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GeneBe

X-66170736-A-G

Variant summary

Our verdict is Likely benign. Variant got -3 ACMG points: 1P and 4B. PP3BS2

The NM_001367233.3(HEPH):ā€‹c.166A>Gā€‹(p.Ile56Val) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000229 in 1,091,914 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 14 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 22)
Exomes š‘“: 0.000023 ( 0 hom. 14 hem. )

Consequence

HEPH
NM_001367233.3 missense, splice_region

Scores

3
12
Splicing: ADA: 0.9646
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.01
Variant links:
Genes affected
HEPH (HGNC:4866): (hephaestin) This gene encodes a member of the multicopper oxidase protein family. The encoded protein is involved in the transport of dietary iron from epithelial cells of the intestinal lumen into the circulatory system, and may be involved in copper transport and homeostasis. In mouse, defects in this gene can lead to severe microcytic anemia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]

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ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.
BS2
High Hemizygotes in GnomAdExome4 at 14 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HEPHNM_001367233.3 linkuse as main transcriptc.166A>G p.Ile56Val missense_variant, splice_region_variant 2/21 ENST00000343002.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HEPHENST00000343002.7 linkuse as main transcriptc.166A>G p.Ile56Val missense_variant, splice_region_variant 2/211 NM_001367233.3 P5Q9BQS7-1

Frequencies

GnomAD3 genomes
Cov.:
22
GnomAD3 exomes
AF:
0.0000344
AC:
6
AN:
174201
Hom.:
0
AF XY:
0.0000336
AC XY:
2
AN XY:
59527
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000150
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000113
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000229
AC:
25
AN:
1091914
Hom.:
0
Cov.:
28
AF XY:
0.0000391
AC XY:
14
AN XY:
357686
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000115
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000206
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000955
Gnomad4 OTH exome
AF:
0.0000436
GnomAD4 genome
Cov.:
22
Bravo
AF:
0.00000378
ExAC
AF:
0.0000165
AC:
2

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 13, 2023The c.328A>G (p.I110V) alteration is located in exon 2 (coding exon 2) of the HEPH gene. This alteration results from a A to G substitution at nucleotide position 328, causing the isoleucine (I) at amino acid position 110 to be replaced by a valine (V). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.29
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
16
DANN
Benign
0.95
FATHMM_MKL
Benign
0.40
N
LIST_S2
Benign
0.48
T;T;T;T;T;T
M_CAP
Uncertain
0.15
D
MetaRNN
Benign
0.092
T;T;T;T;T;T
MetaSVM
Uncertain
0.31
D
MutationTaster
Benign
1.0
D;N;N;N;N;N
PrimateAI
Benign
0.26
T
PROVEAN
Benign
0.32
N;N;N;N;N;N
REVEL
Uncertain
0.30
Sift
Benign
0.27
T;T;T;T;T;T
Sift4G
Benign
0.42
T;T;T;T;T;T
Polyphen
0.0, 0.0020
.;.;.;B;B;.
Vest4
0.080
MutPred
0.39
.;Gain of sheet (P = 0.0266);.;.;Gain of sheet (P = 0.0266);Gain of sheet (P = 0.0266);
MVP
0.73
MPC
0.070
ClinPred
0.017
T
GERP RS
3.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.10
gMVP
0.55

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.96
dbscSNV1_RF
Pathogenic
0.73
SpliceAI score (max)
0.010
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: rs751359211; hg19: chrX-65390578; API