3-167789149-C-G

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001122752.2(SERPINI1):​c.21C>G​(p.Phe7Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0971 in 1,613,114 control chromosomes in the GnomAD database, including 8,649 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. F7S) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.13 ( 1465 hom., cov: 33)
Exomes 𝑓: 0.094 ( 7184 hom. )

Consequence

SERPINI1
NM_001122752.2 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 1.48

Publications

10 publications found
Variant links:
Genes affected
SERPINI1 (HGNC:8943): (serpin family I member 1) This gene encodes a member of the serpin superfamily of serine proteinase inhibitors. The protein is primarily secreted by axons in the brain, and preferentially reacts with and inhibits tissue-type plasminogen activator. It is thought to play a role in the regulation of axonal growth and the development of synaptic plasticity. Mutations in this gene result in familial encephalopathy with neuroserpin inclusion bodies (FENIB), which is a dominantly inherited form of familial encephalopathy and epilepsy characterized by the accumulation of mutant neuroserpin polymers. Multiple alternatively spliced variants, encoding the same protein, have been identified. [provided by RefSeq, Jul 2008]
SERPINI1 Gene-Disease associations (from GenCC):
  • progressive myoclonus epilepsy
    Inheritance: AD Classification: DEFINITIVE Submitted by: ClinGen
  • familial encephalopathy with neuroserpin inclusion bodies
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics, Labcorp Genetics (formerly Invitae)

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.002107948).
BP6
Variant 3-167789149-C-G is Benign according to our data. Variant chr3-167789149-C-G is described in ClinVar as [Benign]. Clinvar id is 344118.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.204 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SERPINI1NM_001122752.2 linkc.21C>G p.Phe7Leu missense_variant Exon 2 of 9 ENST00000446050.7 NP_001116224.1 Q99574A0A0S2Z455
SERPINI1NM_005025.5 linkc.21C>G p.Phe7Leu missense_variant Exon 2 of 9 NP_005016.1 Q99574A0A0S2Z455
SERPINI1XM_017006618.3 linkc.21C>G p.Phe7Leu missense_variant Exon 2 of 9 XP_016862107.1 Q99574A0A0S2Z455

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SERPINI1ENST00000446050.7 linkc.21C>G p.Phe7Leu missense_variant Exon 2 of 9 1 NM_001122752.2 ENSP00000397373.2 Q99574
SERPINI1ENST00000295777.9 linkc.21C>G p.Phe7Leu missense_variant Exon 2 of 9 1 ENSP00000295777.5 Q99574
SERPINI1ENST00000472747.2 linkc.21C>G p.Phe7Leu missense_variant Exon 2 of 5 3 ENSP00000420561.2 C9JDY5
SERPINI1ENST00000472941.5 linkc.21C>G p.Phe7Leu missense_variant Exon 2 of 3 3 ENSP00000420133.1 C9JQU8

Frequencies

GnomAD3 genomes
AF:
0.126
AC:
19195
AN:
152094
Hom.:
1457
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.207
Gnomad AMI
AF:
0.0822
Gnomad AMR
AF:
0.118
Gnomad ASJ
AF:
0.0568
Gnomad EAS
AF:
0.0678
Gnomad SAS
AF:
0.0362
Gnomad FIN
AF:
0.151
Gnomad MID
AF:
0.0854
Gnomad NFE
AF:
0.0905
Gnomad OTH
AF:
0.107
GnomAD2 exomes
AF:
0.0996
AC:
25033
AN:
251304
AF XY:
0.0916
show subpopulations
Gnomad AFR exome
AF:
0.212
Gnomad AMR exome
AF:
0.152
Gnomad ASJ exome
AF:
0.0584
Gnomad EAS exome
AF:
0.0568
Gnomad FIN exome
AF:
0.137
Gnomad NFE exome
AF:
0.0876
Gnomad OTH exome
AF:
0.104
GnomAD4 exome
AF:
0.0941
AC:
137465
AN:
1460902
Hom.:
7184
Cov.:
32
AF XY:
0.0915
AC XY:
66516
AN XY:
726832
show subpopulations
African (AFR)
AF:
0.210
AC:
7030
AN:
33442
American (AMR)
AF:
0.151
AC:
6735
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.0591
AC:
1545
AN:
26126
East Asian (EAS)
AF:
0.0707
AC:
2808
AN:
39690
South Asian (SAS)
AF:
0.0375
AC:
3232
AN:
86244
European-Finnish (FIN)
AF:
0.134
AC:
7165
AN:
53286
Middle Eastern (MID)
AF:
0.0875
AC:
504
AN:
5760
European-Non Finnish (NFE)
AF:
0.0924
AC:
102712
AN:
1111280
Other (OTH)
AF:
0.0950
AC:
5734
AN:
60358
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.441
Heterozygous variant carriers
0
6702
13404
20105
26807
33509
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3926
7852
11778
15704
19630
<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:
0.126
AC:
19243
AN:
152212
Hom.:
1465
Cov.:
33
AF XY:
0.127
AC XY:
9431
AN XY:
74434
show subpopulations
African (AFR)
AF:
0.208
AC:
8627
AN:
41512
American (AMR)
AF:
0.118
AC:
1803
AN:
15286
Ashkenazi Jewish (ASJ)
AF:
0.0568
AC:
197
AN:
3470
East Asian (EAS)
AF:
0.0675
AC:
350
AN:
5182
South Asian (SAS)
AF:
0.0358
AC:
173
AN:
4830
European-Finnish (FIN)
AF:
0.151
AC:
1605
AN:
10606
Middle Eastern (MID)
AF:
0.0850
AC:
25
AN:
294
European-Non Finnish (NFE)
AF:
0.0905
AC:
6157
AN:
68008
Other (OTH)
AF:
0.109
AC:
231
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
820
1640
2461
3281
4101
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
208
416
624
832
1040
<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:
0.0935
Hom.:
232
Bravo
AF:
0.131
TwinsUK
AF:
0.0906
AC:
336
ALSPAC
AF:
0.0908
AC:
350
ESP6500AA
AF:
0.199
AC:
875
ESP6500EA
AF:
0.0881
AC:
758
ExAC
AF:
0.0979
AC:
11891
Asia WGS
AF:
0.0810
AC:
281
AN:
3478
EpiCase
AF:
0.0887
EpiControl
AF:
0.0856

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
-
Genome Diagnostics Laboratory, Amsterdam University Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

not provided Benign:2
May 05, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

Familial encephalopathy with neuroserpin inclusion bodies Benign:2
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.27
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
14
DANN
Benign
0.54
DEOGEN2
Benign
0.0079
T;T;T;T
Eigen
Benign
-0.86
Eigen_PC
Benign
-0.66
FATHMM_MKL
Benign
0.70
D
LIST_S2
Benign
0.46
T;.;T;T
MetaRNN
Benign
0.0021
T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-1.3
.;N;N;.
PhyloP100
1.5
PrimateAI
Benign
0.40
T
PROVEAN
Benign
0.17
N;N;N;N
REVEL
Benign
0.24
Sift
Benign
0.65
T;T;T;T
Sift4G
Benign
1.0
T;T;T;T
Polyphen
0.0
.;B;B;.
Vest4
0.026, 0.025
MutPred
0.57
Loss of helix (P = 0.0376);Loss of helix (P = 0.0376);Loss of helix (P = 0.0376);Loss of helix (P = 0.0376);
MPC
0.11
ClinPred
0.0015
T
GERP RS
1.8
Varity_R
0.048
gMVP
0.17
Mutation Taster
=99/1
polymorphism (auto)

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: rs33917740; hg19: chr3-167506937; COSMIC: COSV55509515; API