20-36175644-G-A

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_012156.2(EPB41L1):​c.271G>A​(p.Ala91Thr) 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 1,461,892 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/22 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A91S) has been classified as Uncertain significance.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

EPB41L1
NM_012156.2 missense

Scores

3
15

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.90

Publications

0 publications found
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]
EPB41L1 Gene-Disease associations (from GenCC):
  • autosomal dominant non-syndromic intellectual disability
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • complex neurodevelopmental disorder
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • intellectual disability, autosomal dominant 11
    Inheritance: AD Classification: LIMITED Submitted by: G2P

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.11272666).

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_012156.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPB41L1
NM_012156.2
MANE Select
c.271G>Ap.Ala91Thr
missense
Exon 3 of 22NP_036288.2Q9H4G0-1
EPB41L1
NM_001433605.1
c.271G>Ap.Ala91Thr
missense
Exon 3 of 23NP_001420534.1
EPB41L1
NM_001258329.1
c.271G>Ap.Ala91Thr
missense
Exon 4 of 23NP_001245258.1A0A0C4DH22

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
EPB41L1
ENST00000338074.7
TSL:1 MANE Select
c.271G>Ap.Ala91Thr
missense
Exon 3 of 22ENSP00000337168.2Q9H4G0-1
EPB41L1
ENST00000373946.7
TSL:1
c.271G>Ap.Ala91Thr
missense
Exon 4 of 23ENSP00000363057.4A0A0C4DH22
EPB41L1
ENST00000202028.9
TSL:1
c.85G>Ap.Ala29Thr
missense
Exon 3 of 20ENSP00000202028.5Q9H4G0-2

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD2 exomes
AF:
0.00000398
AC:
1
AN:
251482
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461892
Hom.:
0
Cov.:
31
AF XY:
0.00000138
AC XY:
1
AN XY:
727246
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33480
American (AMR)
AF:
0.00
AC:
0
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5768
European-Non Finnish (NFE)
AF:
0.00000180
AC:
2
AN:
1112012
Other (OTH)
AF:
0.00
AC:
0
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
GnomAD4 genome
Cov.:
32
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.29
CADD
Uncertain
26
DANN
Benign
0.81
DEOGEN2
Benign
0.084
T
Eigen
Benign
-0.13
Eigen_PC
Benign
0.099
FATHMM_MKL
Uncertain
0.76
D
LIST_S2
Uncertain
0.92
D
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.11
T
MetaSVM
Benign
-0.68
T
MutationAssessor
Benign
1.1
L
PhyloP100
1.9
PrimateAI
Uncertain
0.53
T
PROVEAN
Benign
-0.54
N
REVEL
Benign
0.19
Sift
Benign
0.69
T
Sift4G
Benign
1.0
T
Polyphen
0.0010
B
Vest4
0.14
MutPred
0.28
Gain of phosphorylation at A91 (P = 0.0276)
MVP
0.60
MPC
0.71
ClinPred
0.15
T
GERP RS
5.8
Varity_R
0.063
gMVP
0.17
Mutation Taster
=94/6
polymorphism

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

Other links and lift over

dbSNP: rs756160954; hg19: chr20-34763566; API