chr1-173909694-T-C

Variant summary

Our verdict is Benign. Variant got -11 ACMG points: 0P and 11B. BS2_SupportingBP7BA1BP4

This summary comes from the ClinGen Evidence Repository: The variant is reported at a popmax FAF of 0.7651 and the highest MAF of 0.7792 (78%; 19440/24948 alleles with 7592 homozygotes) in the African/African-American population in gnomAD v2.1.1, meeting criteria for BA1 (MAF >0.002). The variant is reported in 1 individual with normal antithrombin levels. SpliceAI and VarSeak predict no impact on splicing and PhyloP gives a conservation score of 0.028 (<0.1). In summary, this variant meets criteria to be classified as benign. ACMG/AMP criteria applied, as specified by the Thrombosis Variant Curation Expert Panel for SERPINC1: BA1, BS2_Supporting, BP4, BP7. LINK:https://erepo.genome.network/evrepo/ui/classification/CA1251296/MONDO:0013144/084

Frequency

Genomes: 𝑓 0.48 ( 20306 hom., cov: 33)
Exomes 𝑓: 0.36 ( 100658 hom. )

Consequence

SERPINC1
NM_000488.4 synonymous

Scores

2

Clinical Significance

Benign reviewed by expert panel B:7

Conservation

PhyloP100: 0.121
Variant links:
Genes affected
SERPINC1 (HGNC:775): (serpin family C member 1) The protein encoded by this gene, antithrombin III, is a plasma protease inhibitor and a member of the serpin superfamily. This protein inhibits thrombin as well as other activated serine proteases of the coagulation system, and it regulates the blood coagulation cascade. The protein includes two functional domains: the heparin binding-domain at the N-terminus of the mature protein, and the reactive site domain at the C-terminus. The inhibitory activity is enhanced by the presence of heparin. Numerous mutations have been identified for this gene, many of which are known to cause antithrombin-III deficiency which constitutes a strong risk factor for thrombosis. A reduction in the serum level of this protein is associated with severe cases of Coronavirus Disease 19 (COVID-19). [provided by RefSeq, Sep 2020]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -11 ACMG points.

BP4
For more information check the summary or visit ClinGen Evidence Repository.
BP7
For more information check the summary or visit ClinGen Evidence Repository.
BS2
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SERPINC1NM_000488.4 linkc.1011A>G p.Gln337Gln synonymous_variant Exon 5 of 7 ENST00000367698.4 NP_000479.1 P01008A0A024R944

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SERPINC1ENST00000367698.4 linkc.1011A>G p.Gln337Gln synonymous_variant Exon 5 of 7 1 NM_000488.4 ENSP00000356671.3 P01008
SERPINC1ENST00000487183.1 linkn.*36A>G downstream_gene_variant 2

Frequencies

GnomAD3 genomes
AF:
0.476
AC:
72441
AN:
152116
Hom.:
20255
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.772
Gnomad AMI
AF:
0.323
Gnomad AMR
AF:
0.378
Gnomad ASJ
AF:
0.541
Gnomad EAS
AF:
0.613
Gnomad SAS
AF:
0.385
Gnomad FIN
AF:
0.293
Gnomad MID
AF:
0.535
Gnomad NFE
AF:
0.341
Gnomad OTH
AF:
0.464
GnomAD3 exomes
AF:
0.394
AC:
99142
AN:
251340
Hom.:
22179
AF XY:
0.391
AC XY:
53095
AN XY:
135834
show subpopulations
Gnomad AFR exome
AF:
0.785
Gnomad AMR exome
AF:
0.274
Gnomad ASJ exome
AF:
0.535
Gnomad EAS exome
AF:
0.647
Gnomad SAS exome
AF:
0.379
Gnomad FIN exome
AF:
0.296
Gnomad NFE exome
AF:
0.345
Gnomad OTH exome
AF:
0.398
GnomAD4 exome
AF:
0.360
AC:
526270
AN:
1461450
Hom.:
100658
Cov.:
51
AF XY:
0.360
AC XY:
262001
AN XY:
727022
show subpopulations
Gnomad4 AFR exome
AF:
0.792
Gnomad4 AMR exome
AF:
0.282
Gnomad4 ASJ exome
AF:
0.536
Gnomad4 EAS exome
AF:
0.577
Gnomad4 SAS exome
AF:
0.382
Gnomad4 FIN exome
AF:
0.300
Gnomad4 NFE exome
AF:
0.336
Gnomad4 OTH exome
AF:
0.405
GnomAD4 genome
AF:
0.477
AC:
72555
AN:
152234
Hom.:
20306
Cov.:
33
AF XY:
0.472
AC XY:
35120
AN XY:
74434
show subpopulations
Gnomad4 AFR
AF:
0.773
Gnomad4 AMR
AF:
0.378
Gnomad4 ASJ
AF:
0.541
Gnomad4 EAS
AF:
0.613
Gnomad4 SAS
AF:
0.384
Gnomad4 FIN
AF:
0.293
Gnomad4 NFE
AF:
0.341
Gnomad4 OTH
AF:
0.464
Alfa
AF:
0.387
Hom.:
16513
Bravo
AF:
0.497
Asia WGS
AF:
0.515
AC:
1793
AN:
3478
EpiCase
AF:
0.367
EpiControl
AF:
0.367

ClinVar

Significance: Benign
Submissions summary: Benign:7
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

Hereditary antithrombin deficiency Benign:4
Jul 15, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jul 25, 2023
Clingen Thrombosis Variant Curation Expert Panel, ClinGen
Significance: Benign
Review Status: reviewed by expert panel
Collection Method: curation

The variant is reported at a popmax FAF of 0.7651 and the highest MAF of 0.7792 (78%; 19440/24948 alleles with 7592 homozygotes) in the African/African-American population in gnomAD v2.1.1, meeting criteria for BA1 (MAF >0.002). The variant is reported in 1 individual with normal antithrombin levels. SpliceAI and VarSeak predict no impact on splicing and PhyloP gives a conservation score of 0.028 (<0.1). In summary, this variant meets criteria to be classified as benign. ACMG/AMP criteria applied, as specified by the Thrombosis Variant Curation Expert Panel for SERPINC1: BA1, BS2_Supporting, BP4, BP7. -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Benign:2
Oct 31, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

not specified Benign:1
-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.60
CADD
Benign
9.6
DANN
Benign
0.56
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7

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: rs5878; hg19: chr1-173878832; COSMIC: COSV62929416; COSMIC: COSV62929416; API