rs11538141

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBS1_Supporting

The NM_002775.5(HTRA1):​c.161A>C​(p.Glu54Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000056 in 1,072,312 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.000020 ( 0 hom., cov: 33)
Exomes 𝑓: 0.0000032 ( 0 hom. )

Consequence

HTRA1
NM_002775.5 missense

Scores

1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.0480

Publications

1 publications found
Variant links:
Genes affected
HTRA1 (HGNC:9476): (HtrA serine peptidase 1) This gene encodes a member of the trypsin family of serine proteases. This protein is a secreted enzyme that is proposed to regulate the availability of insulin-like growth factors (IGFs) by cleaving IGF-binding proteins. It has also been suggested to be a regulator of cell growth. Variations in the promoter region of this gene are the cause of susceptibility to age-related macular degeneration type 7. [provided by RefSeq, Jul 2008]
HTRA1 Gene-Disease associations (from GenCC):
  • CARASIL syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp, Ambry Genetics
  • cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 2
    Inheritance: AD Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • genetic cerebral small vessel disease
    Inheritance: AD Classification: STRONG Submitted by: Franklin by Genoox
  • HTRA1-related autosomal dominant cerebral small vessel disease
    Inheritance: AD Classification: MODERATE, SUPPORTIVE Submitted by: Orphanet, Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.044725507).
BS1
Variant frequency is greater than expected in population amr. GnomAdExome4 allele frequency = 0.00000324 (3/925084) while in subpopulation AMR AF = 0.000785 (3/3820). AF 95% confidence interval is 0.000213. There are 0 homozygotes in GnomAdExome4. There are 2 alleles in the male GnomAdExome4 subpopulation. Median coverage is 32. This position passed quality control check. Existence of Clinvar submissions makes me limit the strength of this signal to Supporting

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002775.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HTRA1
NM_002775.5
MANE Select
c.161A>Cp.Glu54Ala
missense
Exon 1 of 9NP_002766.1Q92743

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HTRA1
ENST00000368984.8
TSL:1 MANE Select
c.161A>Cp.Glu54Ala
missense
Exon 1 of 9ENSP00000357980.3Q92743
HTRA1
ENST00000869938.1
c.161A>Cp.Glu54Ala
missense
Exon 1 of 9ENSP00000539997.1
HTRA1
ENST00000962536.1
c.161A>Cp.Glu54Ala
missense
Exon 1 of 9ENSP00000632595.1

Frequencies

GnomAD3 genomes
AF:
0.0000204
AC:
3
AN:
147228
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000202
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
GnomAD4 exome
AF:
0.00000324
AC:
3
AN:
925084
Hom.:
0
Cov.:
32
AF XY:
0.00000460
AC XY:
2
AN XY:
435158
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
17850
American (AMR)
AF:
0.000785
AC:
3
AN:
3820
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
7768
East Asian (EAS)
AF:
0.00
AC:
0
AN:
9884
South Asian (SAS)
AF:
0.00
AC:
0
AN:
18334
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9496
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
2088
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
823002
Other (OTH)
AF:
0.00
AC:
0
AN:
32842
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.425
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000204
AC:
3
AN:
147228
Hom.:
0
Cov.:
33
AF XY:
0.0000279
AC XY:
2
AN XY:
71674
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40832
American (AMR)
AF:
0.000202
AC:
3
AN:
14828
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3396
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5074
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4762
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
8872
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
314
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
66202
Other (OTH)
AF:
0.00
AC:
0
AN:
2038
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.525
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.00
Hom.:
0
Bravo
AF:
0.0000113

ClinVar

ClinVar submissions
Significance:Uncertain significance
Revision:criteria provided, single submitter
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.083
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.56
CADD
Benign
21
DANN
Benign
0.94
DEOGEN2
Benign
0.035
T
Eigen
Benign
-0.90
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.066
N
LIST_S2
Benign
0.46
T
M_CAP
Benign
0.063
D
MetaRNN
Benign
0.045
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
-0.41
N
PhyloP100
0.048
PrimateAI
Pathogenic
0.92
D
PROVEAN
Benign
0.10
N
REVEL
Benign
0.035
Sift
Benign
0.68
T
Sift4G
Benign
0.72
T
Polyphen
0.0
B
Vest4
0.058
MutPred
0.36
Gain of methylation at R57 (P = 0.0871)
MVP
0.54
MPC
0.54
ClinPred
0.063
T
GERP RS
1.9
PromoterAI
-0.0012
Neutral
Varity_R
0.10
gMVP
0.36
Mutation Taster
=89/11
polymorphism

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

Other links and lift over

dbSNP: rs11538141; hg19: chr10-124221329; API