20-33223941-C-A

Variant summary

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

The NM_178466.5(BPIFA3):​c.258C>A​(p.His86Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000112 in 1,614,114 control chromosomes in the GnomAD database, including 1 homozygotes. 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 0.000079 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00011 ( 1 hom. )

Consequence

BPIFA3
NM_178466.5 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.174
Variant links:
Genes affected
BPIFA3 (HGNC:16204): (BPI fold containing family A member 3) 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=0.02315247).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BPIFA3NM_178466.5 linkuse as main transcriptc.258C>A p.His86Gln missense_variant 2/7 ENST00000375454.8 NP_848561.2 Q9BQP9-1
BPIFA3NM_001042439.2 linkuse as main transcriptc.258C>A p.His86Gln missense_variant 2/6 NP_001035904.1 Q9BQP9-2
BPIFA3XR_244132.4 linkuse as main transcriptn.485C>A non_coding_transcript_exon_variant 2/7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BPIFA3ENST00000375454.8 linkuse as main transcriptc.258C>A p.His86Gln missense_variant 2/75 NM_178466.5 ENSP00000364603.3 Q9BQP9-1
BPIFA3ENST00000375452.3 linkuse as main transcriptc.258C>A p.His86Gln missense_variant 2/61 ENSP00000364601.3 Q9BQP9-2
BPIFA3ENST00000490499.5 linkuse as main transcriptn.637C>A non_coding_transcript_exon_variant 3/71
BPIFA3ENST00000471233.1 linkuse as main transcriptn.468C>A non_coding_transcript_exon_variant 2/75

Frequencies

GnomAD3 genomes
AF:
0.0000788
AC:
12
AN:
152214
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000147
AC:
37
AN:
251202
Hom.:
0
AF XY:
0.000199
AC XY:
27
AN XY:
135754
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.000231
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000359
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000132
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000115
AC:
168
AN:
1461782
Hom.:
1
Cov.:
32
AF XY:
0.000136
AC XY:
99
AN XY:
727174
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
Gnomad4 AMR exome
AF:
0.000201
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000359
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000881
Gnomad4 OTH exome
AF:
0.000199
GnomAD4 genome
AF:
0.0000788
AC:
12
AN:
152332
Hom.:
0
Cov.:
32
AF XY:
0.0000806
AC XY:
6
AN XY:
74486
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000208
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000975
Hom.:
0
Bravo
AF:
0.000110
ExAC
AF:
0.000132
AC:
16
EpiCase
AF:
0.000164
EpiControl
AF:
0.000178

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 27, 2022The c.258C>A (p.H86Q) alteration is located in exon 2 (coding exon 2) of the BPIFA3 gene. This alteration results from a C to A substitution at nucleotide position 258, causing the histidine (H) at amino acid position 86 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
0.10
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.75
CADD
Benign
0.88
DANN
Benign
0.75
DEOGEN2
Benign
0.0013
T;.
Eigen
Benign
-0.73
Eigen_PC
Benign
-0.74
FATHMM_MKL
Benign
0.062
N
LIST_S2
Benign
0.51
T;T
M_CAP
Benign
0.0044
T
MetaRNN
Benign
0.023
T;T
MetaSVM
Benign
-0.93
T
MutationAssessor
Benign
0.0
N;N
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-0.030
N;N
REVEL
Benign
0.033
Sift
Benign
0.31
T;D
Sift4G
Benign
0.11
T;T
Polyphen
0.72
P;B
Vest4
0.20
MutPred
0.31
Gain of sheet (P = 0.0827);Gain of sheet (P = 0.0827);
MVP
0.13
MPC
0.068
ClinPred
0.031
T
GERP RS
2.2
Varity_R
0.039
gMVP
0.11

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs148580329; hg19: chr20-31811747; API