4-186271741-C-G

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PM5PP5_Moderate

The NM_000128.4(F11):​c.188C>G​(p.Ala63Gly) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. 15/23 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A63V) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 32)

Consequence

F11
NM_000128.4 missense

Scores

19

Clinical Significance

Likely pathogenic criteria provided, single submitter P:1

Conservation

PhyloP100: 1.00
Variant links:
Genes affected
F11 (HGNC:3529): (coagulation factor XI) This gene encodes coagulation factor XI of the blood coagulation cascade. This protein is present in plasma as a zymogen, which is a unique plasma coagulation enzyme because it exists as a homodimer consisting of two identical polypeptide chains linked by disulfide bonds. During activation of the plasma factor XI, an internal peptide bond is cleaved by factor XIIa (or XII) in each of the two chains, resulting in activated factor XIa, a serine protease composed of two heavy and two light chains held together by disulfide bonds. This activated plasma factor XI triggers the middle phase of the intrisic pathway of blood coagulation by activating factor IX. Defects in this factor lead to Rosenthal syndrome, a blood coagulation abnormality. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr4-186271741-C-T is described in Lovd as [Pathogenic].
PP5
Variant 4-186271741-C-G is Pathogenic according to our data. Variant chr4-186271741-C-G is described in ClinVar as [Likely_pathogenic]. Clinvar id is 809710.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
F11NM_000128.4 linkuse as main transcriptc.188C>G p.Ala63Gly missense_variant 3/15 ENST00000403665.7 NP_000119.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
F11ENST00000403665.7 linkuse as main transcriptc.188C>G p.Ala63Gly missense_variant 3/151 NM_000128.4 ENSP00000384957 P1P03951-1
F11ENST00000492972.6 linkuse as main transcriptc.188C>G p.Ala63Gly missense_variant 3/52 ENSP00000424479

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
32
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Likely pathogenic
Submissions summary: Pathogenic:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Likely pathogenic, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenJun 01, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.062
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
12
DANN
Benign
0.95
DEOGEN2
Benign
0.35
T;T;.
Eigen
Benign
-0.89
Eigen_PC
Benign
-0.88
FATHMM_MKL
Benign
0.28
N
LIST_S2
Benign
0.43
T;T;T
M_CAP
Benign
0.074
D
MetaRNN
Benign
0.24
T;T;T
MetaSVM
Benign
-0.51
T
MutationAssessor
Benign
1.4
L;.;L
MutationTaster
Benign
1.0
N;N;N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.76
N;N;N
REVEL
Benign
0.23
Sift
Benign
0.081
T;T;T
Sift4G
Benign
0.21
T;T;T
Polyphen
0.0020
B;.;.
Vest4
0.18
MutPred
0.54
Loss of sheet (P = 0.0181);Loss of sheet (P = 0.0181);Loss of sheet (P = 0.0181);
MVP
0.96
MPC
0.099
ClinPred
0.12
T
GERP RS
2.5
Varity_R
0.20
gMVP
0.65

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.26
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.26
Position offset: 30

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: rs281875244; hg19: chr4-187192895; API