3-167789346-G-A

Variant summary

Our verdict is Benign. Variant got -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_001122752.2(SERPINI1):​c.218G>A​(p.Arg73His) variant causes a missense change. The variant allele was found at a frequency of 0.00039 in 1,614,104 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00040 ( 4 hom. )

Consequence

SERPINI1
NM_001122752.2 missense

Scores

1
7
11

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:3

Conservation

PhyloP100: 5.94
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.01201275).
BP6
Variant 3-167789346-G-A is Benign according to our data. Variant chr3-167789346-G-A is described in ClinVar as [Benign]. Clinvar id is 344123.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High AC in GnomAd4 at 40 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINI1NM_001122752.2 linkuse as main transcriptc.218G>A p.Arg73His missense_variant 2/9 ENST00000446050.7 NP_001116224.1
SERPINI1NM_005025.5 linkuse as main transcriptc.218G>A p.Arg73His missense_variant 2/9 NP_005016.1
SERPINI1XM_017006618.3 linkuse as main transcriptc.218G>A p.Arg73His missense_variant 2/9 XP_016862107.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINI1ENST00000446050.7 linkuse as main transcriptc.218G>A p.Arg73His missense_variant 2/91 NM_001122752.2 ENSP00000397373 P1
SERPINI1ENST00000295777.9 linkuse as main transcriptc.218G>A p.Arg73His missense_variant 2/91 ENSP00000295777 P1
SERPINI1ENST00000472747.2 linkuse as main transcriptc.218G>A p.Arg73His missense_variant 2/53 ENSP00000420561
SERPINI1ENST00000472941.5 linkuse as main transcriptc.218G>A p.Arg73His missense_variant 2/33 ENSP00000420133

Frequencies

GnomAD3 genomes
AF:
0.000263
AC:
40
AN:
152188
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00579
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000118
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000629
AC:
158
AN:
251224
Hom.:
1
AF XY:
0.000891
AC XY:
121
AN XY:
135800
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.0000578
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00451
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000132
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000404
AC:
590
AN:
1461798
Hom.:
4
Cov.:
31
AF XY:
0.000556
AC XY:
404
AN XY:
727202
show subpopulations
Gnomad4 AFR exome
AF:
0.0000896
Gnomad4 AMR exome
AF:
0.0000447
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00502
Gnomad4 FIN exome
AF:
0.0000375
Gnomad4 NFE exome
AF:
0.000108
Gnomad4 OTH exome
AF:
0.000464
GnomAD4 genome
AF:
0.000263
AC:
40
AN:
152306
Hom.:
0
Cov.:
33
AF XY:
0.000349
AC XY:
26
AN XY:
74470
show subpopulations
Gnomad4 AFR
AF:
0.0000962
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00580
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000582
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:
0.000116
AC:
1
ExAC
AF:
0.000741
AC:
90
Asia WGS
AF:
0.00375
AC:
13
AN:
3478
EpiCase
AF:
0.0000545
EpiControl
AF:
0.000237

ClinVar

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

Submissions by phenotype

Familial encephalopathy with neuroserpin inclusion bodies Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 24, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -
SERPINI1-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 24, 2019This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.20
BayesDel_addAF
Benign
-0.25
T
BayesDel_noAF
Benign
-0.14
CADD
Uncertain
25
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.12
T;T;T;T
Eigen
Uncertain
0.56
Eigen_PC
Uncertain
0.50
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Uncertain
0.94
D;.;D;D
M_CAP
Uncertain
0.10
D
MetaRNN
Benign
0.012
T;T;T;T
MetaSVM
Uncertain
0.34
D
MutationAssessor
Benign
2.0
.;M;M;.
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-1.3
N;N;N;N
REVEL
Uncertain
0.57
Sift
Benign
0.060
T;T;T;D
Sift4G
Benign
0.11
T;T;T;T
Polyphen
1.0
.;D;D;.
Vest4
0.34
MVP
0.74
MPC
0.17
ClinPred
0.068
T
GERP RS
3.4
Varity_R
0.41
gMVP
0.61

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: rs139808176; hg19: chr3-167507134; COSMIC: COSV55512701; API