rs146776859

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_021175.4(HAMP):​c.92C>T​(p.Thr31Met) variant causes a missense, splice region change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00262 in 1,613,058 control chromosomes in the GnomAD database, including 14 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0030 ( 2 hom., cov: 31)
Exomes 𝑓: 0.0026 ( 12 hom. )

Consequence

HAMP
NM_021175.4 missense, splice_region

Scores

1
16
Splicing: ADA: 0.0002571
2

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:2B:1

Conservation

PhyloP100: 0.749

Publications

3 publications found
Variant links:
Genes affected
HAMP (HGNC:15598): (hepcidin antimicrobial peptide) The product encoded by this gene is involved in the maintenance of iron homeostasis, and it is necessary for the regulation of iron storage in macrophages, and for intestinal iron absorption. The preproprotein is post-translationally cleaved into mature peptides of 20, 22 and 25 amino acids, and these active peptides are rich in cysteines, which form intramolecular bonds that stabilize their beta-sheet structures. These peptides exhibit antimicrobial activity against bacteria and fungi. Mutations in this gene cause hemochromatosis type 2B, also known as juvenile hemochromatosis, a disease caused by severe iron overload that results in cardiomyopathy, cirrhosis, and endocrine failure. [provided by RefSeq, Oct 2014]
HAMP Gene-Disease associations (from GenCC):
  • hemochromatosis type 2B
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • hemochromatosis type 2
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0062108934).
BP6
Variant 19-35284790-C-T is Benign according to our data. Variant chr19-35284790-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 216876.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00302 (460/152168) while in subpopulation NFE AF = 0.00341 (232/67992). AF 95% confidence interval is 0.00305. There are 2 homozygotes in GnomAd4. There are 285 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
HAMPNM_021175.4 linkc.92C>T p.Thr31Met missense_variant, splice_region_variant Exon 2 of 3 ENST00000222304.5 NP_066998.1 P81172

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
HAMPENST00000222304.5 linkc.92C>T p.Thr31Met missense_variant, splice_region_variant Exon 2 of 3 1 NM_021175.4 ENSP00000222304.2 P81172
HAMPENST00000598398.5 linkc.92C>T p.Thr31Met missense_variant, splice_region_variant Exon 3 of 4 2 ENSP00000471894.1 P81172
HAMPENST00000593580.1 linkn.2274C>T non_coding_transcript_exon_variant Exon 1 of 1 6
ENSG00000307628ENST00000827558.1 linkn.392-3917G>A intron_variant Intron 1 of 1

Frequencies

GnomAD3 genomes
AF:
0.00303
AC:
461
AN:
152050
Hom.:
2
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.000628
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000193
Gnomad SAS
AF:
0.000208
Gnomad FIN
AF:
0.0185
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00341
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.00331
AC:
832
AN:
251358
AF XY:
0.00329
show subpopulations
Gnomad AFR exome
AF:
0.000800
Gnomad AMR exome
AF:
0.000202
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0177
Gnomad NFE exome
AF:
0.00363
Gnomad OTH exome
AF:
0.00261
GnomAD4 exome
AF:
0.00257
AC:
3760
AN:
1460890
Hom.:
12
Cov.:
31
AF XY:
0.00251
AC XY:
1823
AN XY:
726838
show subpopulations
African (AFR)
AF:
0.000478
AC:
16
AN:
33456
American (AMR)
AF:
0.000201
AC:
9
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39696
South Asian (SAS)
AF:
0.0000812
AC:
7
AN:
86244
European-Finnish (FIN)
AF:
0.0160
AC:
857
AN:
53418
Middle Eastern (MID)
AF:
0.000173
AC:
1
AN:
5768
European-Non Finnish (NFE)
AF:
0.00247
AC:
2741
AN:
1111090
Other (OTH)
AF:
0.00214
AC:
129
AN:
60358
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
199
399
598
798
997
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
88
176
264
352
440
<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:
0.00302
AC:
460
AN:
152168
Hom.:
2
Cov.:
31
AF XY:
0.00383
AC XY:
285
AN XY:
74390
show subpopulations
African (AFR)
AF:
0.000626
AC:
26
AN:
41522
American (AMR)
AF:
0.000262
AC:
4
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.000193
AC:
1
AN:
5172
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4812
European-Finnish (FIN)
AF:
0.0185
AC:
196
AN:
10594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00341
AC:
232
AN:
67992
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
26
52
78
104
130
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:
0.00260
Hom.:
2
Bravo
AF:
0.00161
TwinsUK
AF:
0.00189
AC:
7
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.000908
AC:
4
ESP6500EA
AF:
0.00209
AC:
18
ExAC
AF:
0.00339
AC:
412
EpiCase
AF:
0.00202
EpiControl
AF:
0.00273

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:2Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not specified Uncertain:1
Mar 04, 2025
Center for Genomic Medicine, Rigshospitalet, Copenhagen University Hospital
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hemochromatosis type 2B Uncertain:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Hereditary hemochromatosis Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.096
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
14
DANN
Benign
0.73
DEOGEN2
Benign
0.30
T;T
Eigen
Benign
-0.036
Eigen_PC
Benign
-0.25
FATHMM_MKL
Benign
0.19
N
LIST_S2
Benign
0.43
.;T
MetaRNN
Benign
0.0062
T;T
MetaSVM
Benign
-0.64
T
PhyloP100
0.75
PrimateAI
Benign
0.34
T
PROVEAN
Uncertain
-2.6
.;D
REVEL
Benign
0.25
Sift
Benign
0.24
.;T
Sift4G
Benign
0.17
T;T
Polyphen
0.72
P;P
Vest4
0.17
MVP
0.91
MPC
0.25
ClinPred
0.014
T
GERP RS
3.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.0
Varity_R
0.044
gMVP
0.51
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00026
dbscSNV1_RF
Benign
0.012
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: rs146776859; hg19: chr19-35775693; COSMIC: COSV106092776; COSMIC: COSV106092776; API