20-33083673-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_182519.3(BPIFB4):​c.476C>A​(p.Pro159His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,854 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

BPIFB4
NM_182519.3 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.04
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 Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.1615398).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BPIFB4NM_182519.3 linkuse as main transcriptc.476C>A p.Pro159His 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.476C>A p.Pro159His missense_variant 5/185 NM_182519.3 ENSP00000364632.3 P59827-1
BPIFB4ENST00000674031.1 linkuse as main transcriptc.842C>A p.Pro281His missense_variant 2/15 ENSP00000501266.1 A0A669KBJ0
BPIFB4ENST00000445356.1 linkuse as main transcriptn.106+2041C>A intron_variant 2 ENSP00000388423.1 F8WEG9

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.00000797
AC:
2
AN:
251004
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
135764
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000289
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000462
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461854
Hom.:
0
Cov.:
36
AF XY:
0.00000138
AC XY:
1
AN XY:
727232
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.:
31
Bravo
AF:
0.00000378

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 GeneticsAug 02, 2021The c.476C>A (p.P159H) 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 476, causing the proline (P) at amino acid position 159 to be replaced by a histidine (H). 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
0.13
BayesDel_addAF
Benign
-0.17
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0065
T
Eigen
Benign
-0.22
Eigen_PC
Benign
-0.36
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.52
T
M_CAP
Benign
0.0070
T
MetaRNN
Benign
0.16
T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
0.81
L
PrimateAI
Uncertain
0.60
T
PROVEAN
Benign
-0.71
N
REVEL
Benign
0.11
Sift
Uncertain
0.0010
D
Sift4G
Uncertain
0.053
T
Polyphen
0.97
D
Vest4
0.37
MutPred
0.33
Loss of catalytic residue at P158 (P = 0.0102);
MVP
0.11
MPC
0.25
ClinPred
0.48
T
GERP RS
3.3
Varity_R
0.065
gMVP
0.29

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: rs1166194271; hg19: chr20-31671479; API