rs121965062

chr17-1754289-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 5 ACMG points: 5P and 0B. PM2 PP3_Moderate PP5

The NM_000934.4(SERPINF2):c.1231G>A(p.Val411Met) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 12/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

• Frequency: Genomes: not found (cov: 33)
• Consequence: SERPINF2 NM_000934.4 missense
• Clinical Significance: Pathogenic no assertion criteria provided P:1
• Conservation: PhyloP100: -0.196

Genes affected

SERPINF2 (HGNC:9075): (serpin family F member 2) This gene encodes a member of the serpin family of serine protease inhibitors. The protein is a major inhibitor of plasmin, which degrades fibrin and various other proteins. Consequently, the proper function of this gene has a major role in regulating the blood clotting pathway. Mutations in this gene result in alpha-2-plasmin inhibitor deficiency, which is characterized by severe hemorrhagic diathesis. Multiple transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Sep 2009]

ACMG classification

Verdict is Uncertain_significance. Variant got 5 ACMG points.

• PM2: Very rare variant in population databases, with high coverage
• PP3: MetaRNN computational evidence supports a deleterious effect, 0.864
• PP5: Variant 17-1754289-G-A is Pathogenic according to our data. Variant chr17-1754289-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 276.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr17-1754289-G-A is described in UniProt as null. Variant chr17-1754289-G-A is described in UniProt as null.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
SERPINF2	NM_000934.4	c.1231G>A	p.Val411Met	missense_variant	10/10	ENST00000453066.6

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
SERPINF2	ENST00000453066.6	c.1231G>A	p.Val411Met	missense_variant	10/10	5	NM_000934.4	P1
SERPINF2	ENST00000382061.5	c.1231G>A	p.Val411Met	missense_variant	10/10	1		P1
SERPINF2	ENST00000324015.7	c.1231G>A	p.Val411Met	missense_variant	10/10	5		P1
SERPINF2	ENST00000450523.6	c.1039G>A	p.Val347Met	missense_variant	9/9	2

Frequencies

GnomAD3 genomes Cov.: 33

GnomAD4 exome Cov.: 32

GnomAD4 genome Cov.: 33

ClinVar

Significance: Pathogenic

Submissions summary: Pathogenic:1

Revision: no assertion criteria provided

Submissions by phenotype

Alpha-2-plasmin inhibitor deficiency Pathogenic:1

Pathogenic, no assertion criteria provided

literature only

OMIM

Nov 01, 1999

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
AlphaMissense	Benign	0.25
BayesDel_addAF	Benign	-0.028	T
BayesDel_noAF	Benign	-0.28
Cadd	Benign	17
Dann	Uncertain	1.0
DEOGEN2	Uncertain	0.58	D;.;D
Eigen	Benign	-0.20
Eigen_PC	Benign	-0.33
FATHMM_MKL	Benign	0.12	N
LIST_S2	Benign	0.85	D;D;.
M_CAP	Benign	0.010	T
MetaRNN	Pathogenic	0.86	D;D;D
MetaSVM	Benign	-1.0	T
MutationAssessor	Benign	1.7	L;.;L
MutationTaster	Benign	0.00030	A;A;A
PrimateAI	Benign	0.42	T
PROVEAN	Benign	-1.3	N;N;N
REVEL	Benign	0.25
Sift	Uncertain	0.0060	D;D;D
Sift4G	Benign	0.10	T;T;T
Polyphen		0.99	D;.;D
Vest4		0.14
MutPred		0.90		Gain of disorder (P = 0.0483);.;Gain of disorder (P = 0.0483);
MVP		0.53
MPC		0.89
ClinPred		0.42	T
GERP RS		0.31
Varity_R		0.28
gMVP		0.72

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

Other links and lift over

dbSNP: rs121965062; hg19: chr17-1657583; COSMIC: COSV100131978; COSMIC: COSV100131978;