6-31271724-G-T

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBA1

The NM_002117.6(HLA-C):​c.218C>A​(p.Ala73Glu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0617 in 1,388,764 control chromosomes in the GnomAD database, including 9,180 homozygotes. In-silico tool predicts a benign outcome for this variant. 12/19 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.035 ( 107 hom., cov: 14)
Exomes 𝑓: 0.064 ( 9073 hom. )

Consequence

HLA-C
NM_002117.6 missense

Scores

3
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.366

Publications

22 publications found
Variant links:
Genes affected
HLA-C (HGNC:4933): (major histocompatibility complex, class I, C) HLA-C 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 endoplasmic reticulum lumen. They are expressed in nearly all cells. The heavy chain is approximately 45 kDa and its gene contains 8 exons. Exon one encodes the leader peptide, exons 2 and 3 encode the alpha1 and alpha2 domain, 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. About 6000 HLA-C 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 was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0017168224).
BA1
GnomAdExome4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.155 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HLA-CNM_002117.6 linkc.218C>A p.Ala73Glu missense_variant Exon 2 of 8 ENST00000376228.10 NP_002108.4 P10321-1Q6R739Q95HC2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HLA-CENST00000376228.10 linkc.218C>A p.Ala73Glu missense_variant Exon 2 of 8 6 NM_002117.6 ENSP00000365402.5 P10321-1

Frequencies

GnomAD3 genomes
AF:
0.0346
AC:
3209
AN:
92844
Hom.:
107
Cov.:
14
show subpopulations
Gnomad AFR
AF:
0.0486
Gnomad AMI
AF:
0.0503
Gnomad AMR
AF:
0.0358
Gnomad ASJ
AF:
0.0719
Gnomad EAS
AF:
0.0116
Gnomad SAS
AF:
0.0226
Gnomad FIN
AF:
0.0365
Gnomad MID
AF:
0.0598
Gnomad NFE
AF:
0.0279
Gnomad OTH
AF:
0.0411
GnomAD2 exomes
AF:
0.130
AC:
32609
AN:
250518
AF XY:
0.128
show subpopulations
Gnomad AFR exome
AF:
0.200
Gnomad AMR exome
AF:
0.188
Gnomad ASJ exome
AF:
0.197
Gnomad EAS exome
AF:
0.0487
Gnomad FIN exome
AF:
0.169
Gnomad NFE exome
AF:
0.106
Gnomad OTH exome
AF:
0.126
GnomAD4 exome
AF:
0.0636
AC:
82475
AN:
1295860
Hom.:
9073
Cov.:
39
AF XY:
0.0656
AC XY:
42431
AN XY:
646730
show subpopulations
African (AFR)
AF:
0.159
AC:
4448
AN:
27968
American (AMR)
AF:
0.153
AC:
6037
AN:
39340
Ashkenazi Jewish (ASJ)
AF:
0.156
AC:
3580
AN:
22920
East Asian (EAS)
AF:
0.0330
AC:
1203
AN:
36430
South Asian (SAS)
AF:
0.0901
AC:
7041
AN:
78180
European-Finnish (FIN)
AF:
0.127
AC:
5754
AN:
45290
Middle Eastern (MID)
AF:
0.112
AC:
493
AN:
4392
European-Non Finnish (NFE)
AF:
0.0509
AC:
50287
AN:
988632
Other (OTH)
AF:
0.0689
AC:
3632
AN:
52708
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.445
Heterozygous variant carriers
0
3086
6173
9259
12346
15432
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
1686
3372
5058
6744
8430
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0346
AC:
3216
AN:
92904
Hom.:
107
Cov.:
14
AF XY:
0.0345
AC XY:
1547
AN XY:
44810
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0487
AC:
1045
AN:
21448
American (AMR)
AF:
0.0359
AC:
295
AN:
8218
Ashkenazi Jewish (ASJ)
AF:
0.0719
AC:
159
AN:
2210
East Asian (EAS)
AF:
0.0117
AC:
39
AN:
3344
South Asian (SAS)
AF:
0.0226
AC:
68
AN:
3010
European-Finnish (FIN)
AF:
0.0365
AC:
212
AN:
5810
Middle Eastern (MID)
AF:
0.0595
AC:
10
AN:
168
European-Non Finnish (NFE)
AF:
0.0279
AC:
1309
AN:
46900
Other (OTH)
AF:
0.0407
AC:
48
AN:
1180
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.000000), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.325
Heterozygous variant carriers
0
220
441
661
882
1102
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
42
84
126
168
210
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.108
Hom.:
460
TwinsUK
AF:
0.0785
AC:
291
ALSPAC
AF:
0.0838
AC:
323
ESP6500AA
AF:
0.190
AC:
574
ESP6500EA
AF:
0.113
AC:
610
ExAC
AF:
0.129
AC:
15601
Asia WGS
AF:
0.112
AC:
392
AN:
3476
EpiCase
AF:
0.119
EpiControl
AF:
0.128

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.29
BayesDel_addAF
Benign
-0.53
T
BayesDel_noAF
Benign
-0.39
CADD
Benign
19
DANN
Benign
0.93
DEOGEN2
Benign
0.021
T;.
Eigen
Benign
-0.31
Eigen_PC
Benign
-0.46
FATHMM_MKL
Benign
0.036
N
LIST_S2
Benign
0.39
T;T
MetaRNN
Benign
0.0017
T;T
MetaSVM
Benign
-1.1
T
PhyloP100
0.37
PrimateAI
Uncertain
0.53
T
PROVEAN
Uncertain
-3.4
D;D
REVEL
Benign
0.15
Sift
Benign
0.043
D;D
Sift4G
Uncertain
0.023
D;D
Polyphen
0.022
B;B
Vest4
0.10
MPC
0.61
ClinPred
0.10
T
GERP RS
1.9
PromoterAI
-0.026
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
gMVP
0.59
Mutation Taster
=95/5
polymorphism (auto)

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

Other links and lift over

dbSNP: rs1050409; hg19: chr6-31239501; COSMIC: COSV66115644; COSMIC: COSV66115644; API