chr20-38304288-C-A

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_001725.3(BPI):​c.65C>A​(p.Thr22Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000743 in 1,614,064 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000055 ( 0 hom. )

Consequence

BPI
NM_001725.3 missense

Scores

6
13

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.76
Variant links:
Genes affected
BPI (HGNC:1095): (bactericidal permeability increasing protein) This gene encodes a lipopolysaccharide binding protein. It is associated with human neutrophil granules and has antimicrobial activity against gram-negative organisms. [provided by RefSeq, Nov 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
BPINM_001725.3 linkuse as main transcriptc.65C>A p.Thr22Asn missense_variant 1/15 ENST00000642449.2 NP_001716.3 P17213
BPIXM_047440393.1 linkuse as main transcriptc.77C>A p.Thr26Asn missense_variant 1/13 XP_047296349.1
BPIXM_047440394.1 linkuse as main transcriptc.77C>A p.Thr26Asn missense_variant 1/12 XP_047296350.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
BPIENST00000642449.2 linkuse as main transcriptc.65C>A p.Thr22Asn missense_variant 1/15 NM_001725.3 ENSP00000494528.2 A0A2R8YDF1
BPIENST00000262865.9 linkuse as main transcriptc.77C>A p.Thr26Asn missense_variant 1/151 ENSP00000262865.5 P17213
ENSG00000285144ENST00000418004.5 linkuse as main transcriptn.463C>A non_coding_transcript_exon_variant 3/34 ENSP00000520599.1
ENSG00000206249ENST00000437016.1 linkuse as main transcriptn.184-14542G>T intron_variant 2

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152206
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000196
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:
0.00000399
AC:
1
AN:
250732
Hom.:
0
AF XY:
0.00000737
AC XY:
1
AN XY:
135708
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
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:
0.00000884
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000547
AC:
8
AN:
1461858
Hom.:
0
Cov.:
35
AF XY:
0.00000688
AC XY:
5
AN XY:
727234
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.0000331
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152206
Hom.:
0
Cov.:
32
AF XY:
0.0000403
AC XY:
3
AN XY:
74354
show subpopulations
Gnomad4 AFR
AF:
0.0000241
Gnomad4 AMR
AF:
0.000196
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
Alfa
AF:
0.0000565
Hom.:
0
Bravo
AF:
0.0000567
EpiCase
AF:
0.0000545
EpiControl
AF:
0.00

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 GeneticsSep 08, 2024The c.77C>A (p.T26N) alteration is located in exon 1 (coding exon 1) of the BPI gene. This alteration results from a C to A substitution at nucleotide position 77, causing the threonine (T) at amino acid position 26 to be replaced by an asparagine (N). 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
0.24
BayesDel_addAF
Benign
-0.18
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
20
DANN
Uncertain
0.98
DEOGEN2
Benign
0.042
T
Eigen
Uncertain
0.26
Eigen_PC
Benign
0.071
FATHMM_MKL
Benign
0.65
D
LIST_S2
Benign
0.64
T
M_CAP
Benign
0.0094
T
MetaRNN
Uncertain
0.59
D
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
1.9
L
PrimateAI
Benign
0.42
T
PROVEAN
Uncertain
-3.0
D
REVEL
Benign
0.17
Sift
Uncertain
0.024
D
Sift4G
Uncertain
0.026
D
Polyphen
1.0
D
Vest4
0.47
MVP
0.49
MPC
0.21
ClinPred
0.97
D
GERP RS
3.8
Varity_R
0.18
gMVP
0.21

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: rs990405461; hg19: chr20-36932690; API