chr14-94381043-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2PM5PP3

The NM_000295.5(SERPINA1):​c.745G>A​(p.Gly249Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000684 in 1,461,886 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G249R) has been classified as Pathogenic.

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000068 ( 0 hom. )

Consequence

SERPINA1
NM_000295.5 missense

Scores

1
7
11

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 0.723
Variant links:
Genes affected
SERPINA1 (HGNC:8941): (serpin family A member 1) The protein encoded by this gene is a serine protease inhibitor belonging to the serpin superfamily whose targets include elastase, plasmin, thrombin, trypsin, chymotrypsin, and plasminogen activator. This protein is produced in the liver, the bone marrow, by lymphocytic and monocytic cells in lymphoid tissue, and by the Paneth cells of the gut. Defects in this gene are associated with chronic obstructive pulmonary disease, emphysema, and chronic liver disease. Several transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Aug 2020]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 5 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr14-94381043-C-G is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.784

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINA1NM_000295.5 linkuse as main transcriptc.745G>A p.Gly249Ser missense_variant 3/5 ENST00000393087.9 NP_000286.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINA1ENST00000393087.9 linkuse as main transcriptc.745G>A p.Gly249Ser missense_variant 3/51 NM_000295.5 ENSP00000376802 P1P01009-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.0000119
AC:
3
AN:
251410
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135872
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:
0.0000327
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000176
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000684
AC:
10
AN:
1461886
Hom.:
0
Cov.:
31
AF XY:
0.00000825
AC XY:
6
AN XY:
727244
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:
0.0000696
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.47
BayesDel_addAF
Benign
-0.079
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.42
T;T;T;T;T;T;T;T;T;.
Eigen
Benign
-0.21
Eigen_PC
Benign
-0.34
FATHMM_MKL
Benign
0.57
D
LIST_S2
Benign
0.72
.;.;.;T;.;.;.;.;.;T
M_CAP
Uncertain
0.092
D
MetaRNN
Pathogenic
0.78
D;D;D;D;D;D;D;D;D;D
MetaSVM
Uncertain
0.28
D
MutationAssessor
Benign
1.6
L;L;L;L;L;L;L;L;L;L
MutationTaster
Benign
0.99
D;D;D;D;D;D;D;D;D
PrimateAI
Benign
0.34
T
PROVEAN
Uncertain
-3.7
D;D;D;D;D;.;D;D;D;D
REVEL
Uncertain
0.45
Sift
Benign
0.17
T;T;T;T;T;.;T;T;T;T
Sift4G
Benign
0.17
T;T;T;T;T;.;T;T;T;T
Polyphen
0.83
P;P;P;P;P;P;P;P;P;P
Vest4
0.17
MutPred
0.68
Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);Gain of catalytic residue at N252 (P = 0.0179);
MVP
0.99
MPC
0.28
ClinPred
0.94
D
GERP RS
4.2
Varity_R
0.84
gMVP
0.56

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs764220898; hg19: chr14-94847380; API