20-33290988-A-T

Variant summary

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

The NM_033197.3(BPIFB1):​c.397A>T​(p.Met133Leu) 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 1,461,674 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 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: 33)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

BPIFB1
NM_033197.3 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.388
Variant links:
Genes affected
BPIFB1 (HGNC:16108): (BPI fold containing family B member 1) The protein encoded by this gene may be involved in the innate immune response to bacterial exposure in the mouth, nasal cavities, and lungs. The encoded protein is secreted and is a member of the BPI/LBP/PLUNC protein superfamily. This gene is found with other members of the superfamily in a cluster on chromosome 20. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

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=0.340973).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BPIFB1NM_033197.3 linkuse as main transcriptc.397A>T p.Met133Leu missense_variant 5/16 ENST00000253354.2 NP_149974.2 Q8TDL5-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BPIFB1ENST00000253354.2 linkuse as main transcriptc.397A>T p.Met133Leu missense_variant 5/161 NM_033197.3 ENSP00000253354.1 Q8TDL5-1
BPIFB1ENST00000423645.5 linkuse as main transcriptc.397A>T p.Met133Leu missense_variant 5/53 ENSP00000390471.1 A2A2R0

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461674
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
727154
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.:
33

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 04, 2024The c.397A>T (p.M133L) alteration is located in exon 5 (coding exon 4) of the BPIFB1 gene. This alteration results from a A to T substitution at nucleotide position 397, causing the methionine (M) at amino acid position 133 to be replaced by a leucine (L). 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
0.16
BayesDel_addAF
Benign
-0.26
T
BayesDel_noAF
Benign
-0.61
CADD
Benign
2.6
DANN
Benign
0.47
DEOGEN2
Benign
0.023
T;T
Eigen
Benign
-0.90
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.042
N
LIST_S2
Benign
0.54
T;T
M_CAP
Benign
0.0047
T
MetaRNN
Benign
0.34
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.5
.;M
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-2.1
N;N
REVEL
Benign
0.086
Sift
Benign
0.036
D;D
Sift4G
Benign
0.090
T;T
Polyphen
0.68
.;P
Vest4
0.30
MutPred
0.71
Loss of sheet (P = 0.0817);Loss of sheet (P = 0.0817);
MVP
0.030
MPC
0.17
ClinPred
0.38
T
GERP RS
-1.3
Varity_R
0.078
gMVP
0.28

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs202131157; hg19: chr20-31878794; API