20-36905381-G-T

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_015474.4(SAMHD1):​c.1393C>A​(p.Gln465Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00021 in 1,613,978 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 17/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00013 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00022 ( 1 hom. )

Consequence

SAMHD1
NM_015474.4 missense

Scores

1
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: -2.13

Publications

4 publications found
Variant links:
Genes affected
SAMHD1 (HGNC:15925): (SAM and HD domain containing deoxynucleoside triphosphate triphosphohydrolase 1) This gene may play a role in regulation of the innate immune response. The encoded protein is upregulated in response to viral infection and may be involved in mediation of tumor necrosis factor-alpha proinflammatory responses. Mutations in this gene have been associated with Aicardi-Goutieres syndrome. [provided by RefSeq, Mar 2010]
SAMHD1 Gene-Disease associations (from GenCC):
  • Aicardi-Goutieres syndrome 5
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, Labcorp Genetics (formerly Invitae), Ambry Genetics, G2P, Genomics England PanelApp
  • SAMHD1-related type 1 interferonopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • Moyamoya disease
    Inheritance: AR Classification: STRONG Submitted by: Genomics England PanelApp
  • Aicardi-Goutieres syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial chilblain lupus
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • chilblain lupus 2
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics
  • chilblain lupus
    Inheritance: AD Classification: NO_KNOWN Submitted by: Illumina

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.04783556).
BP6
Variant 20-36905381-G-T is Benign according to our data. Variant chr20-36905381-G-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 338343.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_015474.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SAMHD1
NM_015474.4
MANE Select
c.1393C>Ap.Gln465Lys
missense
Exon 12 of 16NP_056289.2
SAMHD1
NM_001363729.2
c.1393C>Ap.Gln465Lys
missense
Exon 12 of 15NP_001350658.1Q9Y3Z3-4
SAMHD1
NM_001363733.2
c.1393C>Ap.Gln465Lys
missense
Exon 12 of 16NP_001350662.1A0A2R8YCS7

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SAMHD1
ENST00000646673.2
MANE Select
c.1393C>Ap.Gln465Lys
missense
Exon 12 of 16ENSP00000493536.2Q9Y3Z3-1
SAMHD1
ENST00000262878.5
TSL:1
c.1393C>Ap.Gln465Lys
missense
Exon 12 of 15ENSP00000262878.5Q9Y3Z3-4
SAMHD1
ENST00000866371.1
c.1531C>Ap.Gln511Lys
missense
Exon 13 of 17ENSP00000536430.1

Frequencies

GnomAD3 genomes
AF:
0.000132
AC:
20
AN:
152074
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.000279
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000795
AC:
20
AN:
251428
AF XY:
0.0000883
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000150
Gnomad OTH exome
AF:
0.000326
GnomAD4 exome
AF:
0.000218
AC:
319
AN:
1461786
Hom.:
1
Cov.:
30
AF XY:
0.000215
AC XY:
156
AN XY:
727202
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:
26132
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39682
South Asian (SAS)
AF:
0.00
AC:
0
AN:
86256
European-Finnish (FIN)
AF:
0.0000187
AC:
1
AN:
53406
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5766
European-Non Finnish (NFE)
AF:
0.000278
AC:
309
AN:
1111952
Other (OTH)
AF:
0.000149
AC:
9
AN:
60388
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.449
Heterozygous variant carriers
0
17
35
52
70
87
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.000131
AC:
20
AN:
152192
Hom.:
0
Cov.:
32
AF XY:
0.000108
AC XY:
8
AN XY:
74402
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41540
American (AMR)
AF:
0.00
AC:
0
AN:
15264
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5186
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10592
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000279
AC:
19
AN:
68006
Other (OTH)
AF:
0.00
AC:
0
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.000174
Hom.:
0
Bravo
AF:
0.000144
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.0000494
AC:
6
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Aicardi-Goutieres syndrome 5 (2)
-
1
-
Aicardi Goutieres syndrome (1)
-
-
1
Chilblain lupus 2 (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.060
BayesDel_addAF
Benign
-0.32
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
0.073
DANN
Benign
0.22
DEOGEN2
Benign
0.047
T
Eigen
Benign
-1.9
Eigen_PC
Benign
-2.0
FATHMM_MKL
Benign
0.021
N
LIST_S2
Benign
0.57
T
M_CAP
Benign
0.046
D
MetaRNN
Benign
0.048
T
MetaSVM
Uncertain
-0.22
T
MutationAssessor
Benign
-0.065
N
PhyloP100
-2.1
PrimateAI
Benign
0.28
T
PROVEAN
Benign
-0.080
N
REVEL
Benign
0.18
Sift
Benign
1.0
T
Sift4G
Benign
0.92
T
Polyphen
0.0
B
Vest4
0.10
MVP
0.70
MPC
0.65
ClinPred
0.033
T
GERP RS
-9.4
PromoterAI
0.00070
Neutral
Varity_R
0.36
gMVP
0.30
Mutation Taster
=88/12
polymorphism

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

Other links and lift over

dbSNP: rs142393072; hg19: chr20-35533784; COSMIC: COSV53433868; API