chr16-173301-A-G

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PP3_Strong

The NM_000517.6(HBA2):ā€‹c.272A>Gā€‹(p.Lys91Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000501 in 1,396,782 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as other (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. K91M) has been classified as Likely benign.

Frequency

Genomes: š‘“ 0.0 ( 0 hom., cov: 24)
Exomes š‘“: 0.0000050 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

HBA2
NM_000517.6 missense

Scores

5
5
6

Clinical Significance

other no assertion criteria provided O:1

Conservation

PhyloP100: 1.47
Variant links:
Genes affected
HBA2 (HGNC:4824): (hemoglobin subunit alpha 2) The human alpha globin gene cluster located on chromosome 16 spans about 30 kb and includes seven loci: 5'- zeta - pseudozeta - mu - pseudoalpha-1 - alpha-2 - alpha-1 - theta - 3'. The alpha-2 (HBA2) and alpha-1 (HBA1) coding sequences are identical. These genes differ slightly over the 5' untranslated regions and the introns, but they differ significantly over the 3' untranslated regions. Two alpha chains plus two beta chains constitute HbA, which in normal adult life comprises about 97% of the total hemoglobin; alpha chains combine with delta chains to constitute HbA-2, which with HbF (fetal hemoglobin) makes up the remaining 3% of adult hemoglobin. Alpha thalassemias result from deletions of each of the alpha genes as well as deletions of both HBA2 and HBA1; some nondeletion alpha thalassemias have also been reported. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.965

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HBA2NM_000517.6 linkuse as main transcriptc.272A>G p.Lys91Arg missense_variant 2/3 ENST00000251595.11 NP_000508.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HBA2ENST00000251595.11 linkuse as main transcriptc.272A>G p.Lys91Arg missense_variant 2/31 NM_000517.6 ENSP00000251595 P1
HBA2ENST00000484216.1 linkuse as main transcriptc.242A>G p.Lys81Arg missense_variant 2/21 ENSP00000495899
HBA2ENST00000482565.1 linkuse as main transcriptn.408A>G non_coding_transcript_exon_variant 1/21
HBA2ENST00000397806.1 linkuse as main transcriptc.176A>G p.Lys59Arg missense_variant 2/32 ENSP00000380908

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
0
AN:
143626
Hom.:
0
Cov.:
24
FAILED QC
Gnomad AFR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000122
AC:
2
AN:
164382
Hom.:
0
AF XY:
0.0000222
AC XY:
2
AN XY:
90106
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000744
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:
0.00000501
AC:
7
AN:
1396782
Hom.:
0
Cov.:
27
AF XY:
0.00000432
AC XY:
3
AN XY:
693966
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.0000495
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000499
Gnomad4 NFE exome
AF:
0.00000277
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
143626
Hom.:
0
Cov.:
24
AF XY:
0.00
AC XY:
0
AN XY:
69996
Gnomad4 AFR
AF:
0.00
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:
0.00
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378

ClinVar

Significance: other
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

HEMOGLOBIN CLINICO-MADRID Other:1
other, no assertion criteria providedliterature onlyOMIMMar 28, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.27
D
BayesDel_noAF
Pathogenic
0.33
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.021
.;T
Eigen
Benign
-0.23
Eigen_PC
Benign
-0.19
FATHMM_MKL
Uncertain
0.87
D
M_CAP
Pathogenic
0.51
D
MetaRNN
Pathogenic
0.97
D;D
MetaSVM
Uncertain
0.40
D
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.57
T
PROVEAN
Benign
-1.5
N;N
REVEL
Pathogenic
0.68
Sift
Uncertain
0.010
D;D
Sift4G
Benign
0.074
T;D
Vest4
0.58
MutPred
0.95
Loss of ubiquitination at K91 (P = 0.0167);.;
MVP
1.0
MPC
1.1
ClinPred
0.44
T
GERP RS
4.2
gMVP
0.93

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: rs281864873; hg19: chr16-223300; API