5-107387288-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001962.3(EFNA5):ā€‹c.512A>Gā€‹(p.His171Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000275 in 1,453,368 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000028 ( 0 hom. )

Consequence

EFNA5
NM_001962.3 missense

Scores

4
5
10

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 7.53
Variant links:
Genes affected
EFNA5 (HGNC:3225): (ephrin A5) Ephrin-A5, a member of the ephrin gene family, prevents axon bundling in cocultures of cortical neurons with astrocytes, a model of late stage nervous system development and differentiation. The EPH and EPH-related receptors comprise the largest subfamily of receptor protein-tyrosine kinases and have been implicated in mediating developmental events, particularly in the nervous system. EPH receptors typically have a single kinase domain and an extracellular region containing a Cys-rich domain and 2 fibronectin type III repeats. The ephrin ligands and receptors have been named by the Eph Nomenclature Committee (1997). Based on their structures and sequence relationships, ephrins are divided into the ephrin-A (EFNA) class, which are anchored to the membrane by a glycosylphosphatidylinositol linkage, and the ephrin-B (EFNB) class, which are transmembrane proteins. The Eph family of receptors are similarly divided into 2 groups based on the similarity of their extracellular domain sequences and their affinities for binding ephrin-A and ephrin-B ligands. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EFNA5NM_001962.3 linkuse as main transcriptc.512A>G p.His171Arg missense_variant 4/5 ENST00000333274.11 NP_001953.1
EFNA5XM_011543250.4 linkuse as main transcriptc.458A>G p.His153Arg missense_variant 4/5 XP_011541552.1
EFNA5NM_001410773.1 linkuse as main transcriptc.484+418A>G intron_variant NP_001397702.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EFNA5ENST00000333274.11 linkuse as main transcriptc.512A>G p.His171Arg missense_variant 4/51 NM_001962.3 ENSP00000328777 P3
EFNA5ENST00000509503.1 linkuse as main transcriptc.484+418A>G intron_variant 5 ENSP00000426989 A1
EFNA5ENST00000510359.1 linkuse as main transcriptn.160A>G non_coding_transcript_exon_variant 3/43

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000275
AC:
4
AN:
1453368
Hom.:
0
Cov.:
29
AF XY:
0.00000277
AC XY:
2
AN XY:
722882
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.0000377
Gnomad4 NFE exome
AF:
9.04e-7
Gnomad4 OTH exome
AF:
0.0000167
GnomAD4 genome
Cov.:
32

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 GeneticsNov 17, 2023The c.512A>G (p.H171R) alteration is located in exon 4 (coding exon 4) of the EFNA5 gene. This alteration results from a A to G substitution at nucleotide position 512, causing the histidine (H) at amino acid position 171 to be replaced by an arginine (R). 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
0.26
BayesDel_addAF
Pathogenic
0.31
D
BayesDel_noAF
Pathogenic
0.20
CADD
Uncertain
26
DANN
Uncertain
0.99
DEOGEN2
Benign
0.034
T;T
Eigen
Benign
0.17
Eigen_PC
Uncertain
0.34
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.73
T;T
M_CAP
Benign
0.069
D
MetaRNN
Uncertain
0.60
D;D
MetaSVM
Uncertain
0.33
D
MutationAssessor
Benign
1.0
.;L
MutationTaster
Benign
1.0
D;D
PrimateAI
Pathogenic
0.87
D
PROVEAN
Benign
-1.4
.;N
REVEL
Uncertain
0.53
Sift
Benign
0.78
.;T
Sift4G
Benign
0.42
T;T
Polyphen
0.70
.;P
Vest4
0.62
MutPred
0.40
.;Loss of sheet (P = 0.0126);
MVP
0.91
MPC
0.90
ClinPred
0.53
D
GERP RS
5.8
Varity_R
0.32
gMVP
0.77

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr5-106722989; API