rs1445192595

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 6P and 2B. PM2PP3_StrongBP6_Moderate

The NM_000295.5(SERPINA1):​c.654G>T​(p.Trp218Cys) variant causes a missense change. The variant allele was found at a frequency of 0.00000274 in 1,460,010 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Likely benign (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000027 ( 0 hom. )

Consequence

SERPINA1
NM_000295.5 missense

Scores

12
5
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: 6.95
Variant links:
Genes affected
SERPINA1 (HGNC:8941): (serpin family A member 1) The protein encoded by this gene is a serine protease inhibitor belonging to the serpin superfamily whose targets include elastase, plasmin, thrombin, trypsin, chymotrypsin, and plasminogen activator. This protein is produced in the liver, the bone marrow, by lymphocytic and monocytic cells in lymphoid tissue, and by the Paneth cells of the gut. Defects in this gene are associated with chronic obstructive pulmonary disease, emphysema, and chronic liver disease. Several transcript variants encoding the same protein have been found for this gene. [provided by RefSeq, Aug 2020]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.983
BP6
Variant 14-94381134-C-A is Benign according to our data. Variant chr14-94381134-C-A is described in ClinVar as [Likely_benign]. Clinvar id is 626302.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SERPINA1NM_000295.5 linkc.654G>T p.Trp218Cys missense_variant 3/5 ENST00000393087.9 NP_000286.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SERPINA1ENST00000393087.9 linkc.654G>T p.Trp218Cys missense_variant 3/51 NM_000295.5 ENSP00000376802.4 P01009-1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
AF:
0.00000274
AC:
4
AN:
1460010
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
726272
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:
0.00
Gnomad4 NFE exome
AF:
0.00000360
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Alpha-1-antitrypsin deficiency Benign:1
Likely benign, criteria provided, single submitterclinical testingHerediLab, Inc.Oct 24, 2013- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.96
BayesDel_addAF
Pathogenic
0.37
D
BayesDel_noAF
Pathogenic
0.30
CADD
Pathogenic
27
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.79
D;D;D;D;D;D;D;D;D;.
Eigen
Pathogenic
0.92
Eigen_PC
Pathogenic
0.82
FATHMM_MKL
Pathogenic
0.98
D
LIST_S2
Uncertain
0.92
.;.;.;D;.;.;.;.;.;D
M_CAP
Pathogenic
0.46
D
MetaRNN
Pathogenic
0.98
D;D;D;D;D;D;D;D;D;D
MetaSVM
Pathogenic
1.1
D
MutationAssessor
Pathogenic
4.4
H;H;H;H;H;H;H;H;H;H
PrimateAI
Uncertain
0.54
T
PROVEAN
Pathogenic
-12
D;D;D;D;D;.;D;D;D;D
REVEL
Pathogenic
0.76
Sift
Benign
0.038
D;D;D;D;D;.;D;D;D;D
Sift4G
Uncertain
0.039
D;D;D;D;D;.;D;D;D;D
Polyphen
0.96
D;D;D;D;D;D;D;D;D;D
Vest4
0.80
MutPred
0.82
Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);Gain of catalytic residue at K215 (P = 0.0047);
MVP
0.97
MPC
0.37
ClinPred
1.0
D
GERP RS
5.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.75
gMVP
0.89

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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1445192595; hg19: chr14-94847471; API