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GeneBe

X-66172389-C-T

Variant summary

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

The NM_001367233.3(HEPH):​c.202C>T​(p.Arg68Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000842 in 1,188,173 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 0.0000074 ( 0 hom. 4 hem. )

Consequence

HEPH
NM_001367233.3 missense

Scores

8
5
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.43
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.835
BS2
High Hemizygotes in GnomAdExome4 at 4 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HEPHNM_001367233.3 linkuse as main transcriptc.202C>T p.Arg68Trp missense_variant 3/21 ENST00000343002.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HEPHENST00000343002.7 linkuse as main transcriptc.202C>T p.Arg68Trp missense_variant 3/211 NM_001367233.3 P5Q9BQS7-1

Frequencies

GnomAD3 genomes
AF:
0.0000180
AC:
2
AN:
110847
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33057
show subpopulations
Gnomad AFR
AF:
0.0000329
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:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000119
AC:
2
AN:
167463
Hom.:
0
AF XY:
0.0000182
AC XY:
1
AN XY:
54877
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000842
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS 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:
0.00000743
AC:
8
AN:
1077326
Hom.:
0
Cov.:
29
AF XY:
0.0000115
AC XY:
4
AN XY:
347386
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000604
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000602
Gnomad4 OTH exome
AF:
0.0000221
GnomAD4 genome
AF:
0.0000180
AC:
2
AN:
110847
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33057
show subpopulations
Gnomad4 AFR
AF:
0.0000329
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000189
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.00000824
AC:
1

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 GeneticsApr 26, 2023The c.364C>T (p.R122W) alteration is located in exon 3 (coding exon 3) of the HEPH gene. This alteration results from a C to T substitution at nucleotide position 364, causing the arginine (R) at amino acid position 122 to be replaced by a tryptophan (W). 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
0.16
BayesDel_addAF
Pathogenic
0.51
D
BayesDel_noAF
Pathogenic
0.69
CADD
Uncertain
24
DANN
Uncertain
1.0
FATHMM_MKL
Uncertain
0.82
D
LIST_S2
Uncertain
0.96
D;D;D;D;D;D
M_CAP
Pathogenic
0.88
D
MetaRNN
Pathogenic
0.84
D;D;D;D;D;D
MetaSVM
Pathogenic
1.1
D
MutationTaster
Benign
0.93
D;D;D;D;D;D
PrimateAI
Uncertain
0.49
T
PROVEAN
Pathogenic
-6.5
D;D;D;D;D;D
REVEL
Pathogenic
0.84
Sift
Uncertain
0.017
D;D;D;D;D;D
Sift4G
Pathogenic
0.0
D;D;D;D;D;D
Polyphen
1.0
.;.;.;D;D;.
Vest4
0.66
MutPred
0.58
.;Loss of disorder (P = 0.0139);.;.;Loss of disorder (P = 0.0139);Loss of disorder (P = 0.0139);
MVP
0.72
MPC
0.46
ClinPred
0.96
D
GERP RS
2.0
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.63
gMVP
0.98

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs748484259; hg19: chrX-65392231; COSMIC: COSV57960210; API