chr18-62113196-C-T

Variant summary

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

The NM_176787.5(PIGN):​c.1372G>A​(p.Ala458Thr) variant causes a missense change. The variant allele was found at a frequency of 0.000067 in 1,612,686 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 Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000061 ( 0 hom. )

Consequence

PIGN
NM_176787.5 missense

Scores

3
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:1

Conservation

PhyloP100: 4.38
Variant links:
Genes affected
PIGN (HGNC:8967): (phosphatidylinositol glycan anchor biosynthesis class N) This gene encodes a protein that is involved in glycosylphosphatidylinositol (GPI)-anchor biosynthesis. The GPI-anchor is a glycolipid found on many blood cells and serves to anchor proteins to the cell surface. This protein is expressed in the endoplasmic reticulum and transfers phosphoethanolamine (EtNP) to the first mannose of the GPI anchor. Two alternatively spliced variants, which encode an identical isoform, have 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 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.16214451).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PIGNNM_176787.5 linkuse as main transcriptc.1372G>A p.Ala458Thr missense_variant 16/31 ENST00000640252.2 NP_789744.1 O95427A0A024R2C3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PIGNENST00000640252.2 linkuse as main transcriptc.1372G>A p.Ala458Thr missense_variant 16/311 NM_176787.5 ENSP00000492233.1 O95427
PIGNENST00000400334.7 linkuse as main transcriptc.1372G>A p.Ala458Thr missense_variant 15/301 ENSP00000383188.2 O95427
PIGNENST00000638424.1 linkuse as main transcriptn.1372G>A non_coding_transcript_exon_variant 14/295 ENSP00000491963.1 A0A1W2PQZ1

Frequencies

GnomAD3 genomes
AF:
0.000125
AC:
19
AN:
152102
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000193
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00318
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.0000969
AC:
24
AN:
247722
Hom.:
0
AF XY:
0.000104
AC XY:
14
AN XY:
134404
show subpopulations
Gnomad AFR exome
AF:
0.000260
Gnomad AMR exome
AF:
0.000379
Gnomad ASJ exome
AF:
0.000199
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000357
Gnomad OTH exome
AF:
0.000166
GnomAD4 exome
AF:
0.0000609
AC:
89
AN:
1460466
Hom.:
0
Cov.:
31
AF XY:
0.0000661
AC XY:
48
AN XY:
726498
show subpopulations
Gnomad4 AFR exome
AF:
0.000209
Gnomad4 AMR exome
AF:
0.000471
Gnomad4 ASJ exome
AF:
0.0000766
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.0000468
Gnomad4 OTH exome
AF:
0.0000663
GnomAD4 genome
AF:
0.000125
AC:
19
AN:
152220
Hom.:
0
Cov.:
32
AF XY:
0.000161
AC XY:
12
AN XY:
74408
show subpopulations
Gnomad4 AFR
AF:
0.000193
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000103
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.000132
Hom.:
0
Bravo
AF:
0.000136
ESP6500AA
AF:
0.000538
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000828
AC:
10
Asia WGS
AF:
0.000289
AC:
1
AN:
3476
EpiCase
AF:
0.000109
EpiControl
AF:
0.0000596

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Multiple congenital anomalies-hypotonia-seizures syndrome 1 Uncertain:1Benign:1
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpSep 27, 2022This sequence change replaces alanine, which is neutral and non-polar, with threonine, which is neutral and polar, at codon 458 of the PIGN protein (p.Ala458Thr). This variant is present in population databases (rs370794466, gnomAD 0.04%). This variant has not been reported in the literature in individuals affected with PIGN-related conditions. ClinVar contains an entry for this variant (Variation ID: 472209). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is not expected to disrupt PIGN protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -
Likely benign, criteria provided, single submitterclinical testing3billionSep 20, 2024The homozygous variant was found in patients diagnosed with another variant in a different gene, with no symptoms related to the gene containing the homozygous variant. -
Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 15, 2024The c.1372G>A (p.A458T) alteration is located in exon 16 (coding exon 13) of the PIGN gene. This alteration results from a G to A substitution at nucleotide position 1372, causing the alanine (A) at amino acid position 458 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxMar 17, 2023In silico analysis supports that this missense variant does not alter protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.40
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.039
T;.;T;T;T;.;.;.;.;T;.;.;T;T;.;.;.;.;.
Eigen
Benign
-0.16
Eigen_PC
Benign
-0.016
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.89
.;.;.;.;.;.;.;D;D;.;D;D;.;D;D;D;.;.;D
M_CAP
Benign
0.017
T
MetaRNN
Benign
0.16
T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.83
T
MutationAssessor
Benign
1.9
L;.;L;L;L;.;.;.;.;L;.;.;L;L;.;.;.;.;.
PrimateAI
Benign
0.31
T
PROVEAN
Benign
-1.6
.;.;.;N;.;.;.;.;.;N;.;.;.;.;.;.;.;.;.
REVEL
Benign
0.10
Sift
Benign
0.14
.;.;.;T;.;.;.;.;.;T;.;.;.;.;.;.;.;.;.
Sift4G
Benign
0.30
.;.;.;T;.;.;.;.;.;T;.;.;.;.;.;.;.;.;.
Polyphen
0.0010
B;.;B;B;B;.;.;.;.;B;.;.;B;B;.;.;.;.;.
Vest4
0.11
MVP
0.71
MPC
0.024
ClinPred
0.029
T
GERP RS
4.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.049
gMVP
0.26

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: rs370794466; hg19: chr18-59780429; API