8-132071471-C-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001145095.3(HHLA1):​c.1338G>T​(p.Lys446Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000219 in 1,551,464 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000024 ( 1 hom. )

Consequence

HHLA1
NM_001145095.3 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 0.0750
Variant links:
Genes affected
HHLA1 (HGNC:4904): (HHLA1 neighbor of OC90) Predicted to be located in extracellular region. [provided by Alliance of Genome Resources, Apr 2022]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.024619192).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HHLA1NM_001145095.3 linkuse as main transcriptc.1338G>T p.Lys446Asn missense_variant 15/17 ENST00000414222.2 NP_001138567.1 C9JL84-1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HHLA1ENST00000414222.2 linkuse as main transcriptc.1338G>T p.Lys446Asn missense_variant 15/175 NM_001145095.3 ENSP00000388322.1 C9JL84-1
ENSG00000258417ENST00000262283.5 linkuse as main transcriptc.541+4584G>T intron_variant 5 ENSP00000262283.5 I6L893
HHLA1ENST00000473291.1 linkuse as main transcriptn.1800G>T non_coding_transcript_exon_variant 5/71
HHLA1ENST00000673615.1 linkuse as main transcriptc.1446G>T p.Lys482Asn missense_variant 16/18 ENSP00000500443.1 A0A5F9ZHM0

Frequencies

GnomAD3 genomes
AF:
0.00000657
AC:
1
AN:
152184
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000833
AC:
13
AN:
156088
Hom.:
1
AF XY:
0.000133
AC XY:
11
AN XY:
82676
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000571
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000236
AC:
33
AN:
1399280
Hom.:
1
Cov.:
31
AF XY:
0.0000391
AC XY:
27
AN XY:
690162
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000404
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
9.27e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000657
AC:
1
AN:
152184
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
74344
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000193
Hom.:
0
Bravo
AF:
0.0000227
ExAC
AF:
0.000273
AC:
7
Asia WGS
AF:
0.000577
AC:
2
AN:
3478

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJul 13, 2021The c.1338G>T (p.K446N) alteration is located in exon 14 (coding exon 14) of the HHLA1 gene. This alteration results from a G to T substitution at nucleotide position 1338, causing the lysine (K) at amino acid position 446 to be replaced by an asparagine (N). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.60
CADD
Benign
13
DANN
Benign
0.96
DEOGEN2
Benign
0.031
T;.
Eigen
Benign
-0.85
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.027
N
LIST_S2
Benign
0.47
T;T
M_CAP
Benign
0.027
D
MetaRNN
Benign
0.025
T;T
MetaSVM
Benign
-0.99
T
MutationAssessor
Benign
1.8
L;.
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-0.77
N;N
REVEL
Benign
0.11
Sift
Benign
0.12
T;T
Sift4G
Uncertain
0.026
D;D
Polyphen
0.96
D;.
Vest4
0.18
MutPred
0.42
Loss of methylation at K446 (P = 5e-04);.;
MVP
0.014
ClinPred
0.18
T
GERP RS
-4.8
Varity_R
0.047
gMVP
0.10

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.040
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: rs781061500; hg19: chr8-133083718; API