rs137853202

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 1P and 0B. PP5

The NM_000542.5(SFTPB):​c.706C>T​(p.Arg236Cys) variant causes a missense change. The variant allele was found at a frequency of 0.0000432 in 1,596,014 control chromosomes in the GnomAD database, including 1 homozygotes. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. R236R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00014 ( 1 hom., cov: 32)
Exomes 𝑓: 0.000033 ( 0 hom. )

Consequence

SFTPB
NM_000542.5 missense

Scores

1
11
6

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:3U:1

Conservation

PhyloP100: 4.19

Publications

6 publications found
Variant links:
Genes affected
SFTPB (HGNC:10801): (surfactant protein B) This gene encodes the pulmonary-associated surfactant protein B (SPB), an amphipathic surfactant protein essential for lung function and homeostasis after birth. Pulmonary surfactant is a surface-active lipoprotein complex composed of 90% lipids and 10% proteins which include plasma proteins and apolipoproteins SPA, SPB, SPC and SPD. The surfactant is secreted by the alveolar cells of the lung and maintains the stability of pulmonary tissue by reducing the surface tension of fluids that coat the lung. The SPB enhances the rate of spreading and increases the stability of surfactant monolayers in vitro. Multiple mutations in this gene have been identified, which cause pulmonary surfactant metabolism dysfunction type 1, also called pulmonary alveolar proteinosis due to surfactant protein B deficiency, and are associated with fatal respiratory distress in the neonatal period. Alternatively spliced transcript variants encoding the same protein have been identified.[provided by RefSeq, Feb 2010]
SFTPB Gene-Disease associations (from GenCC):
  • surfactant metabolism dysfunction, pulmonary, 1
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: PanelApp Australia, ClinGen, Labcorp Genetics (formerly Invitae), Orphanet, Genomics England PanelApp

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PP5
Variant 2-85663814-G-A is Pathogenic according to our data. Variant chr2-85663814-G-A is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 13204.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000542.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SFTPB
NM_000542.5
MANE Select
c.706C>Tp.Arg236Cys
missense
Exon 7 of 11NP_000533.4
SFTPB
NM_198843.3
c.706C>Tp.Arg236Cys
missense
Exon 8 of 12NP_942140.3P07988
SFTPB
NM_001367281.1
c.706C>Tp.Arg236Cys
missense
Exon 7 of 9NP_001354210.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SFTPB
ENST00000519937.7
TSL:1 MANE Select
c.706C>Tp.Arg236Cys
missense
Exon 7 of 11ENSP00000428719.2P07988
SFTPB
ENST00000393822.7
TSL:1
c.706C>Tp.Arg236Cys
missense
Exon 8 of 12ENSP00000377409.4P07988
SFTPB
ENST00000409383.7
TSL:1
c.706C>Tp.Arg236Cys
missense
Exon 8 of 12ENSP00000386346.2

Frequencies

GnomAD3 genomes
AF:
0.000138
AC:
21
AN:
152188
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000434
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000287
AC:
6
AN:
209002
AF XY:
0.00000872
show subpopulations
Gnomad AFR exome
AF:
0.000326
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000625
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000110
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000332
AC:
48
AN:
1443826
Hom.:
0
Cov.:
35
AF XY:
0.0000293
AC XY:
21
AN XY:
717098
show subpopulations
African (AFR)
AF:
0.000482
AC:
16
AN:
33200
American (AMR)
AF:
0.00
AC:
0
AN:
42720
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
25824
East Asian (EAS)
AF:
0.0000257
AC:
1
AN:
38914
South Asian (SAS)
AF:
0.00
AC:
0
AN:
83932
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
48808
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5224
European-Non Finnish (NFE)
AF:
0.0000262
AC:
29
AN:
1105504
Other (OTH)
AF:
0.0000335
AC:
2
AN:
59700
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
3
7
10
14
17
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:
0.000138
AC:
21
AN:
152188
Hom.:
1
Cov.:
32
AF XY:
0.000121
AC XY:
9
AN XY:
74334
show subpopulations
African (AFR)
AF:
0.000434
AC:
18
AN:
41448
American (AMR)
AF:
0.0000654
AC:
1
AN:
15280
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5192
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4836
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10622
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
316
European-Non Finnish (NFE)
AF:
0.0000294
AC:
2
AN:
68018
Other (OTH)
AF:
0.00
AC:
0
AN:
2092
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.538
Heterozygous variant carriers
0
1
2
4
5
6
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.000285
Hom.:
0
Bravo
AF:
0.000106
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000459
AC:
2
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.0000249
AC:
3

ClinVar

ClinVar submissions
Significance:Conflicting classifications of pathogenicity
Revision:criteria provided, conflicting classifications
View on ClinVar
Pathogenic
VUS
Benign
Condition
2
-
-
Surfactant metabolism dysfunction, pulmonary, 1 (2)
1
-
-
Hereditary pulmonary alveolar proteinosis (1)
-
1
-
not provided (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.23
BayesDel_addAF
Pathogenic
0.22
D
BayesDel_noAF
Uncertain
0.070
CADD
Pathogenic
26
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.69
D
Eigen
Uncertain
0.34
Eigen_PC
Uncertain
0.38
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.79
T
M_CAP
Benign
0.046
D
MetaRNN
Uncertain
0.66
D
MetaSVM
Uncertain
0.10
D
MutationAssessor
Benign
1.0
L
PhyloP100
4.2
PrimateAI
Benign
0.25
T
PROVEAN
Uncertain
-2.5
D
REVEL
Uncertain
0.57
Sift
Uncertain
0.020
D
Sift4G
Uncertain
0.0040
D
Polyphen
0.99
D
Vest4
0.77
MVP
0.93
MPC
0.35
ClinPred
0.25
T
GERP RS
4.4
PromoterAI
0.043
Neutral
Varity_R
0.21
gMVP
0.43
Mutation Taster
=83/17
disease causing (ClinVar)

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: rs137853202; hg19: chr2-85890937; API
For research and educational, non-commercial use only. Not for clinical or diagnostic use. GeneBe does not provide medical advice. Data use for AI modeling is prohibited: if used, the cost is $0.001 per byte of downloaded uncompressed data.