4-73483949-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 4P and 4B. PM1PM2BP4_Strong

The NM_001133.2(AFM):ā€‹c.97A>Gā€‹(p.Asn33Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000784 in 1,529,756 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000046 ( 0 hom., cov: 33)
Exomes š‘“: 0.0000036 ( 0 hom. )

Consequence

AFM
NM_001133.2 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.288
Variant links:
Genes affected
AFM (HGNC:316): (afamin) This gene is a member of the albumin gene family, which is comprised of four genes that localize to chromosome 4 in a tandem arrangement. These four genes encode structurally-related serum transport proteins that are known to be evolutionarily related. The protein encoded by this gene is regulated developmentally, expressed in the liver and secreted into the bloodstream. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM1
In a glycosylation_site N-linked (GlcNAc...) (complex) asparagine (size 0) in uniprot entity AFAM_HUMAN
PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.063364).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AFMNM_001133.2 linkuse as main transcriptc.97A>G p.Asn33Asp missense_variant 2/15 ENST00000226355.5 NP_001124.1 P43652
AFMXM_017007842.3 linkuse as main transcriptc.97A>G p.Asn33Asp missense_variant 2/13 XP_016863331.1
AFMXM_017007843.3 linkuse as main transcriptc.97A>G p.Asn33Asp missense_variant 2/11 XP_016863332.1
AFMXM_017007844.3 linkuse as main transcriptc.97A>G p.Asn33Asp missense_variant 2/11 XP_016863333.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AFMENST00000226355.5 linkuse as main transcriptc.97A>G p.Asn33Asp missense_variant 2/151 NM_001133.2 ENSP00000226355.3 P43652

Frequencies

GnomAD3 genomes
AF:
0.0000460
AC:
7
AN:
152228
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000169
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000176
AC:
4
AN:
227574
Hom.:
0
AF XY:
0.0000162
AC XY:
2
AN XY:
123484
show subpopulations
Gnomad AFR exome
AF:
0.000269
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:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000363
AC:
5
AN:
1377528
Hom.:
0
Cov.:
28
AF XY:
0.00000291
AC XY:
2
AN XY:
687436
show subpopulations
Gnomad4 AFR exome
AF:
0.000162
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000460
AC:
7
AN:
152228
Hom.:
0
Cov.:
33
AF XY:
0.0000941
AC XY:
7
AN XY:
74382
show subpopulations
Gnomad4 AFR
AF:
0.000169
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000165
Hom.:
0
Bravo
AF:
0.000110
ExAC
AF:
0.0000248
AC:
3

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 GeneticsApr 08, 2024The c.97A>G (p.N33D) alteration is located in exon 2 (coding exon 2) of the AFM gene. This alteration results from a A to G substitution at nucleotide position 97, causing the asparagine (N) at amino acid position 33 to be replaced by an aspartic acid (D). 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
0.067
BayesDel_addAF
Benign
-0.51
T
BayesDel_noAF
Benign
-0.67
CADD
Benign
1.5
DANN
Benign
0.23
DEOGEN2
Benign
0.0058
T
Eigen
Benign
-1.1
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.029
N
LIST_S2
Benign
0.30
T
M_CAP
Benign
0.013
T
MetaRNN
Benign
0.063
T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
0.0
N
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.44
N
REVEL
Benign
0.10
Sift
Benign
1.0
T
Sift4G
Benign
0.59
T
Polyphen
0.072
B
Vest4
0.19
MVP
0.46
MPC
0.015
ClinPred
0.023
T
GERP RS
3.6
Varity_R
0.094
gMVP
0.050

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs762960521; hg19: chr4-74349666; API