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GeneBe

20-36175561-T-C

Variant summary

Our verdict is Likely pathogenic. Variant got 8 ACMG points: 8P and 0B. PVS1

The ENST00000202028.9(EPB41L1):c.2T>C(p.Met1?) variant causes a start lost change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000347 in 1,614,016 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000038 ( 0 hom. )

Consequence

EPB41L1
ENST00000202028.9 start_lost

Scores

2
7
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.27
Variant links:
Genes affected
EPB41L1 (HGNC:3378): (erythrocyte membrane protein band 4.1 like 1) Erythrocyte membrane protein band 4.1 (EPB41) is a multifunctional protein that mediates interactions between the erythrocyte cytoskeleton and the overlying plasma membrane. The encoded protein binds and stabilizes D2 and D3 dopamine receptors at the neuronal plasma membrane. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jan 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 8 ACMG points.

PVS1
Start lost variant, no new inframe start found.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
EPB41L1NM_012156.2 linkuse as main transcriptc.188T>C p.Met63Thr missense_variant 3/22 ENST00000338074.7
LOC124904892XR_007067571.1 linkuse as main transcriptn.405-392A>G intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
EPB41L1ENST00000338074.7 linkuse as main transcriptc.188T>C p.Met63Thr missense_variant 3/221 NM_012156.2 P5Q9H4G0-1

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152126
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000376
AC:
55
AN:
1461890
Hom.:
0
Cov.:
31
AF XY:
0.0000344
AC XY:
25
AN XY:
727248
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:
0.0000459
Gnomad4 OTH exome
AF:
0.0000662
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152126
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74314
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000147
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000227

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 GeneticsJan 17, 2024The c.188T>C (p.M63T) alteration is located in exon 3 (coding exon 2) of the EPB41L1 gene. This alteration results from a T to C substitution at nucleotide position 188, causing the methionine (M) at amino acid position 63 to be replaced by a threonine (T). 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
0.088
BayesDel_addAF
Pathogenic
0.21
D
BayesDel_noAF
Uncertain
0.060
Cadd
Uncertain
24
Dann
Uncertain
0.99
Eigen
Benign
0.055
Eigen_PC
Uncertain
0.23
FATHMM_MKL
Uncertain
0.89
D
M_CAP
Benign
0.085
D
MetaRNN
Benign
0.34
T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Uncertain
0.099
D
MutationTaster
Benign
1.0
D;D;D;D;N;N;N
PrimateAI
Uncertain
0.68
T
PROVEAN
Benign
-0.89
N;D;N;N;N;N;.;.;N;N;N;N;N
REVEL
Uncertain
0.45
Sift
Pathogenic
0.0
D;D;T;D;D;D;.;.;T;D;D;T;T
Sift4G
Benign
0.10
T;D;T;T;T;T;T;T;T;D;T;T;T
Polyphen
0.21
B;.;.;.;B;B;.;B;B;.;.;P;.
Vest4
0.75
MutPred
0.23
.;.;Gain of phosphorylation at M63 (P = 0.0069);.;.;.;Gain of phosphorylation at M63 (P = 0.0069);.;Gain of phosphorylation at M63 (P = 0.0069);Gain of phosphorylation at M63 (P = 0.0069);.;Gain of phosphorylation at M63 (P = 0.0069);Gain of phosphorylation at M63 (P = 0.0069);
MVP
0.85
MPC
0.90
ClinPred
0.48
T
GERP RS
5.8
Varity_R
0.13
gMVP
0.18

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: rs953602447; hg19: chr20-34763483; API