NM_005411.5:c.630C>G

Variant summary

Our verdict is Benign. The variant received -10 ACMG points: 2P and 12B. PM1BP4_StrongBP6_Very_Strong

The NM_005411.5(SFTPA1):​c.630C>G​(p.Asn210Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000327 in 1,614,242 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Synonymous variant affecting the same amino acid position (i.e. N210N) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0017 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00018 ( 1 hom. )

Consequence

SFTPA1
NM_005411.5 missense

Scores

2
4
13

Clinical Significance

Likely benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: -0.741

Publications

1 publications found
Variant links:
Genes affected
SFTPA1 (HGNC:10798): (surfactant protein A1) This gene encodes a lung surfactant protein that is a member of a subfamily of C-type lectins called collectins. The encoded protein binds specific carbohydrate moieties found on lipids and on the surface of microorganisms. This protein plays an essential role in surfactant homeostasis and in the defense against respiratory pathogens. Mutations in this gene are associated with idiopathic pulmonary fibrosis. Alternate splicing results in multiple transcript variants. [provided by RefSeq, May 2010]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -10 ACMG points.

PM1
In a hotspot region, there are 2 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 8 uncertain in NM_005411.5
BP4
Computational evidence support a benign effect (MetaRNN=0.02393189).
BP6
Variant 10-79613996-C-G is Benign according to our data. Variant chr10-79613996-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 227943.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SFTPA1NM_005411.5 linkc.630C>G p.Asn210Lys missense_variant Exon 6 of 6 ENST00000398636.8 NP_005402.3 Q8IWL2-1A0A024QZP2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SFTPA1ENST00000398636.8 linkc.630C>G p.Asn210Lys missense_variant Exon 6 of 6 1 NM_005411.5 ENSP00000381633.3 Q8IWL2-1
SFTPA1ENST00000419470.6 linkc.675C>G p.Asn225Lys missense_variant Exon 6 of 6 1 ENSP00000397082.2 Q8IWL2-2
SFTPA1ENST00000428376.6 linkc.630C>G p.Asn210Lys missense_variant Exon 5 of 5 1 ENSP00000411102.2 Q8IWL2-1
SFTPA1ENST00000429958.5 linkc.*156C>G downstream_gene_variant 1 ENSP00000395527.1 A0A0C4DG36

Frequencies

GnomAD3 genomes
AF:
0.00169
AC:
258
AN:
152244
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00593
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000523
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.000457
AC:
115
AN:
251462
AF XY:
0.000383
show subpopulations
Gnomad AFR exome
AF:
0.00597
Gnomad AMR exome
AF:
0.000347
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000528
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000185
AC:
270
AN:
1461880
Hom.:
1
Cov.:
33
AF XY:
0.000180
AC XY:
131
AN XY:
727244
show subpopulations
African (AFR)
AF:
0.00562
AC:
188
AN:
33476
American (AMR)
AF:
0.000402
AC:
18
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.0000348
AC:
3
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.000520
AC:
3
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000252
AC:
28
AN:
1112006
Other (OTH)
AF:
0.000497
AC:
30
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.480
Heterozygous variant carriers
0
26
52
77
103
129
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00169
AC:
258
AN:
152362
Hom.:
1
Cov.:
32
AF XY:
0.00160
AC XY:
119
AN XY:
74496
show subpopulations
African (AFR)
AF:
0.00591
AC:
246
AN:
41590
American (AMR)
AF:
0.000522
AC:
8
AN:
15312
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5184
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68036
Other (OTH)
AF:
0.00
AC:
0
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
11
22
34
45
56
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000313
Hom.:
0
Bravo
AF:
0.00195
ESP6500AA
AF:
0.00545
AC:
24
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000593
AC:
72
EpiCase
AF:
0.000109
EpiControl
AF:
0.0000593

ClinVar

Significance: Likely benign
Submissions summary: Benign:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:1
Sep 16, 2015
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

p.Asn225Lys in exon 6 of SFTPA1: This variant is not expected to have clinical s ignificance because it has been identified in 0.7% (69/10406) of African chromos omes by the Exome Aggregation Consortium (ExAC, http://exac.broadinstitute.org; dbSNP rs150214547). -

not provided Benign:1
Dec 31, 2019
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.34
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.45
CADD
Benign
15
DANN
Uncertain
1.0
DEOGEN2
Benign
0.17
T;T;.
Eigen
Benign
-0.051
Eigen_PC
Benign
-0.26
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.63
.;T;T
M_CAP
Benign
0.018
T
MetaRNN
Benign
0.024
T;T;T
MetaSVM
Benign
-0.54
T
MutationAssessor
Pathogenic
2.9
M;M;.
PhyloP100
-0.74
PrimateAI
Uncertain
0.56
T
PROVEAN
Pathogenic
-5.9
D;D;D
REVEL
Benign
0.25
Sift
Uncertain
0.0010
D;D;D
Sift4G
Uncertain
0.0030
D;D;D
Polyphen
1.0
D;D;.
Vest4
0.22
MutPred
0.80
Gain of methylation at N210 (P = 0.0017);Gain of methylation at N210 (P = 0.0017);.;
MVP
0.69
MPC
1.4
ClinPred
0.11
T
GERP RS
-0.23
Varity_R
0.77
gMVP
0.79
Mutation Taster
=59/41
polymorphism

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: rs150214547; hg19: chr10-81373752; API