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GeneBe

X-66189818-A-G

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_001367233.3(HEPH):ā€‹c.943A>Gā€‹(p.Thr315Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000248 in 1,208,408 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 8 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000054 ( 0 hom., 2 hem., cov: 22)
Exomes š‘“: 0.000022 ( 0 hom. 6 hem. )

Consequence

HEPH
NM_001367233.3 missense

Scores

3
12

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 2.46
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 -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.23664075).
BS2
High Hemizygotes in GnomAd4 at 2 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HEPHNM_001367233.3 linkuse as main transcriptc.943A>G p.Thr315Ala missense_variant 6/21 ENST00000343002.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HEPHENST00000343002.7 linkuse as main transcriptc.943A>G p.Thr315Ala missense_variant 6/211 NM_001367233.3 P5Q9BQS7-1

Frequencies

GnomAD3 genomes
AF:
0.0000541
AC:
6
AN:
110844
Hom.:
0
Cov.:
22
AF XY:
0.0000605
AC XY:
2
AN XY:
33054
show subpopulations
Gnomad AFR
AF:
0.0000658
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:
0.0000754
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000220
AC:
4
AN:
181945
Hom.:
0
AF XY:
0.0000301
AC XY:
2
AN XY:
66489
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:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000494
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000219
AC:
24
AN:
1097564
Hom.:
0
Cov.:
31
AF XY:
0.0000165
AC XY:
6
AN XY:
362948
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:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000285
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000541
AC:
6
AN:
110844
Hom.:
0
Cov.:
22
AF XY:
0.0000605
AC XY:
2
AN XY:
33054
show subpopulations
Gnomad4 AFR
AF:
0.0000658
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:
0.0000754
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.0000302
ExAC
AF:
0.0000577
AC:
7

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 19, 2023The c.1105A>G (p.T369A) alteration is located in exon 6 (coding exon 6) of the HEPH gene. This alteration results from a A to G substitution at nucleotide position 1105, causing the threonine (T) at amino acid position 369 to be replaced by an alanine (A). 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
0.074
BayesDel_addAF
Benign
-0.054
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
7.2
DANN
Benign
0.23
FATHMM_MKL
Benign
0.30
N
LIST_S2
Benign
0.75
T;T;T;T;T;T
M_CAP
Uncertain
0.21
D
MetaRNN
Benign
0.24
T;T;T;T;T;T
MetaSVM
Uncertain
0.69
D
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Benign
0.30
T
PROVEAN
Benign
-0.79
N;N;N;N;N;N
REVEL
Uncertain
0.53
Sift
Benign
0.52
T;T;T;T;T;T
Sift4G
Benign
0.57
T;T;T;T;T;T
Polyphen
0.0070, 0.0040
.;.;.;B;B;.
Vest4
0.34
MutPred
0.46
.;.;.;.;Loss of glycosylation at T315 (P = 0.0299);Loss of glycosylation at T315 (P = 0.0299);
MVP
0.55
MPC
0.084
ClinPred
0.45
T
GERP RS
3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.087
gMVP
0.72

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: rs781442677; hg19: chrX-65409660; API