6-29943287-A-G

Variant summary

Our verdict is Benign. Variant got -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_002116.8(HLA-A):ā€‹c.363A>Gā€‹(p.Ile121Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. In-silico tool predicts a benign outcome for this variant. 13/19 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as no classification for the single variant (no stars). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in UniProt. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. I121R) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.15 ( 1304 hom., cov: 5)
Exomes š‘“: 0.14 ( 27444 hom. )
Failed GnomAD Quality Control

Consequence

HLA-A
NM_002116.8 missense

Scores

17

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -4.67
Variant links:
Genes affected
HLA-A (HGNC:4931): (major histocompatibility complex, class I, A) HLA-A belongs to the HLA class I heavy chain paralogues. This class I molecule is a heterodimer consisting of a heavy chain and a light chain (beta-2 microglobulin). The heavy chain is anchored in the membrane. Class I molecules play a central role in the immune system by presenting peptides derived from the endoplasmic reticulum lumen so that they can be recognized by cytotoxic T cells. They are expressed in nearly all cells. The heavy chain is approximately 45 kDa and its gene contains 8 exons. Exon 1 encodes the leader peptide, exons 2 and 3 encode the alpha1 and alpha2 domains, which both bind the peptide, exon 4 encodes the alpha3 domain, exon 5 encodes the transmembrane region, and exons 6 and 7 encode the cytoplasmic tail. Polymorphisms within exon 2 and exon 3 are responsible for the peptide binding specificity of each class one molecule. Typing for these polymorphisms is routinely done for bone marrow and kidney transplantation. More than 6000 HLA-A alleles have been described. The HLA system plays an important role in the occurrence and outcome of infectious diseases, including those caused by the malaria parasite, the human immunodeficiency virus (HIV), and the severe acute respiratory syndrome coronavirus (SARS-CoV). The structural spike and the nucleocapsid proteins of the novel coronavirus SARS-CoV-2, which causes coronavirus disease 2019 (COVID-19), are reported to contain multiple Class I epitopes with predicted HLA restrictions. Individual HLA genetic variation may help explain different immune responses to a virus across a population.[provided by RefSeq, Aug 2020]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=9.371736E-6).
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.238 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HLA-ANM_002116.8 linkc.363A>G p.Ile121Met missense_variant 3/8 ENST00000376809.10 NP_002107.3 P04439-1B1PKY1B2R7U3
LOC124901298XR_007059541.1 linkn.813+1494T>C intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HLA-AENST00000376809.10 linkc.363A>G p.Ile121Met missense_variant 3/86 NM_002116.8 ENSP00000366005.5 P04439-1

Frequencies

GnomAD3 genomes
AF:
0.147
AC:
6383
AN:
43362
Hom.:
1297
Cov.:
5
show subpopulations
Gnomad AFR
AF:
0.202
Gnomad AMI
AF:
0.0615
Gnomad AMR
AF:
0.183
Gnomad ASJ
AF:
0.158
Gnomad EAS
AF:
0.179
Gnomad SAS
AF:
0.263
Gnomad FIN
AF:
0.0595
Gnomad MID
AF:
0.139
Gnomad NFE
AF:
0.119
Gnomad OTH
AF:
0.136
GnomAD3 exomes
AF:
0.597
AC:
119881
AN:
200820
Hom.:
42236
AF XY:
0.588
AC XY:
64643
AN XY:
109968
show subpopulations
Gnomad AFR exome
AF:
0.623
Gnomad AMR exome
AF:
0.785
Gnomad ASJ exome
AF:
0.646
Gnomad EAS exome
AF:
0.645
Gnomad SAS exome
AF:
0.591
Gnomad FIN exome
AF:
0.542
Gnomad NFE exome
AF:
0.527
Gnomad OTH exome
AF:
0.587
GnomAD4 exome
Data not reliable, filtered out with message: AS_VQSR
AF:
0.140
AC:
88000
AN:
628324
Hom.:
27444
Cov.:
10
AF XY:
0.151
AC XY:
47963
AN XY:
316988
show subpopulations
Gnomad4 AFR exome
AF:
0.176
Gnomad4 AMR exome
AF:
0.363
Gnomad4 ASJ exome
AF:
0.226
Gnomad4 EAS exome
AF:
0.441
Gnomad4 SAS exome
AF:
0.358
Gnomad4 FIN exome
AF:
0.151
Gnomad4 NFE exome
AF:
0.0989
Gnomad4 OTH exome
AF:
0.180
GnomAD4 genome
AF:
0.148
AC:
6402
AN:
43388
Hom.:
1304
Cov.:
5
AF XY:
0.145
AC XY:
3036
AN XY:
20994
show subpopulations
Gnomad4 AFR
AF:
0.202
Gnomad4 AMR
AF:
0.184
Gnomad4 ASJ
AF:
0.158
Gnomad4 EAS
AF:
0.179
Gnomad4 SAS
AF:
0.264
Gnomad4 FIN
AF:
0.0595
Gnomad4 NFE
AF:
0.119
Gnomad4 OTH
AF:
0.146
Alfa
AF:
0.466
Hom.:
2709
ESP6500AA
AF:
0.542
AC:
1609
ESP6500EA
AF:
0.455
AC:
2393
ExAC
AF:
0.513
AC:
58839
Asia WGS
AF:
0.705
AC:
2445
AN:
3474

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.79
T
BayesDel_noAF
Benign
-0.76
CADD
Benign
0.47
DANN
Benign
0.52
DEOGEN2
Benign
0.025
T;T;T;T;.
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.7
FATHMM_MKL
Benign
0.0044
N
LIST_S2
Benign
0.0035
.;T;T;T;T
MetaRNN
Benign
0.0000094
T;T;T;T;T
MetaSVM
Benign
-1.0
T
PrimateAI
Benign
0.26
T
PROVEAN
Benign
1.2
N;N;N;N;.
REVEL
Benign
0.032
Sift
Benign
0.28
T;T;T;.;.
Sift4G
Benign
0.14
T;T;T;T;.
Polyphen
0.0
B;B;B;B;.
Vest4
0.031
MPC
0.084
ClinPred
0.019
T
GERP RS
-7.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.26
gMVP
0.10

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: rs1136695; hg19: chr6-29911064; COSMIC: COSV65136818; COSMIC: COSV65136818; API