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GeneBe

5-6651970-A-C

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_001047.4(SRD5A1):c.422A>C(p.Tyr141Ser) variant causes a missense change. The variant allele was found at a frequency of 0.00000558 in 1,614,084 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000055 ( 0 hom. )

Consequence

SRD5A1
NM_001047.4 missense

Scores

3
11
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 6.47
Variant links:
Genes affected
SRD5A1 (HGNC:11284): (steroid 5 alpha-reductase 1) Steroid 5-alpha-reductase (EC 1.3.99.5) catalyzes the conversion of testosterone into the more potent androgen, dihydrotestosterone (DHT). Also see SRD5A2 (MIM 607306).[supplied by OMIM, Mar 2008]

Genome browser will be placed here

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;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.958

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SRD5A1NM_001047.4 linkuse as main transcriptc.422A>C p.Tyr141Ser missense_variant 2/5 ENST00000274192.7
SRD5A1NM_001324323.2 linkuse as main transcriptc.203A>C p.Tyr68Ser missense_variant 3/6
SRD5A1NM_001324322.2 linkuse as main transcriptc.320-4108A>C intron_variant
SRD5A1NR_136739.2 linkuse as main transcriptn.559A>C non_coding_transcript_exon_variant 2/6

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SRD5A1ENST00000274192.7 linkuse as main transcriptc.422A>C p.Tyr141Ser missense_variant 2/51 NM_001047.4 P1
SRD5A1ENST00000504286.2 linkuse as main transcriptc.422A>C p.Tyr141Ser missense_variant, NMD_transcript_variant 2/62
SRD5A1ENST00000510531.6 linkuse as main transcriptc.*543A>C 3_prime_UTR_variant, NMD_transcript_variant 3/62
SRD5A1ENST00000513117.1 linkuse as main transcriptc.294-4108A>C intron_variant, NMD_transcript_variant 2

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152248
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
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:
0.0000199
AC:
5
AN:
251100
Hom.:
0
AF XY:
0.0000295
AC XY:
4
AN XY:
135710
show subpopulations
Gnomad AFR exome
AF:
0.0000615
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.000298
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000547
AC:
8
AN:
1461716
Hom.:
0
Cov.:
32
AF XY:
0.00000963
AC XY:
7
AN XY:
727158
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.000153
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
8.99e-7
Gnomad4 OTH exome
AF:
0.0000497
GnomAD4 genome
AF:
0.00000656
AC:
1
AN:
152368
Hom.:
0
Cov.:
32
AF XY:
0.0000134
AC XY:
1
AN XY:
74510
show subpopulations
Gnomad4 AFR
AF:
0.0000240
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:
0.000130
Hom.:
0
Bravo
AF:
0.00000378
ExAC
AF:
0.0000247
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 GeneticsNov 07, 2023The c.422A>C (p.Y141S) alteration is located in exon 2 (coding exon 2) of the SRD5A1 gene. This alteration results from a A to C substitution at nucleotide position 422, causing the tyrosine (Y) at amino acid position 141 to be replaced by a serine (S). 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
Pathogenic
0.82
BayesDel_addAF
Uncertain
0.12
D
BayesDel_noAF
Uncertain
0.12
Cadd
Benign
23
Dann
Uncertain
0.98
DEOGEN2
Uncertain
0.79
D
Eigen
Uncertain
0.40
Eigen_PC
Uncertain
0.29
FATHMM_MKL
Benign
0.47
N
LIST_S2
Benign
0.76
T
M_CAP
Benign
0.030
D
MetaRNN
Pathogenic
0.96
D
MetaSVM
Benign
-0.60
T
MutationAssessor
Uncertain
2.9
M
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Uncertain
0.49
T
PROVEAN
Pathogenic
-7.5
D
REVEL
Uncertain
0.50
Sift
Uncertain
0.0030
D
Sift4G
Uncertain
0.036
D
Polyphen
0.77
P
Vest4
0.84
MutPred
0.73
Gain of loop (P = 0.1069);
MVP
0.65
MPC
1.7
ClinPred
0.85
D
GERP RS
5.7
Varity_R
0.81
gMVP
0.83

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: rs567776382; hg19: chr5-6652083; API