chr14-94382814-G-A

Variant summary

Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BA1

The NM_000295.5(SERPINA1):​c.424C>T​(p.Leu142Leu) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0266 in 1,614,230 control chromosomes in the GnomAD database, including 1,537 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.031 ( 279 hom., cov: 33)
Exomes 𝑓: 0.026 ( 1258 hom. )

Consequence

SERPINA1
NM_000295.5 synonymous

Scores

2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:9

Conservation

PhyloP100: 1.00
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 Benign. Variant got -21 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.65).
BP6
Variant 14-94382814-G-A is Benign according to our data. Variant chr14-94382814-G-A is described in ClinVar as [Benign]. Clinvar id is 178806.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr14-94382814-G-A is described in Lovd as [Benign].
BP7
Synonymous conserved (PhyloP=1 with no splicing effect.
BA1
GnomAd4 highest subpopulation (AMR) allele frequency at 95% confidence interval = 0.157 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINA1NM_000295.5 linkuse as main transcriptc.424C>T p.Leu142Leu synonymous_variant 2/5 ENST00000393087.9 NP_000286.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINA1ENST00000393087.9 linkuse as main transcriptc.424C>T p.Leu142Leu synonymous_variant 2/51 NM_000295.5 ENSP00000376802.4 P01009-1

Frequencies

GnomAD3 genomes
AF:
0.0307
AC:
4671
AN:
152226
Hom.:
274
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00709
Gnomad AMI
AF:
0.0307
Gnomad AMR
AF:
0.161
Gnomad ASJ
AF:
0.0213
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00642
Gnomad FIN
AF:
0.0148
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0230
Gnomad OTH
AF:
0.0282
GnomAD3 exomes
AF:
0.0392
AC:
9846
AN:
251398
Hom.:
718
AF XY:
0.0332
AC XY:
4512
AN XY:
135868
show subpopulations
Gnomad AFR exome
AF:
0.00615
Gnomad AMR exome
AF:
0.184
Gnomad ASJ exome
AF:
0.0218
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00565
Gnomad FIN exome
AF:
0.0152
Gnomad NFE exome
AF:
0.0216
Gnomad OTH exome
AF:
0.0342
GnomAD4 exome
AF:
0.0262
AC:
38237
AN:
1461886
Hom.:
1258
Cov.:
31
AF XY:
0.0247
AC XY:
17994
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.00612
Gnomad4 AMR exome
AF:
0.184
Gnomad4 ASJ exome
AF:
0.0205
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00605
Gnomad4 FIN exome
AF:
0.0162
Gnomad4 NFE exome
AF:
0.0238
Gnomad4 OTH exome
AF:
0.0226
GnomAD4 genome
AF:
0.0308
AC:
4687
AN:
152344
Hom.:
279
Cov.:
33
AF XY:
0.0334
AC XY:
2486
AN XY:
74494
show subpopulations
Gnomad4 AFR
AF:
0.00707
Gnomad4 AMR
AF:
0.162
Gnomad4 ASJ
AF:
0.0213
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00642
Gnomad4 FIN
AF:
0.0148
Gnomad4 NFE
AF:
0.0230
Gnomad4 OTH
AF:
0.0279
Alfa
AF:
0.0254
Hom.:
180
Bravo
AF:
0.0395
Asia WGS
AF:
0.0100
AC:
36
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:3
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpApr 17, 2023- -
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineFeb 21, 2013Leu142Leu in exon 4 of SERPINA1: This variant is not expected to have clinical s ignificance because it does not alter an amino acid residue and is not located w ithin the splice consensus sequence. It has been identified in 2.4% (204/8600) o f European American chromosomes from a broad population by the NHLBI Exome Seque ncing Project (http://evs.gs.washington.edu/EVS; dbSNP rs20546). -
Alpha-1-antitrypsin deficiency Benign:3
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpFeb 01, 2024- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 13, 2018This 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. -
Benign, no assertion criteria providedclinical testingDepartment of Laboratory Medicine and Genetics, Trillium Health Partners Credit Valley HospitalDec 08, 2014- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxJul 09, 2018- -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Inborn genetic diseases Benign:1
Benign, criteria provided, single submitterclinical testingAmbry GeneticsNov 28, 2017This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.65
CADD
Benign
1.8
DANN
Benign
0.39
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1

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: rs20546; hg19: chr14-94849151; COSMIC: COSV63345711; COSMIC: COSV63345711; API