4-144120558-G-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_002099.8(GYPA):​c.68C>A​(p.Thr23Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000305 in 1,244,962 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another nucleotide change resulting in same amino acid change has been previously reported as Likely benignin UniProt.

Frequency

Genomes: 𝑓 0.000061 ( 0 hom., cov: 20)
Exomes 𝑓: 0.000027 ( 2 hom. )

Consequence

GYPA
NM_002099.8 missense

Scores

3
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.722
Variant links:
Genes affected
GYPA (HGNC:4702): (glycophorin A (MNS blood group)) Glycophorins A (GYPA) and B (GYPB) are major sialoglycoproteins of the human erythrocyte membrane which bear the antigenic determinants for the MN and Ss blood groups. In addition to the M or N and S or s antigens that commonly occur in all populations, about 40 related variant phenotypes have been identified. These variants include all the variants of the Miltenberger complex and several isoforms of Sta, as well as Dantu, Sat, He, Mg, and deletion variants Ena, S-s-U- and Mk. Most of the variants are the result of gene recombinations between GYPA and GYPB. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06538156).
BS2
High Homozygotes in GnomAdExome4 at 2 BG gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
GYPANM_002099.8 linkuse as main transcriptc.68C>A p.Thr23Asn missense_variant 2/7 ENST00000641688.3 NP_002090.4
LOC105377460XR_002959803.2 linkuse as main transcriptn.5270+5329G>T intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
GYPAENST00000641688.3 linkuse as main transcriptc.68C>A p.Thr23Asn missense_variant 2/7 NM_002099.8 ENSP00000493142 P4

Frequencies

GnomAD3 genomes
AF:
0.0000613
AC:
8
AN:
130534
Hom.:
0
Cov.:
20
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000805
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000588
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000499
Gnomad OTH
AF:
0.00112
GnomAD3 exomes
AF:
0.000111
AC:
20
AN:
180324
Hom.:
6
AF XY:
0.000134
AC XY:
13
AN XY:
96832
show subpopulations
Gnomad AFR exome
AF:
0.000149
Gnomad AMR exome
AF:
0.0000862
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000198
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000131
Gnomad OTH exome
AF:
0.000220
GnomAD4 exome
AF:
0.0000269
AC:
30
AN:
1114428
Hom.:
2
Cov.:
29
AF XY:
0.0000269
AC XY:
15
AN XY:
557994
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000624
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000101
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000215
Gnomad4 OTH exome
AF:
0.0000425
GnomAD4 genome
AF:
0.0000613
AC:
8
AN:
130534
Hom.:
0
Cov.:
20
AF XY:
0.0000796
AC XY:
5
AN XY:
62794
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000805
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000588
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000499
Gnomad4 OTH
AF:
0.00112
Alfa
AF:
0.000194
Hom.:
1
ExAC
AF:
0.000106
AC:
10

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 20, 2021The c.68C>A (p.T23N) alteration is located in exon 2 (coding exon 2) of the GYPA gene. This alteration results from a C to A substitution at nucleotide position 68, causing the threonine (T) at amino acid position 23 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.19
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.54
CADD
Benign
11
DANN
Benign
0.97
DEOGEN2
Benign
0.13
.;T;T;.;.;T;.;.
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.57
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.85
D;.;D;D;.;D;T;T
M_CAP
Benign
0.0027
T
MetaRNN
Benign
0.065
T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationTaster
Benign
1.0
N;N;N;N;N;N;N;N
PrimateAI
Benign
0.26
T
PROVEAN
Uncertain
-2.7
.;.;D;.;N;N;N;D
REVEL
Benign
0.071
Sift
Uncertain
0.0020
.;.;D;.;T;D;D;D
Sift4G
Uncertain
0.022
D;.;D;.;D;D;D;D
Polyphen
0.99, 0.90
.;.;.;.;.;D;P;.
Vest4
0.20
MutPred
0.25
.;Loss of glycosylation at T23 (P = 0.017);Loss of glycosylation at T23 (P = 0.017);Loss of glycosylation at T23 (P = 0.017);.;Loss of glycosylation at T23 (P = 0.017);Loss of glycosylation at T23 (P = 0.017);Loss of glycosylation at T23 (P = 0.017);
MVP
0.19
MPC
0.17
ClinPred
0.62
D
GERP RS
1.7
gMVP
0.028

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.030
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: rs753693249; hg19: chr4-145041711; COSMIC: COSV51632823; COSMIC: COSV51632823; API