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chrX-66188534-G-T

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 0P and 4B. BS2

The NM_001367233.3(HEPH):​c.801G>T​(p.Arg267Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000166 in 1,202,413 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 9 hemizygotes in GnomAD. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000018 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000017 ( 0 hom. 8 hem. )

Consequence

HEPH
NM_001367233.3 missense

Scores

3
7
5

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.978
Variant links:
Genes affected
HEPH (HGNC:4866): (hephaestin) This gene encodes a member of the multicopper oxidase protein family. The encoded protein is involved in the transport of dietary iron from epithelial cells of the intestinal lumen into the circulatory system, and may be involved in copper transport and homeostasis. In mouse, defects in this gene can lead to severe microcytic anemia. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

BS2
High Hemizygotes in GnomAdExome4 at 8 gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
HEPHNM_001367233.3 linkuse as main transcriptc.801G>T p.Arg267Ser missense_variant 5/21 ENST00000343002.7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
HEPHENST00000343002.7 linkuse as main transcriptc.801G>T p.Arg267Ser missense_variant 5/211 NM_001367233.3 P5Q9BQS7-1

Frequencies

GnomAD3 genomes
AF:
0.0000178
AC:
2
AN:
112233
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34395
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.0000375
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000228
AC:
4
AN:
175126
Hom.:
0
AF XY:
0.0000500
AC XY:
3
AN XY:
60018
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:
0.000128
Gnomad NFE exome
AF:
0.0000254
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000165
AC:
18
AN:
1090180
Hom.:
0
Cov.:
29
AF XY:
0.0000225
AC XY:
8
AN XY:
355940
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000991
Gnomad4 NFE exome
AF:
0.0000143
Gnomad4 OTH exome
AF:
0.0000437
GnomAD4 genome
AF:
0.0000178
AC:
2
AN:
112233
Hom.:
0
Cov.:
23
AF XY:
0.0000291
AC XY:
1
AN XY:
34395
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000375
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
1
Bravo
AF:
0.00000756
ExAC
AF:
0.0000330
AC:
4

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 22, 2021The c.963G>T (p.R321S) alteration is located in exon 5 (coding exon 5) of the HEPH gene. This alteration results from a G to T substitution at nucleotide position 963, causing the arginine (R) at amino acid position 321 to be replaced by a serine (S). 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
0.35
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Pathogenic
0.16
CADD
Benign
18
DANN
Uncertain
0.99
FATHMM_MKL
Benign
0.67
D
LIST_S2
Uncertain
0.96
D;D;D;D;D
M_CAP
Pathogenic
0.80
D
MetaRNN
Uncertain
0.50
D;D;D;D;D
MetaSVM
Uncertain
0.44
D
MutationTaster
Benign
1.0
D;N;N;N;N;N
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-2.7
D;D;D;D;D
REVEL
Uncertain
0.63
Sift
Benign
0.072
T;T;T;T;T
Sift4G
Benign
0.11
T;T;T;T;T
Polyphen
0.10, 0.57
.;.;B;P;.
Vest4
0.52
MutPred
0.66
.;.;.;Loss of sheet (P = 0.0181);Loss of sheet (P = 0.0181);
MVP
0.78
MPC
0.19
ClinPred
0.17
T
GERP RS
3.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.37
gMVP
0.82

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.020
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: rs773393350; hg19: chrX-65408376; API