chr5-177403526-G-A

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBS1BS2

The NM_000505.4(F12):​c.1342C>T​(p.Arg448Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00113 in 1,587,578 control chromosomes in the GnomAD database, including 22 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R448H) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0063 ( 13 hom., cov: 33)
Exomes 𝑓: 0.00057 ( 9 hom. )

Consequence

F12
NM_000505.4 missense

Scores

3
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: -0.00600
Variant links:
Genes affected
F12 (HGNC:3530): (coagulation factor XII) This gene encodes coagulation factor XII which circulates in blood as a zymogen. This single chain zymogen is converted to a two-chain serine protease with an heavy chain (alpha-factor XIIa) and a light chain. The heavy chain contains two fibronectin-type domains, two epidermal growth factor (EGF)-like domains, a kringle domain and a proline-rich domain, whereas the light chain contains only a catalytic domain. On activation, further cleavages takes place in the heavy chain, resulting in the production of beta-factor XIIa light chain and the alpha-factor XIIa light chain becomes beta-factor XIIa heavy chain. Prekallikrein is cleaved by factor XII to form kallikrein, which then cleaves factor XII first to alpha-factor XIIa and then to beta-factor XIIa. The active factor XIIa participates in the initiation of blood coagulation, fibrinolysis, and the generation of bradykinin and angiotensin. It activates coagulation factors VII and XI. Defects in this gene do not cause any clinical symptoms and the sole effect is that whole-blood clotting time is prolonged. [provided by RefSeq, Jul 2008]
GRK6 (HGNC:4545): (G protein-coupled receptor kinase 6) This gene encodes a member of the guanine nucleotide-binding protein (G protein)-coupled receptor kinase subfamily of the Ser/Thr protein kinase family. The protein phosphorylates the activated forms of G protein-coupled receptors thus initiating their deactivation. Several transcript variants encoding different isoforms have been described for this gene. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a disulfide_bond (size 127) in uniprot entity FA12_HUMAN there are 7 pathogenic changes around while only 1 benign (88%) in NM_000505.4
BP4
Computational evidence support a benign effect (MetaRNN=0.009305).
BP6
Variant 5-177403526-G-A is Benign according to our data. Variant chr5-177403526-G-A is described in ClinVar as [Likely_benign]. Clinvar id is 352986.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00635 (967/152352) while in subpopulation AFR AF= 0.0216 (899/41592). AF 95% confidence interval is 0.0204. There are 13 homozygotes in gnomad4. There are 445 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 13 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
F12NM_000505.4 linkuse as main transcriptc.1342C>T p.Arg448Cys missense_variant 11/14 ENST00000253496.4
F12XM_011534462.3 linkuse as main transcriptc.1006C>T p.Arg336Cys missense_variant 8/11

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
F12ENST00000253496.4 linkuse as main transcriptc.1342C>T p.Arg448Cys missense_variant 11/141 NM_000505.4 P1

Frequencies

GnomAD3 genomes
AF:
0.00633
AC:
964
AN:
152236
Hom.:
13
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0216
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00321
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:
0.000118
Gnomad OTH
AF:
0.00526
GnomAD3 exomes
AF:
0.00139
AC:
287
AN:
206098
Hom.:
2
AF XY:
0.000938
AC XY:
106
AN XY:
113006
show subpopulations
Gnomad AFR exome
AF:
0.0205
Gnomad AMR exome
AF:
0.000852
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000367
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000647
Gnomad OTH exome
AF:
0.00113
GnomAD4 exome
AF:
0.000574
AC:
824
AN:
1435226
Hom.:
9
Cov.:
31
AF XY:
0.000490
AC XY:
349
AN XY:
712800
show subpopulations
Gnomad4 AFR exome
AF:
0.0199
Gnomad4 AMR exome
AF:
0.00104
Gnomad4 ASJ exome
AF:
0.0000389
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000719
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000336
Gnomad4 OTH exome
AF:
0.00128
GnomAD4 genome
AF:
0.00635
AC:
967
AN:
152352
Hom.:
13
Cov.:
33
AF XY:
0.00597
AC XY:
445
AN XY:
74502
show subpopulations
Gnomad4 AFR
AF:
0.0216
Gnomad4 AMR
AF:
0.00320
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000118
Gnomad4 OTH
AF:
0.00520
Alfa
AF:
0.00110
Hom.:
2
Bravo
AF:
0.00712
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.0202
AC:
88
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00173
AC:
208

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 22, 2024- -
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Hereditary angioneurotic edema Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Factor XII deficiency disease Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Hereditary angioedema type 3 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
F12-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesOct 18, 2019This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Nephrolithiasis/osteoporosis, hypophosphatemic Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
21
DANN
Uncertain
1.0
DEOGEN2
Benign
0.36
T
Eigen
Benign
-0.15
Eigen_PC
Benign
-0.19
FATHMM_MKL
Benign
0.36
N
LIST_S2
Benign
0.84
T
MetaRNN
Benign
0.0093
T
MetaSVM
Uncertain
-0.17
T
MutationAssessor
Benign
1.1
L
MutationTaster
Benign
0.99
D
PrimateAI
Benign
0.38
T
PROVEAN
Benign
-2.0
N
REVEL
Uncertain
0.44
Sift
Benign
0.058
T
Sift4G
Benign
0.12
T
Polyphen
1.0
D
Vest4
0.52
MVP
0.93
MPC
2.1
ClinPred
0.029
T
GERP RS
3.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.40
gMVP
0.80

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: rs115119084; hg19: chr5-176830527; API