4-73404406-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 2P and 1B. PM2BP4

The NM_000477.7(ALB):​c.79C>A​(p.His27Asn) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000206 in 1,456,300 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/23 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. H27Q) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000021 ( 0 hom. )

Consequence

ALB
NM_000477.7 missense, splice_region

Scores

5
14
Splicing: ADA: 0.00006668
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.229
Variant links:
Genes affected
ALB (HGNC:399): (albumin) This gene encodes the most abundant protein in human blood. This protein functions in the regulation of blood plasma colloid osmotic pressure and acts as a carrier protein for a wide range of endogenous molecules including hormones, fatty acids, and metabolites, as well as exogenous drugs. Additionally, this protein exhibits an esterase-like activity with broad substrate specificity. The encoded preproprotein is proteolytically processed to generate the mature protein. A peptide derived from this protein, EPI-X4, is an endogenous inhibitor of the CXCR4 chemokine receptor. [provided by RefSeq, Jul 2016]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.33260322).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ALBNM_000477.7 linkuse as main transcriptc.79C>A p.His27Asn missense_variant, splice_region_variant 1/15 ENST00000295897.9 NP_000468.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ALBENST00000295897.9 linkuse as main transcriptc.79C>A p.His27Asn missense_variant, splice_region_variant 1/151 NM_000477.7 ENSP00000295897 P1P02768-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251448
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135896
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000879
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000206
AC:
3
AN:
1456300
Hom.:
0
Cov.:
29
AF XY:
0.00000276
AC XY:
2
AN XY:
725002
show subpopulations
Gnomad4 AFR exome
AF:
0.0000600
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.03e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32
Bravo
AF:
0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Uncertain
0.036
T
BayesDel_noAF
Benign
-0.19
CADD
Benign
19
DANN
Benign
0.95
DEOGEN2
Benign
0.068
T;D;.;.;.;.;T
Eigen
Benign
0.13
Eigen_PC
Benign
0.016
FATHMM_MKL
Uncertain
0.86
D
LIST_S2
Benign
0.53
T;T;T;T;T;T;T
M_CAP
Benign
0.025
D
MetaRNN
Benign
0.33
T;T;T;T;T;T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Uncertain
2.9
.;M;.;M;.;.;.
MutationTaster
Benign
1.0
D;D;D;N;N
PrimateAI
Benign
0.36
T
PROVEAN
Uncertain
-3.4
D;D;.;.;N;D;N
REVEL
Benign
0.16
Sift
Benign
0.11
T;T;.;.;T;T;D
Sift4G
Uncertain
0.034
D;D;D;D;T;D;T
Polyphen
0.38, 0.0020, 0.97
.;B;.;.;B;.;D
Vest4
0.36, 0.42, 0.41, 0.40, 0.37, 0.47
MutPred
0.29
.;Loss of stability (P = 0.0297);Loss of stability (P = 0.0297);Loss of stability (P = 0.0297);Loss of stability (P = 0.0297);Loss of stability (P = 0.0297);Loss of stability (P = 0.0297);
MVP
0.87
MPC
0.26
ClinPred
0.70
D
GERP RS
0.91
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.8
Varity_R
0.38
gMVP
0.15

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000067
dbscSNV1_RF
Benign
0.042
SpliceAI score (max)
0.010
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: rs141733599; hg19: chr4-74270123; API