5-107670574-G-A

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_ModerateBS2

The NM_001962.3(EFNA5):​c.40C>T​(p.Leu14Phe) variant causes a missense change. The variant allele was found at a frequency of 0.00000345 in 1,450,296 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: not found (cov: 31)
Exomes 𝑓: 0.0000034 ( 0 hom. )

Consequence

EFNA5
NM_001962.3 missense

Scores

2
8
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.71
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]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.26074624).
BS2
High AC in GnomAdExome4 at 5 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
EFNA5NM_001962.3 linkuse as main transcriptc.40C>T p.Leu14Phe missense_variant 1/5 ENST00000333274.11 NP_001953.1 P52803
EFNA5NM_001410773.1 linkuse as main transcriptc.40C>T p.Leu14Phe missense_variant 1/4 NP_001397702.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
EFNA5ENST00000333274.11 linkuse as main transcriptc.40C>T p.Leu14Phe missense_variant 1/51 NM_001962.3 ENSP00000328777.6 P52803
EFNA5ENST00000504941.1 linkuse as main transcriptn.312C>T non_coding_transcript_exon_variant 1/21
EFNA5ENST00000509503.1 linkuse as main transcriptc.40C>T p.Leu14Phe missense_variant 1/45 ENSP00000426989.1 D6RDV5

Frequencies

GnomAD3 genomes
Cov.:
31
GnomAD3 exomes
AF:
0.0000130
AC:
3
AN:
230712
Hom.:
0
AF XY:
0.00000802
AC XY:
1
AN XY:
124682
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000599
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000360
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000345
AC:
5
AN:
1450296
Hom.:
0
Cov.:
31
AF XY:
0.00000278
AC XY:
2
AN XY:
720504
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000908
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000119
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
31
Bravo
AF:
0.0000113
ExAC
AF:
0.00000825
AC:
1

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 GeneticsAug 19, 2024The c.40C>T (p.L14F) alteration is located in exon 1 (coding exon 1) of the EFNA5 gene. This alteration results from a C to T substitution at nucleotide position 40, causing the leucine (L) at amino acid position 14 to be replaced by a phenylalanine (F). 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
0.074
BayesDel_addAF
Benign
0.0021
T
BayesDel_noAF
Uncertain
-0.060
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Benign
0.23
T;.
Eigen
Benign
-0.066
Eigen_PC
Benign
0.039
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Benign
0.77
T;T
M_CAP
Pathogenic
0.45
D
MetaRNN
Benign
0.26
T;T
MetaSVM
Uncertain
0.50
D
MutationAssessor
Uncertain
2.1
M;.
PrimateAI
Pathogenic
0.79
T
PROVEAN
Benign
-0.90
N;N
REVEL
Uncertain
0.39
Sift
Uncertain
0.027
D;D
Sift4G
Uncertain
0.054
T;D
Polyphen
0.57
P;B
Vest4
0.31
MutPred
0.42
Gain of helix (P = 0.132);Gain of helix (P = 0.132);
MVP
0.62
MPC
0.97
ClinPred
0.33
T
GERP RS
3.7
Varity_R
0.16
gMVP
0.44

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
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: rs754892007; hg19: chr5-107006275; API