rs17886395

Variant summary

Our verdict is Benign. Variant got -18 ACMG points: 2P and 20B. PM1BP4_StrongBP6_Very_StrongBA1

The NM_001098668.4(SFTPA2):ā€‹c.271G>Cā€‹(p.Ala91Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.155 in 1,613,720 control chromosomes in the GnomAD database, including 21,037 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (ā˜…ā˜…). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Likely benign in UniProt.

Frequency

Genomes: š‘“ 0.17 ( 2363 hom., cov: 32)
Exomes š‘“: 0.15 ( 18674 hom. )

Consequence

SFTPA2
NM_001098668.4 missense

Scores

16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.0340
Variant links:
Genes affected
SFTPA2 (HGNC:10799): (surfactant protein A2) This gene is one of several genes encoding pulmonary-surfactant associated proteins (SFTPA) located on chromosome 10. Mutations in this gene and a highly similar gene located nearby, which affect the highly conserved carbohydrate recognition domain, are associated with idiopathic pulmonary fibrosis. The current version of the assembly displays only a single centromeric SFTPA gene pair rather than the two gene pairs shown in the previous assembly which were thought to have resulted from a duplication. [provided by RefSeq, Sep 2009]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -18 ACMG points.

PM1
In a chain Pulmonary surfactant-associated protein A2 (size 227) in uniprot entity SFPA2_HUMAN there are 11 pathogenic changes around while only 3 benign (79%) in NM_001098668.4
BP4
Computational evidence support a benign effect (MetaRNN=0.018847167).
BP6
Variant 10-79558907-C-G is Benign according to our data. Variant chr10-79558907-C-G is described in ClinVar as [Benign]. Clinvar id is 227067.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.27 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
SFTPA2NM_001098668.4 linkc.271G>C p.Ala91Pro missense_variant 4/6 ENST00000372325.7 NP_001092138.1 Q8IWL1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
SFTPA2ENST00000372325.7 linkc.271G>C p.Ala91Pro missense_variant 4/61 NM_001098668.4 ENSP00000361400.2 Q8IWL1
SFTPA2ENST00000372327.9 linkc.271G>C p.Ala91Pro missense_variant 3/51 ENSP00000361402.5 Q8IWL1
SFTPA2ENST00000417041.1 linkc.271G>C p.Ala91Pro missense_variant 4/65 ENSP00000397375.1 X6REF7
SFTPA2ENST00000492049.1 linkc.271G>C p.Ala91Pro missense_variant 2/25 ENSP00000473275.1 R4GMN3

Frequencies

GnomAD3 genomes
AF:
0.167
AC:
25407
AN:
151868
Hom.:
2350
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.169
Gnomad AMI
AF:
0.0713
Gnomad AMR
AF:
0.243
Gnomad ASJ
AF:
0.149
Gnomad EAS
AF:
0.281
Gnomad SAS
AF:
0.271
Gnomad FIN
AF:
0.124
Gnomad MID
AF:
0.169
Gnomad NFE
AF:
0.142
Gnomad OTH
AF:
0.183
GnomAD3 exomes
AF:
0.189
AC:
47412
AN:
251402
Hom.:
5077
AF XY:
0.188
AC XY:
25500
AN XY:
135884
show subpopulations
Gnomad AFR exome
AF:
0.168
Gnomad AMR exome
AF:
0.283
Gnomad ASJ exome
AF:
0.147
Gnomad EAS exome
AF:
0.295
Gnomad SAS exome
AF:
0.251
Gnomad FIN exome
AF:
0.136
Gnomad NFE exome
AF:
0.143
Gnomad OTH exome
AF:
0.178
GnomAD4 exome
AF:
0.153
AC:
223882
AN:
1461732
Hom.:
18674
Cov.:
70
AF XY:
0.156
AC XY:
113246
AN XY:
727174
show subpopulations
Gnomad4 AFR exome
AF:
0.164
Gnomad4 AMR exome
AF:
0.278
Gnomad4 ASJ exome
AF:
0.148
Gnomad4 EAS exome
AF:
0.257
Gnomad4 SAS exome
AF:
0.252
Gnomad4 FIN exome
AF:
0.138
Gnomad4 NFE exome
AF:
0.136
Gnomad4 OTH exome
AF:
0.166
GnomAD4 genome
AF:
0.168
AC:
25474
AN:
151988
Hom.:
2363
Cov.:
32
AF XY:
0.172
AC XY:
12745
AN XY:
74306
show subpopulations
Gnomad4 AFR
AF:
0.169
Gnomad4 AMR
AF:
0.244
Gnomad4 ASJ
AF:
0.149
Gnomad4 EAS
AF:
0.282
Gnomad4 SAS
AF:
0.271
Gnomad4 FIN
AF:
0.124
Gnomad4 NFE
AF:
0.142
Gnomad4 OTH
AF:
0.190
Alfa
AF:
0.151
Hom.:
586
Bravo
AF:
0.174
TwinsUK
AF:
0.128
AC:
474
ALSPAC
AF:
0.134
AC:
517
ESP6500AA
AF:
0.162
AC:
713
ESP6500EA
AF:
0.143
AC:
1226
ExAC
AF:
0.186
AC:
22544
Asia WGS
AF:
0.302
AC:
1047
AN:
3478
EpiCase
AF:
0.145
EpiControl
AF:
0.144

ClinVar

Significance: Benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
Benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018This variant is associated with the following publications: (PMID: 16292672, 20466729) -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingLaboratory for Molecular Medicine, Mass General Brigham Personalized MedicineNov 26, 2014p.Ala91Pro in exon 4 of SFTPA2: This variant is not expected to have clinical si gnificance because it has been identified in 14.3% (1226/8592) of European Ameri can chromosomes by the NHLBI Exome Sequencing Project (http://evs.gs.washington. edu/EVS/; dbSNP rs17886395). -
SFTPA2-related disorder Benign:1
Benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesApr 29, 2021This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.046
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.27
CADD
Benign
6.0
DANN
Benign
0.066
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.4
FATHMM_MKL
Benign
0.00015
N
LIST_S2
Benign
0.36
.;.;T;T
MetaRNN
Benign
0.019
T;T;T;T
MetaSVM
Benign
-1.0
T
PrimateAI
Benign
0.47
T
PROVEAN
Benign
2.7
N;N;N;.
REVEL
Benign
0.17
Sift
Benign
1.0
T;T;T;.
Sift4G
Benign
1.0
T;T;T;.
Vest4
0.13
MPC
0.0036
ClinPred
0.00058
T
GERP RS
1.6
gMVP
0.21

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: rs17886395; hg19: chr10-81318663; COSMIC: COSV64882320; COSMIC: COSV64882320; API