chr16-72076479-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_020995.4(HPR):ā€‹c.445A>Cā€‹(p.Asn149His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,461,814 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 32)
Exomes š‘“: 0.0000014 ( 0 hom. )

Consequence

HPR
NM_020995.4 missense

Scores

3
16

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.07
Variant links:
Genes affected
HPR (HGNC:5156): (haptoglobin-related protein) This gene encodes a haptoglobin-related protein that binds hemoglobin as efficiently as haptoglobin. Unlike haptoglobin, plasma concentration of this protein is unaffected in patients with sickle cell anemia and extensive intravascular hemolysis, suggesting a difference in binding between haptoglobin-hemoglobin and haptoglobin-related protein-hemoglobin complexes to CD163, the hemoglobin scavenger receptor. This protein may also be a clinically important predictor of recurrence of breast cancer. [provided by RefSeq, Oct 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.21601105).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HPRNM_020995.4 linkuse as main transcriptc.445A>C p.Asn149His missense_variant 5/5 ENST00000540303.7 NP_066275.3 P00739-1
HPRNM_001384360.1 linkuse as main transcriptc.85A>C p.Asn29His missense_variant 6/6 NP_001371289.1
HPRXM_024450251.2 linkuse as main transcriptc.463A>C p.Asn155His missense_variant 5/5 XP_024306019.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HPRENST00000540303.7 linkuse as main transcriptc.445A>C p.Asn149His missense_variant 5/51 NM_020995.4 ENSP00000441828.2 P00739-1
TXNL4BENST00000562153.5 linkuse as main transcriptc.284+12508T>G intron_variant 4 ENSP00000454635.2 H3BN11

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1461814
Hom.:
0
Cov.:
32
AF XY:
0.00000138
AC XY:
1
AN XY:
727206
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 GeneticsAug 04, 2021The c.445A>C (p.N149H) alteration is located in exon 5 (coding exon 5) of the HPR gene. This alteration results from a A to C substitution at nucleotide position 445, causing the asparagine (N) at amino acid position 149 to be replaced by a histidine (H). 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
0.14
BayesDel_addAF
Benign
-0.046
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
17
DANN
Uncertain
0.99
DEOGEN2
Benign
0.28
T;T
Eigen
Benign
-0.45
Eigen_PC
Benign
-0.64
FATHMM_MKL
Benign
0.13
N
LIST_S2
Benign
0.82
T;T
M_CAP
Benign
0.049
D
MetaRNN
Benign
0.22
T;T
MetaSVM
Uncertain
-0.052
T
MutationAssessor
Benign
1.5
L;.
PrimateAI
Benign
0.34
T
PROVEAN
Benign
-1.2
N;.
REVEL
Uncertain
0.36
Sift
Benign
0.097
T;.
Sift4G
Benign
0.12
T;T
Polyphen
0.56
P;.
Vest4
0.17
MutPred
0.46
Loss of solvent accessibility (P = 0.0595);.;
MVP
0.78
MPC
0.41
ClinPred
0.24
T
GERP RS
-0.14
Varity_R
0.15
gMVP
0.46

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr16-72110378; API