NM_002643.4:c.227A>G

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 3P and 0B. PM2PP3

The NM_002643.4(PIGF):​c.227A>G​(p.Lys76Arg) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00000505 in 1,386,468 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. K76M) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000032 ( 0 hom. )

Consequence

PIGF
NM_002643.4 missense, splice_region

Scores

1
5
12
Splicing: ADA: 0.9946
2

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 4.97

Publications

0 publications found
Variant links:
Genes affected
PIGF (HGNC:8962): (phosphatidylinositol glycan anchor biosynthesis class F) This gene encodes a protein involved in glycosylphosphatidylinositol (GPI)-anchor biosynthesis. The GPI-anchor, a glycolipid containing three mannose molecules in its core backbone, is found on many blood cells where it serves to anchor proteins to the cell surface. The encoded protein and another GPI synthesis protein, PIGO, function in the transfer of ethanolaminephosphate to the third mannose in GPI. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008]
PIGF Gene-Disease associations (from GenCC):
  • onychodystrophy, osteodystrophy, impaired intellectual development, and seizures syndrome
    Inheritance: AR Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae), ClinGen

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing predictors support a deleterious effect. Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. Scorers claiming Uncertain: max_spliceai. No scorers claiming Benign.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002643.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PIGF
NM_002643.4
MANE Select
c.227A>Gp.Lys76Arg
missense splice_region
Exon 2 of 6NP_002634.1Q6IB04
PIGF
NM_173074.3
c.227A>Gp.Lys76Arg
missense splice_region
Exon 2 of 7NP_775097.1Q07326-2

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PIGF
ENST00000281382.11
TSL:1 MANE Select
c.227A>Gp.Lys76Arg
missense splice_region
Exon 2 of 6ENSP00000281382.6Q07326-1
PIGF
ENST00000306465.8
TSL:1
c.227A>Gp.Lys76Arg
missense splice_region
Exon 2 of 7ENSP00000302663.4Q07326-2
PIGF
ENST00000903157.1
c.227A>Gp.Lys76Arg
missense splice_region
Exon 2 of 6ENSP00000573216.1

Frequencies

GnomAD3 genomes
AF:
0.0000197
AC:
3
AN:
152218
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000482
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:
0.000479
GnomAD2 exomes
AF:
0.00000801
AC:
2
AN:
249832
AF XY:
0.0000148
show subpopulations
Gnomad AFR exome
AF:
0.000124
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000324
AC:
4
AN:
1234132
Hom.:
0
Cov.:
18
AF XY:
0.00000320
AC XY:
2
AN XY:
625246
show subpopulations
African (AFR)
AF:
0.000138
AC:
4
AN:
28958
American (AMR)
AF:
0.00
AC:
0
AN:
44372
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24670
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38570
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81422
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53266
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5362
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
904860
Other (OTH)
AF:
0.00
AC:
0
AN:
52652
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.563
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000197
AC:
3
AN:
152336
Hom.:
0
Cov.:
33
AF XY:
0.0000268
AC XY:
2
AN XY:
74504
show subpopulations
African (AFR)
AF:
0.0000481
AC:
2
AN:
41582
American (AMR)
AF:
0.00
AC:
0
AN:
15300
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4822
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68034
Other (OTH)
AF:
0.000474
AC:
1
AN:
2108
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.542
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.00000824
AC:
1

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.074
BayesDel_addAF
Benign
-0.055
T
BayesDel_noAF
Uncertain
-0.080
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.066
T
Eigen
Uncertain
0.39
Eigen_PC
Uncertain
0.39
FATHMM_MKL
Pathogenic
0.97
D
LIST_S2
Benign
0.83
T
M_CAP
Benign
0.0041
T
MetaRNN
Benign
0.39
T
MetaSVM
Benign
-0.49
T
MutationAssessor
Uncertain
2.8
M
PhyloP100
5.0
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.0
N
REVEL
Benign
0.19
Sift
Benign
0.11
T
Sift4G
Benign
0.096
T
Polyphen
0.82
P
Vest4
0.40
MutPred
0.76
Loss of methylation at K76 (P = 0.0085)
MVP
0.36
MPC
0.019
ClinPred
0.93
D
GERP RS
4.5
Varity_R
0.41
gMVP
0.54
Mutation Taster
=60/40
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Pathogenic
0.94
SpliceAI score (max)
0.24
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.24
Position offset: -1

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs541951074; hg19: chr2-46842077; API