22-19724181-A-T

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 3P and 3B. PM5PP2BP4_ModerateBS1_Supporting

The NM_000407.5(GP1BB):​c.338A>T​(p.Tyr113Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000826 in 1,259,508 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 (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. Y113C) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.000080 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000083 ( 0 hom. )

Consequence

GP1BB
NM_000407.5 missense

Scores

1
4
13

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:3

Conservation

PhyloP100: 0.365

Publications

5 publications found
Variant links:
Genes affected
GP1BB (HGNC:4440): (glycoprotein Ib platelet subunit beta) Platelet glycoprotein Ib (GPIb) is a heterodimeric transmembrane protein consisting of a disulfide-linked 140 kD alpha chain and 22 kD beta chain. It is part of the GPIb-V-IX system that constitutes the receptor for von Willebrand factor (VWF), and mediates platelet adhesion in the arterial circulation. GPIb alpha chain provides the VWF binding site, and GPIb beta contributes to surface expression of the receptor and participates in transmembrane signaling through phosphorylation of its intracellular domain. Mutations in the GPIb beta subunit have been associated with Bernard-Soulier syndrome, velocardiofacial syndrome and giant platelet disorder. The 206 amino acid precursor of GPIb beta is synthesized from a 1.0 kb mRNA expressed in plateletes and megakaryocytes. A 411 amino acid protein arising from a longer, unspliced transcript in endothelial cells has been described; however, the authenticity of this product has been questioned. Yet another less abundant GPIb beta mRNA species of 3.5 kb, expressed in nonhematopoietic tissues such as endothelium, brain and heart, was shown to result from inefficient usage of a non-consensus polyA signal in the neighboring upstream gene (SEPT5, septin 5). In the absence of polyadenylation from its own imperfect site, the SEPT5 gene produces read-through transcripts that use the consensus polyA signal of this gene. [provided by RefSeq, Dec 2010]
SEPTIN5 (HGNC:9164): (septin 5) This gene is a member of the septin gene family of nucleotide binding proteins, originally described in yeast as cell division cycle regulatory proteins. Septins are highly conserved in yeast, Drosophila, and mouse and appear to regulate cytoskeletal organization. Disruption of septin function disturbs cytokinesis and results in large multinucleate or polyploid cells. This gene is mapped to 22q11, the region frequently deleted in DiGeorge and velocardiofacial syndromes. A translocation involving the MLL gene and this gene has also been reported in patients with acute myeloid leukemia. Alternative splicing results in multiple transcript variants. The presence of a non-consensus polyA signal (AACAAT) in this gene also results in read-through transcription into the downstream neighboring gene (GP1BB; platelet glycoprotein Ib), whereby larger, non-coding transcripts are produced. [provided by RefSeq, Dec 2010]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

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

PM5
Other missense variant is known to change same aminoacid residue: Variant chr22-19724181-A-G is described in ClinVar as Likely_pathogenic. ClinVar VariationId is 16038.Status of the report is reviewed_by_expert_panel, 3 stars.
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 14 curated pathogenic missense variants (we use a threshold of 10). The gene has 1 curated benign missense variants. Gene score misZ: 0.45873 (below the threshold of 3.09). Trascript score misZ: -2.9917 (below the threshold of 3.09). GenCC associations: The gene is linked to Bernard-Soulier syndrome, autosomal dominant macrothrombocytopenia.
BP4
Computational evidence support a benign effect (MetaRNN=0.12879199).
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.0000796 (12/150678) while in subpopulation SAS AF = 0.00207 (10/4826). AF 95% confidence interval is 0.00112. There are 0 homozygotes in GnomAd4. There are 11 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
GP1BBNM_000407.5 linkc.338A>T p.Tyr113Phe missense_variant Exon 2 of 2 ENST00000366425.4 NP_000398.1 P13224-1
SEPT5-GP1BBNR_037611.1 linkn.4078A>T non_coding_transcript_exon_variant Exon 12 of 12
SEPT5-GP1BBNR_037612.1 linkn.2582A>T non_coding_transcript_exon_variant Exon 12 of 12

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
GP1BBENST00000366425.4 linkc.338A>T p.Tyr113Phe missense_variant Exon 2 of 2 1 NM_000407.5 ENSP00000383382.2 P13224-1
ENSG00000284874ENST00000455843.5 linkn.*1423A>T non_coding_transcript_exon_variant Exon 12 of 12 1 ENSP00000391731.1 G3XAH0
ENSG00000284874ENST00000455843.5 linkn.*1423A>T 3_prime_UTR_variant Exon 12 of 12 1 ENSP00000391731.1 G3XAH0

Frequencies

GnomAD3 genomes
AF:
0.0000863
AC:
13
AN:
150568
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000242
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00228
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000148
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000421
AC:
4
AN:
9490
AF XY:
0.000484
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000830
AC:
92
AN:
1108830
Hom.:
0
Cov.:
31
AF XY:
0.000112
AC XY:
60
AN XY:
534278
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
22130
American (AMR)
AF:
0.00
AC:
0
AN:
8776
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
14226
East Asian (EAS)
AF:
0.00
AC:
0
AN:
23936
South Asian (SAS)
AF:
0.00264
AC:
81
AN:
30704
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
22748
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2940
European-Non Finnish (NFE)
AF:
0.00000106
AC:
1
AN:
939484
Other (OTH)
AF:
0.000228
AC:
10
AN:
43886
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.479
Heterozygous variant carriers
0
5
10
15
20
25
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
4
8
12
16
20
<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:
0.0000796
AC:
12
AN:
150678
Hom.:
0
Cov.:
33
AF XY:
0.000149
AC XY:
11
AN XY:
73612
show subpopulations
African (AFR)
AF:
0.0000242
AC:
1
AN:
41382
American (AMR)
AF:
0.00
AC:
0
AN:
15148
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3442
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5164
South Asian (SAS)
AF:
0.00207
AC:
10
AN:
4826
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10000
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.0000148
AC:
1
AN:
67426
Other (OTH)
AF:
0.00
AC:
0
AN:
2086
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
1
2
2
3
4
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:
0.00
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.000685
AC:
9

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:3
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:3
Feb 01, 2025
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

GP1BB: PM2, PM5, PP3 -

Jun 22, 2016
Eurofins Ntd Llc (ga)
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.21
BayesDel_addAF
Benign
-0.33
T
BayesDel_noAF
Benign
-0.26
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.32
T
Eigen
Benign
0.16
Eigen_PC
Benign
0.13
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Benign
0.47
T
M_CAP
Pathogenic
0.96
D
MetaRNN
Benign
0.13
T
MetaSVM
Uncertain
-0.23
T
MutationAssessor
Benign
1.5
L
PhyloP100
0.36
PROVEAN
Benign
-0.85
N
REVEL
Uncertain
0.32
Sift
Benign
0.16
T
Sift4G
Benign
0.20
T
Polyphen
0.99
D
Vest4
0.75
MutPred
0.38
Loss of phosphorylation at Y113 (P = 0.0531);
MVP
0.96
MPC
1.5
ClinPred
0.19
T
GERP RS
3.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.35
gMVP
0.41
Mutation Taster
=39/61
disease causing

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: rs121909750; hg19: chr22-19711704; API