chrX-106034370-C-A

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000354.6(SERPINA7):​c.909G>T​(p.Leu303Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.128 in 1,204,797 control chromosomes in the GnomAD database, including 7,019 homozygotes. There are 52,359 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.12 ( 616 hom., 3967 hem., cov: 23)
Exomes 𝑓: 0.13 ( 6403 hom. 48392 hem. )

Consequence

SERPINA7
NM_000354.6 missense

Scores

1
6
9

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts P:2B:5

Conservation

PhyloP100: -1.06
Variant links:
Genes affected
SERPINA7 (HGNC:11583): (serpin family A member 7) There are three proteins including thyroxine-binding globulin (TBG), transthyretin and albumin responsible for carrying the thyroid hormones thyroxine (T4) and 3,5,3'-triiodothyronine (T3) in the bloodstream. This gene encodes the major thyroid hormone transport protein, TBG, in serum. It belongs to the serpin family in genomics, but the protein has no inhibitory function like many other members of the serpin family. Mutations in this gene result in TGB deficiency, which has been classified as partial deficiency, complete deficiency, and excess, based on the level of serum TBG. Alternatively spliced transcript variants encoding different isoforms have been found, but the full-length nature of these variants has not been determined.[provided by RefSeq, Jun 2012]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.003224343).
BP6
Variant X-106034370-C-A is Benign according to our data. Variant chrX-106034370-C-A is described in ClinVar as [Benign]. Clinvar id is 9785.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chrX-106034370-C-A is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (SAS) allele frequency at 95% confidence interval = 0.277 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
SERPINA7NM_000354.6 linkuse as main transcriptc.909G>T p.Leu303Phe missense_variant 4/5 ENST00000372563.2
SERPINA7XM_006724683.3 linkuse as main transcriptc.909G>T p.Leu303Phe missense_variant 4/5
SERPINA7XM_005262180.5 linkuse as main transcriptc.909G>T p.Leu303Phe missense_variant 4/5

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SERPINA7ENST00000372563.2 linkuse as main transcriptc.909G>T p.Leu303Phe missense_variant 4/55 NM_000354.6 P1
SERPINA7ENST00000327674.8 linkuse as main transcriptc.909G>T p.Leu303Phe missense_variant 3/41 P1
SERPINA7ENST00000487487.1 linkuse as main transcriptn.182G>T non_coding_transcript_exon_variant 2/33

Frequencies

GnomAD3 genomes
AF:
0.122
AC:
13603
AN:
111367
Hom.:
618
Cov.:
23
AF XY:
0.118
AC XY:
3960
AN XY:
33625
show subpopulations
Gnomad AFR
AF:
0.119
Gnomad AMI
AF:
0.308
Gnomad AMR
AF:
0.102
Gnomad ASJ
AF:
0.146
Gnomad EAS
AF:
0.236
Gnomad SAS
AF:
0.295
Gnomad FIN
AF:
0.0788
Gnomad MID
AF:
0.158
Gnomad NFE
AF:
0.114
Gnomad OTH
AF:
0.112
GnomAD3 exomes
AF:
0.142
AC:
25859
AN:
182266
Hom.:
1319
AF XY:
0.150
AC XY:
10025
AN XY:
67052
show subpopulations
Gnomad AFR exome
AF:
0.119
Gnomad AMR exome
AF:
0.107
Gnomad ASJ exome
AF:
0.154
Gnomad EAS exome
AF:
0.248
Gnomad SAS exome
AF:
0.289
Gnomad FIN exome
AF:
0.0852
Gnomad NFE exome
AF:
0.116
Gnomad OTH exome
AF:
0.122
GnomAD4 exome
AF:
0.128
AC:
140495
AN:
1093377
Hom.:
6403
Cov.:
30
AF XY:
0.135
AC XY:
48392
AN XY:
359617
show subpopulations
Gnomad4 AFR exome
AF:
0.115
Gnomad4 AMR exome
AF:
0.109
Gnomad4 ASJ exome
AF:
0.151
Gnomad4 EAS exome
AF:
0.196
Gnomad4 SAS exome
AF:
0.287
Gnomad4 FIN exome
AF:
0.0907
Gnomad4 NFE exome
AF:
0.118
Gnomad4 OTH exome
AF:
0.140
GnomAD4 genome
AF:
0.122
AC:
13601
AN:
111420
Hom.:
616
Cov.:
23
AF XY:
0.118
AC XY:
3967
AN XY:
33688
show subpopulations
Gnomad4 AFR
AF:
0.118
Gnomad4 AMR
AF:
0.103
Gnomad4 ASJ
AF:
0.146
Gnomad4 EAS
AF:
0.236
Gnomad4 SAS
AF:
0.294
Gnomad4 FIN
AF:
0.0788
Gnomad4 NFE
AF:
0.114
Gnomad4 OTH
AF:
0.111
Alfa
AF:
0.120
Hom.:
10183
Bravo
AF:
0.124
TwinsUK
AF:
0.117
AC:
435
ALSPAC
AF:
0.118
AC:
341
ESP6500AA
AF:
0.123
AC:
472
ESP6500EA
AF:
0.112
AC:
751
ExAC
AF:
0.145
AC:
17641
EpiCase
AF:
0.115
EpiControl
AF:
0.121

ClinVar

Significance: Benign
Submissions summary: Pathogenic:2Benign:5
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:2
Benign, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Benign, no assertion criteria providedclinical testingClinical Genetics, Academic Medical Center-- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxFeb 25, 2021This variant is associated with the following publications: (PMID: 33554479, 2155256, 1515456, 25333069) -
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Thyroxine-binding globulin, variant P Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMMar 01, 1992- -
Thyroxine-binding globulin quantitative trait locus Pathogenic:1
Likely risk allele, no assertion criteria providedclinical testingDepartment of Endocrinology, The Fourth Affiliated Hospital of Guangzhou Medical University-- -
SERPINA7-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesNov 20, 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). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.45
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.33
CADD
Benign
16
DANN
Uncertain
1.0
DEOGEN2
Benign
0.23
T;T
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.71
.;T
MetaRNN
Benign
0.0032
T;T
MetaSVM
Benign
-0.53
T
MutationAssessor
Pathogenic
3.4
M;M
MutationTaster
Benign
1.0
P;P
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-3.3
D;D
REVEL
Uncertain
0.35
Sift
Uncertain
0.013
D;D
Sift4G
Uncertain
0.020
D;D
Polyphen
0.98
D;D
Vest4
0.17
MutPred
0.30
Gain of methylation at K298 (P = 0.093);Gain of methylation at K298 (P = 0.093);
MPC
0.15
ClinPred
0.068
T
GERP RS
2.5
Varity_R
0.82
gMVP
0.68

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1804495; hg19: chrX-105278361; COSMIC: COSV59665612; API