20-33175459-G-C

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_080574.4(BPIFA2):ā€‹c.463G>Cā€‹(p.Ala155Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000753 in 1,461,578 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. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000075 ( 0 hom. )

Consequence

BPIFA2
NM_080574.4 missense

Scores

2
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.450
Variant links:
Genes affected
BPIFA2 (HGNC:16203): (BPI fold containing family A member 2) This gene encodes a member of the palate, lung and nasal epithelium clone (Plunc) family of proteins. Members of this family have been proposed to play a role in the local antibacterial response in nose, mouth and upper respiratory pathways. The encoded soluble salivary protein binds bacterial lipopolysaccharide (LPS) and inhibits bacterial growth. This gene is present in a gene cluster on chromosome 20. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jan 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.27325255).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BPIFA2NM_080574.4 linkuse as main transcriptc.463G>C p.Ala155Pro missense_variant 5/9 ENST00000354932.6 NP_542141.1 Q96DR5A8K739
BPIFA2NM_001319164.2 linkuse as main transcriptc.463G>C p.Ala155Pro missense_variant 5/9 NP_001306093.1 Q96DR5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BPIFA2ENST00000354932.6 linkuse as main transcriptc.463G>C p.Ala155Pro missense_variant 5/91 NM_080574.4 ENSP00000347012.5 Q96DR5
BPIFA2ENST00000253362.6 linkuse as main transcriptc.463G>C p.Ala155Pro missense_variant 5/91 ENSP00000253362.2 Q96DR5

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000119
AC:
3
AN:
251276
Hom.:
0
AF XY:
0.0000221
AC XY:
3
AN XY:
135804
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000981
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000753
AC:
11
AN:
1461578
Hom.:
0
Cov.:
30
AF XY:
0.0000124
AC XY:
9
AN XY:
727096
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:
0.000128
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.0000165
AC:
2

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 14, 2024The c.463G>C (p.A155P) alteration is located in exon 5 (coding exon 4) of the BPIFA2 gene. This alteration results from a G to C substitution at nucleotide position 463, causing the alanine (A) at amino acid position 155 to be replaced by a proline (P). 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
Uncertain
0.55
BayesDel_addAF
Benign
-0.38
T
BayesDel_noAF
Benign
-0.58
CADD
Benign
5.2
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0028
T;T
Eigen
Benign
-0.88
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.015
N
LIST_S2
Benign
0.48
.;T
M_CAP
Benign
0.014
T
MetaRNN
Benign
0.27
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.1
L;L
PrimateAI
Benign
0.22
T
PROVEAN
Benign
-1.4
N;N
REVEL
Benign
0.14
Sift
Benign
0.072
T;T
Sift4G
Benign
0.091
T;T
Polyphen
0.95
P;P
Vest4
0.38
MutPred
0.62
Gain of disorder (P = 0.0875);Gain of disorder (P = 0.0875);
MVP
0.12
MPC
0.41
ClinPred
0.38
T
GERP RS
-4.2
Varity_R
0.15
gMVP
0.36

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: rs372285288; hg19: chr20-31763265; API