Genes affected
BPIFB4 (HGNC:16179): (BPI fold containing family B member 4) Predicted to enable lipid binding activity. Predicted to be located in cytoplasm and 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=0.038111717).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BPIFB4NM_182519.3 linkuse as main transcriptc.218C>A p.Pro73Gln missense_variant 5/18 ENST00000375483.4 NP_872325.2 P59827-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BPIFB4ENST00000375483.4 linkuse as main transcriptc.218C>A p.Pro73Gln missense_variant 5/185 NM_182519.3 ENSP00000364632.3 P59827-1
BPIFB4ENST00000674031.1 linkuse as main transcriptc.584C>A p.Pro195Gln missense_variant 2/15 ENSP00000501266.1 A0A669KBJ0
BPIFB4ENST00000445356.1 linkuse as main transcriptn.106+1783C>A intron_variant 2 ENSP00000388423.1 F8WEG9

Frequencies

GnomAD3 genomes
AF:
0.000277
AC:
42
AN:
151744
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000848
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:
0.000189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.000959
GnomAD3 exomes
AF:
0.0000835
AC:
21
AN:
251384
Hom.:
0
AF XY:
0.0000883
AC XY:
12
AN XY:
135852
show subpopulations
Gnomad AFR exome
AF:
0.000800
Gnomad AMR exome
AF:
0.0000868
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad SAS exome
AF:
0.0000653
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000879
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.0000342
AC:
50
AN:
1461576
Hom.:
0
Cov.:
36
AF XY:
0.0000330
AC XY:
24
AN XY:
727120
show subpopulations
Gnomad4 AFR exome
AF:
0.000747
Gnomad4 AMR exome
AF:
0.0000894
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000696
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000810
Gnomad4 OTH exome
AF:
0.0000994
GnomAD4 genome
AF:
0.000277
AC:
42
AN:
151744
Hom.:
0
Cov.:
31
AF XY:
0.000297
AC XY:
22
AN XY:
74066
show subpopulations
Gnomad4 AFR
AF:
0.000848
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.000959
Alfa
AF:
0.0000898
Hom.:
0
Bravo
AF:
0.000291
ESP6500AA
AF:
0.00136
AC:
6
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000906
AC:
11

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 GeneticsMay 07, 2024The c.218C>A (p.P73Q) alteration is located in exon 3 (coding exon 3) of the BPIFB4 gene. This alteration results from a C to A substitution at nucleotide position 218, causing the proline (P) at amino acid position 73 to be replaced by a glutamine (Q). 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
0.082
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
8.8
DANN
Benign
0.92
DEOGEN2
Benign
0.0053
T
Eigen
Benign
-0.66
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.062
N
LIST_S2
Benign
0.63
T
M_CAP
Benign
0.0064
T
MetaRNN
Benign
0.038
T
MetaSVM
Benign
-0.84
T
MutationAssessor
Benign
0.90
L
PrimateAI
Benign
0.41
T
PROVEAN
Benign
-0.79
N
REVEL
Benign
0.052
Sift
Uncertain
0.0050
D
Sift4G
Pathogenic
0.0
D
Polyphen
0.74
P
Vest4
0.28
MVP
0.061
MPC
0.077
ClinPred
0.018
T
GERP RS
1.9
Varity_R
0.065
gMVP
0.33

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: rs150980536; hg19: chr20-31671221; API