6-160585045-C-T

Variant summary

Our verdict is Benign. Variant got -8 ACMG points: 0P and 8B. BA1

The NM_005577.4(LPA):​c.4289+1G>A variant causes a splice donor, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0361 in 1,613,234 control chromosomes in the GnomAD database, including 1,290 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.030 ( 111 hom., cov: 32)
Exomes 𝑓: 0.037 ( 1179 hom. )

Consequence

LPA
NM_005577.4 splice_donor, intron

Scores

2
5
Splicing: ADA: 1.000
2

Clinical Significance

Benign criteria provided, single submitter P:1B:1

Conservation

PhyloP100: 3.51
Variant links:
Genes affected
LPA (HGNC:6667): (lipoprotein(a)) The protein encoded by this gene is a serine proteinase that inhibits the activity of tissue-type plasminogen activator I. The encoded protein constitutes a substantial portion of lipoprotein(a) and is proteolytically cleaved, resulting in fragments that attach to atherosclerotic lesions and promote thrombogenesis. Elevated plasma levels of this protein are linked to atherosclerosis. Depending on the individual, the encoded protein contains 2-43 copies of kringle-type domains. The allele represented here contains 15 copies of the kringle-type repeats and corresponds to that found in the reference genome sequence. [provided by RefSeq, Dec 2009]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -8 ACMG points.

BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.0551 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
LPANM_005577.4 linkuse as main transcriptc.4289+1G>A splice_donor_variant, intron_variant ENST00000316300.10 NP_005568.2 P08519

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
LPAENST00000316300.10 linkuse as main transcriptc.4289+1G>A splice_donor_variant, intron_variant 1 NM_005577.4 ENSP00000321334.6 P08519

Frequencies

GnomAD3 genomes
AF:
0.0301
AC:
4571
AN:
152072
Hom.:
112
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00746
Gnomad AMI
AF:
0.0143
Gnomad AMR
AF:
0.0584
Gnomad ASJ
AF:
0.0239
Gnomad EAS
AF:
0.000386
Gnomad SAS
AF:
0.0369
Gnomad FIN
AF:
0.0529
Gnomad MID
AF:
0.0158
Gnomad NFE
AF:
0.0364
Gnomad OTH
AF:
0.0253
GnomAD3 exomes
AF:
0.0405
AC:
10118
AN:
249794
Hom.:
334
AF XY:
0.0388
AC XY:
5262
AN XY:
135490
show subpopulations
Gnomad AFR exome
AF:
0.00709
Gnomad AMR exome
AF:
0.104
Gnomad ASJ exome
AF:
0.0269
Gnomad EAS exome
AF:
0.000990
Gnomad SAS exome
AF:
0.0346
Gnomad FIN exome
AF:
0.0468
Gnomad NFE exome
AF:
0.0339
Gnomad OTH exome
AF:
0.0370
GnomAD4 exome
AF:
0.0367
AC:
53600
AN:
1461044
Hom.:
1179
Cov.:
32
AF XY:
0.0363
AC XY:
26406
AN XY:
726870
show subpopulations
Gnomad4 AFR exome
AF:
0.00583
Gnomad4 AMR exome
AF:
0.0978
Gnomad4 ASJ exome
AF:
0.0260
Gnomad4 EAS exome
AF:
0.000580
Gnomad4 SAS exome
AF:
0.0339
Gnomad4 FIN exome
AF:
0.0478
Gnomad4 NFE exome
AF:
0.0365
Gnomad4 OTH exome
AF:
0.0349
GnomAD4 genome
AF:
0.0300
AC:
4572
AN:
152190
Hom.:
111
Cov.:
32
AF XY:
0.0313
AC XY:
2331
AN XY:
74394
show subpopulations
Gnomad4 AFR
AF:
0.00744
Gnomad4 AMR
AF:
0.0582
Gnomad4 ASJ
AF:
0.0239
Gnomad4 EAS
AF:
0.000386
Gnomad4 SAS
AF:
0.0371
Gnomad4 FIN
AF:
0.0529
Gnomad4 NFE
AF:
0.0365
Gnomad4 OTH
AF:
0.0250
Alfa
AF:
0.0321
Hom.:
157
Bravo
AF:
0.0304
TwinsUK
AF:
0.0332
AC:
123
ALSPAC
AF:
0.0371
AC:
143
ESP6500AA
AF:
0.00732
AC:
31
ESP6500EA
AF:
0.0346
AC:
295
ExAC
AF:
0.0369
AC:
4478
Asia WGS
AF:
0.0200
AC:
71
AN:
3478
EpiCase
AF:
0.0335
EpiControl
AF:
0.0344

ClinVar

Significance: Benign
Submissions summary: Pathogenic:1Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Lipoprotein(a) deficiency, congenital Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMAug 07, 2020- -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineMar 29, 2016Variant identified in a genome or exome case(s) and assessed due to predicted null impact of the variant or pathogenic assertions in the literature or databases. Disclaimer: This variant has not undergone full assessment. The following are preliminary notes: Frequency -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.23
CADD
Uncertain
24
DANN
Benign
0.93
Eigen
Uncertain
0.62
Eigen_PC
Uncertain
0.33
FATHMM_MKL
Benign
0.75
D
GERP RS
2.6

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.77
SpliceAI score (max)
0.52
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.52
Position offset: 1

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: rs41272114; hg19: chr6-161006077; API