chrX-106034380-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 5P and 1B. PVS1_StrongPP3BS2_Supporting

The NM_000354.6(SERPINA7):​c.899G>A​(p.Trp300Ter) variant causes a stop gained, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000128 in 1,089,990 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 5 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. 1/1 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as association (no stars).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.000013 ( 0 hom. 5 hem. )

Consequence

SERPINA7
NM_000354.6 stop_gained, splice_region

Scores

2
1
2

Clinical Significance

association no assertion criteria provided O:1

Conservation

PhyloP100: -1.39
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most 50 bp of the penultimate exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.28 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: max_spliceai. No scorers claiming Uncertain. No scorers claiming Benign.
BS2
High Hemizygotes in GnomAdExome4 at 5 XL geneVariant has number of hemizygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINA7NM_000354.6 linkuse as main transcriptc.899G>A p.Trp300Ter stop_gained, splice_region_variant 4/5 ENST00000372563.2 NP_000345.2
SERPINA7XM_006724683.3 linkuse as main transcriptc.899G>A p.Trp300Ter stop_gained, splice_region_variant 4/5 XP_006724746.1
SERPINA7XM_005262180.5 linkuse as main transcriptc.899G>A p.Trp300Ter stop_gained, splice_region_variant 4/5 XP_005262237.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINA7ENST00000372563.2 linkuse as main transcriptc.899G>A p.Trp300Ter stop_gained, splice_region_variant 4/55 NM_000354.6 ENSP00000361644 P1
SERPINA7ENST00000327674.8 linkuse as main transcriptc.899G>A p.Trp300Ter stop_gained, splice_region_variant 3/41 ENSP00000329374 P1
SERPINA7ENST00000487487.1 linkuse as main transcriptn.172G>A splice_region_variant, non_coding_transcript_exon_variant 2/33

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD3 exomes
AF:
0.00000548
AC:
1
AN:
182470
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
67304
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:
0.0000123
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000128
AC:
14
AN:
1089990
Hom.:
0
Cov.:
29
AF XY:
0.0000140
AC XY:
5
AN XY:
355994
show subpopulations
Gnomad4 AFR exome
AF:
0.0000381
Gnomad4 AMR exome
AF:
0.00
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:
0.0000156
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
23
ExAC
AF:
0.00000824
AC:
1

ClinVar

Significance: association
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Thyroxine-binding globulin quantitative trait locus Other:1
association, no assertion criteria providedliterature onlyOMIMFeb 01, 1998- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.49
D
BayesDel_noAF
Pathogenic
0.47
CADD
Pathogenic
38
DANN
Uncertain
1.0
FATHMM_MKL
Benign
0.21
N
MutationTaster
Benign
1.0
A;A
Vest4
0.83
GERP RS
3.4
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.69
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.69
Position offset: -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: rs121909496; hg19: chrX-105278371; API