chr2-46614938-T-A

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_002643.4(PIGF):​c.227A>T​(p.Lys76Met) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.0000202 in 1,386,348 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000085 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000012 ( 0 hom. )

Consequence

PIGF
NM_002643.4 missense, splice_region

Scores

4
8
7
Splicing: ADA: 0.9914
1
1

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.97
Variant links:
Genes affected
PIGF (HGNC:8962): (phosphatidylinositol glycan anchor biosynthesis class F) This gene encodes a protein involved in glycosylphosphatidylinositol (GPI)-anchor biosynthesis. The GPI-anchor, a glycolipid containing three mannose molecules in its core backbone, is found on many blood cells where it serves to anchor proteins to the cell surface. The encoded protein and another GPI synthesis protein, PIGO, function in the transfer of ethanolaminephosphate to the third mannose in GPI. Alternatively spliced transcript variants encoding different isoforms have been described. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.855

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
PIGFNM_002643.4 linkuse as main transcriptc.227A>T p.Lys76Met missense_variant, splice_region_variant 2/6 ENST00000281382.11 NP_002634.1
PIGFNM_173074.3 linkuse as main transcriptc.227A>T p.Lys76Met missense_variant, splice_region_variant 2/7 NP_775097.1
PIGFXM_011532908.4 linkuse as main transcriptc.227A>T p.Lys76Met missense_variant, splice_region_variant 2/7 XP_011531210.1
PIGFXM_005264369.4 linkuse as main transcriptc.227A>T p.Lys76Met missense_variant, splice_region_variant 2/6 XP_005264426.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
PIGFENST00000281382.11 linkuse as main transcriptc.227A>T p.Lys76Met missense_variant, splice_region_variant 2/61 NM_002643.4 ENSP00000281382 P1Q07326-1
PIGFENST00000306465.8 linkuse as main transcriptc.227A>T p.Lys76Met missense_variant, splice_region_variant 2/71 ENSP00000302663 Q07326-2
PIGFENST00000495933.1 linkuse as main transcriptn.2093A>T non_coding_transcript_exon_variant 1/22
PIGFENST00000412717.1 linkuse as main transcriptc.227A>T p.Lys76Met missense_variant, splice_region_variant, NMD_transcript_variant 2/53 ENSP00000413202

Frequencies

GnomAD3 genomes
AF:
0.0000854
AC:
13
AN:
152218
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000851
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:
0.0000400
AC:
10
AN:
249832
Hom.:
0
AF XY:
0.0000296
AC XY:
4
AN XY:
135100
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000290
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:
0.0000122
AC:
15
AN:
1234130
Hom.:
0
Cov.:
18
AF XY:
0.00000960
AC XY:
6
AN XY:
625246
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.000338
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:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000854
AC:
13
AN:
152218
Hom.:
0
Cov.:
33
AF XY:
0.000121
AC XY:
9
AN XY:
74376
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000851
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:
0.0000793
ExAC
AF:
0.0000165
AC:
2
Asia WGS
AF:
0.000289
AC:
1
AN:
3478

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 GeneticsJun 18, 2021The c.227A>T (p.K76M) alteration is located in exon 2 (coding exon 1) of the PIGF gene. This alteration results from a A to T substitution at nucleotide position 227, causing the lysine (K) at amino acid position 76 to be replaced by a methionine (M). 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
Uncertain
0.34
BayesDel_addAF
Uncertain
0.082
D
BayesDel_noAF
Pathogenic
0.18
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Benign
0.11
T;.
Eigen
Uncertain
0.63
Eigen_PC
Uncertain
0.58
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Benign
0.82
T;T
M_CAP
Benign
0.0080
T
MetaRNN
Pathogenic
0.86
D;D
MetaSVM
Uncertain
-0.16
T
MutationAssessor
Pathogenic
3.1
M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.6
N;N
REVEL
Benign
0.27
Sift
Uncertain
0.0080
D;D
Sift4G
Uncertain
0.011
D;D
Polyphen
0.99
D;D
Vest4
0.76
MutPred
0.80
Loss of methylation at K76 (P = 0.0039);Loss of methylation at K76 (P = 0.0039);
MVP
0.46
MPC
0.026
ClinPred
0.81
D
GERP RS
4.5
Varity_R
0.70
gMVP
0.74

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.99
dbscSNV1_RF
Benign
0.67
SpliceAI score (max)
0.16
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: rs541951074; hg19: chr2-46842077; API