4-121669669-A-G

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_001154.4(ANXA5):​c.836T>C​(p.Ile279Thr) variant causes a missense change. The variant allele was found at a frequency of 0.00154 in 1,613,360 control chromosomes in the GnomAD database, including 19 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.0012 ( 4 hom., cov: 31)
Exomes 𝑓: 0.0016 ( 15 hom. )

Consequence

ANXA5
NM_001154.4 missense

Scores

5
13

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: 3.82

Publications

9 publications found
Variant links:
Genes affected
ANXA5 (HGNC:543): (annexin A5) The Annexin 5 gene spans 29 kb containing 13 exons, and encodes a single transcript of approximately 1.6 kb and a protein product with a molecular weight of about 35 kDa.The protein encoded by this gene belongs to the annexin family of calcium-dependent phospholipid binding proteins some of which have been implicated in membrane-related events along exocytotic and endocytotic pathways. Annexin 5 is a phospholipase A2 and protein kinase C inhibitory protein with calcium channel activity and a potential role in cellular signal transduction, inflammation, growth and differentiation. Annexin 5 has also been described as placental anticoagulant protein I, vascular anticoagulant-alpha, endonexin II, lipocortin V, placental protein 4 and anchorin CII. Polymorphisms in this gene have been implicated in various obstetric complications. [provided by RefSeq, Dec 2019]
ANXA5 Gene-Disease associations (from GenCC):
  • pregnancy loss, recurrent, susceptibility to, 3
    Inheritance: Unknown Classification: NO_KNOWN Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.016770035).
BP6
Variant 4-121669669-A-G is Benign according to our data. Variant chr4-121669669-A-G is described in ClinVar as [Likely_benign]. Clinvar id is 3049443.Status of the report is no_assertion_criteria_provided, 0 stars.
BS2
High Homozygotes in GnomAd4 at 4 Unknown gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ANXA5NM_001154.4 linkc.836T>C p.Ile279Thr missense_variant Exon 12 of 13 ENST00000296511.10 NP_001145.1 P08758V9HWE0

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ANXA5ENST00000296511.10 linkc.836T>C p.Ile279Thr missense_variant Exon 12 of 13 1 NM_001154.4 ENSP00000296511.5 P08758

Frequencies

GnomAD3 genomes
AF:
0.00121
AC:
183
AN:
151810
Hom.:
4
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000315
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000658
Gnomad ASJ
AF:
0.00346
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00978
Gnomad FIN
AF:
0.000379
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.00132
Gnomad OTH
AF:
0.000963
GnomAD2 exomes
AF:
0.00238
AC:
597
AN:
250952
AF XY:
0.00285
show subpopulations
Gnomad AFR exome
AF:
0.000123
Gnomad AMR exome
AF:
0.00104
Gnomad ASJ exome
AF:
0.00566
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.000185
Gnomad NFE exome
AF:
0.00152
Gnomad OTH exome
AF:
0.00344
GnomAD4 exome
AF:
0.00157
AC:
2295
AN:
1461434
Hom.:
15
Cov.:
30
AF XY:
0.00184
AC XY:
1341
AN XY:
727014
show subpopulations
African (AFR)
AF:
0.000209
AC:
7
AN:
33442
American (AMR)
AF:
0.00101
AC:
45
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.00540
AC:
141
AN:
26122
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39676
South Asian (SAS)
AF:
0.0100
AC:
865
AN:
86236
European-Finnish (FIN)
AF:
0.000318
AC:
17
AN:
53382
Middle Eastern (MID)
AF:
0.00728
AC:
42
AN:
5766
European-Non Finnish (NFE)
AF:
0.000962
AC:
1069
AN:
1111712
Other (OTH)
AF:
0.00179
AC:
108
AN:
60380
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.457
Heterozygous variant carriers
0
112
224
336
448
560
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
44
88
132
176
220
<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:
0.00120
AC:
183
AN:
151926
Hom.:
4
Cov.:
31
AF XY:
0.00124
AC XY:
92
AN XY:
74236
show subpopulations
African (AFR)
AF:
0.000314
AC:
13
AN:
41454
American (AMR)
AF:
0.000657
AC:
10
AN:
15224
Ashkenazi Jewish (ASJ)
AF:
0.00346
AC:
12
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5158
South Asian (SAS)
AF:
0.00979
AC:
47
AN:
4800
European-Finnish (FIN)
AF:
0.000379
AC:
4
AN:
10546
Middle Eastern (MID)
AF:
0.0170
AC:
5
AN:
294
European-Non Finnish (NFE)
AF:
0.00132
AC:
90
AN:
67974
Other (OTH)
AF:
0.000953
AC:
2
AN:
2098
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
10
21
31
42
52
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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
Alfa
AF:
0.00164
Hom.:
1
Bravo
AF:
0.00114
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000519
AC:
2
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.00244
AC:
21
ExAC
AF:
0.00264
AC:
320
Asia WGS
AF:
0.00549
AC:
19
AN:
3478
EpiCase
AF:
0.00153
EpiControl
AF:
0.00249

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

ANXA5-related disorder Benign:1
Mar 01, 2019
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This 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
0.098
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.48
CADD
Uncertain
24
DANN
Uncertain
0.98
DEOGEN2
Benign
0.22
T;T;T
Eigen
Benign
-0.10
Eigen_PC
Benign
0.018
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Benign
0.81
T;T;T
MetaRNN
Benign
0.017
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
2.0
M;.;.
PhyloP100
3.8
PrimateAI
Uncertain
0.55
T
PROVEAN
Uncertain
-3.3
D;D;D
REVEL
Benign
0.066
Sift
Benign
0.058
T;D;T
Sift4G
Uncertain
0.031
D;D;D
Polyphen
0.20
B;B;P
Vest4
0.58
MVP
0.62
MPC
0.24
ClinPred
0.033
T
GERP RS
3.4
Varity_R
0.35
gMVP
0.57
Mutation Taster
=91/9
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: rs17851665; hg19: chr4-122590824; API