rs140563422

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_006215.4(SERPINA4):​c.412C>T​(p.Arg138Cys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000569 in 1,614,172 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Synonymous variant affecting the same amino acid position (i.e. R138R) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0028 ( 2 hom., cov: 33)
Exomes 𝑓: 0.00034 ( 1 hom. )

Consequence

SERPINA4
NM_006215.4 missense

Scores

1
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:2

Conservation

PhyloP100: 0.143

Publications

2 publications found
Variant links:
Genes affected
SERPINA4 (HGNC:8948): (serpin family A member 4) Predicted to enable serine-type endopeptidase inhibitor activity. Predicted to be involved in negative regulation of endopeptidase activity. Located in extracellular exosome. Biomarker of diabetic retinopathy. [provided by Alliance of Genome Resources, Apr 2022]
SERPINA5 (HGNC:8723): (serpin family A member 5) The protein encoded by this gene is a member of the serpin family of proteins, a group of proteins that inhibit serine proteases. This gene is one in a cluster of serpin genes located on the q arm of chromosome 14. This family member is a glycoprotein that can inhibit several serine proteases, including protein C and various plasminogen activators and kallikreins, and it thus plays diverse roles in hemostasis and thrombosis in multiple organs. [provided by RefSeq, Aug 2012]

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ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005294293).
BP6
Variant 14-94563894-C-T is Benign according to our data. Variant chr14-94563894-C-T is described in ClinVar as Benign. ClinVar VariationId is 787952.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_006215.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SERPINA4
NM_006215.4
MANE Select
c.412C>Tp.Arg138Cys
missense
Exon 2 of 5NP_006206.2
SERPINA4
NM_001289032.2
c.523C>Tp.Arg175Cys
missense
Exon 2 of 5NP_001275961.1
SERPINA4
NM_001289033.2
c.412C>Tp.Arg138Cys
missense
Exon 2 of 5NP_001275962.1P29622

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
SERPINA4
ENST00000557004.6
TSL:1 MANE Select
c.412C>Tp.Arg138Cys
missense
Exon 2 of 5ENSP00000450838.1P29622
SERPINA4
ENST00000298841.5
TSL:1
c.412C>Tp.Arg138Cys
missense
Exon 2 of 5ENSP00000298841.5P29622
SERPINA4
ENST00000555095.5
TSL:1
c.412C>Tp.Arg138Cys
missense
Exon 2 of 5ENSP00000451172.1P29622

Frequencies

GnomAD3 genomes
AF:
0.00279
AC:
424
AN:
152162
Hom.:
2
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00987
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000524
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000588
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000939
AC:
236
AN:
251446
AF XY:
0.000765
show subpopulations
Gnomad AFR exome
AF:
0.0117
Gnomad AMR exome
AF:
0.000463
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000352
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000339
AC:
495
AN:
1461892
Hom.:
1
Cov.:
33
AF XY:
0.000327
AC XY:
238
AN XY:
727246
show subpopulations
African (AFR)
AF:
0.0109
AC:
365
AN:
33480
American (AMR)
AF:
0.000559
AC:
25
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.000661
AC:
57
AN:
86258
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5768
European-Non Finnish (NFE)
AF:
0.0000135
AC:
15
AN:
1112012
Other (OTH)
AF:
0.000513
AC:
31
AN:
60396
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.491
Heterozygous variant carriers
0
38
76
113
151
189
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00278
AC:
424
AN:
152280
Hom.:
2
Cov.:
33
AF XY:
0.00278
AC XY:
207
AN XY:
74448
show subpopulations
African (AFR)
AF:
0.00984
AC:
409
AN:
41544
American (AMR)
AF:
0.000523
AC:
8
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5176
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4828
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10618
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
68032
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.502
Heterozygous variant carriers
0
23
46
69
92
115
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00113
Hom.:
1
Bravo
AF:
0.00320
ESP6500AA
AF:
0.00999
AC:
44
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00122
AC:
148

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
2
not provided (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.48
T
BayesDel_noAF
Benign
-0.46
CADD
Benign
8.0
DANN
Benign
0.93
DEOGEN2
Uncertain
0.64
D
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.1
FATHMM_MKL
Benign
0.044
N
LIST_S2
Benign
0.23
T
MetaRNN
Benign
0.0053
T
MetaSVM
Benign
-0.70
T
MutationAssessor
Benign
1.7
L
PhyloP100
0.14
PrimateAI
Benign
0.19
T
PROVEAN
Benign
-2.1
N
REVEL
Benign
0.20
Sift
Benign
0.076
T
Sift4G
Benign
0.11
T
Polyphen
0.51
P
Vest4
0.072
MVP
0.58
MPC
0.065
ClinPred
0.0086
T
GERP RS
-1.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.1
Varity_R
0.19
gMVP
0.26
Mutation Taster
=98/2
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: rs140563422; hg19: chr14-95030231; COSMIC: COSV100097507; API