rs2020921

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_StrongBS1BS2

The NM_000930.5(PLAT):​c.490C>T​(p.Arg164Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0187 in 1,603,474 control chromosomes in the GnomAD database, including 344 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R164Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.013 ( 15 hom., cov: 33)
Exomes 𝑓: 0.019 ( 329 hom. )

Consequence

PLAT
NM_000930.5 missense

Scores

4
14

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 1.15

Publications

32 publications found
Variant links:
Genes affected
PLAT (HGNC:9051): (plasminogen activator, tissue type) This gene encodes tissue-type plasminogen activator, a secreted serine protease that converts the proenzyme plasminogen to plasmin, a fibrinolytic enzyme. The encoded preproprotein is proteolytically processed by plasmin or trypsin to generate heavy and light chains. These chains associate via disulfide linkages to form the heterodimeric enzyme. This enzyme plays a role in cell migration and tissue remodeling. Increased enzymatic activity causes hyperfibrinolysis, which manifests as excessive bleeding, while decreased activity leads to hypofibrinolysis, which can result in thrombosis or embolism. Alternative splicing of this gene results in multiple transcript variants, at least one of which encodes an isoform that is proteolytically processed. [provided by RefSeq, Jan 2016]
PLAT Gene-Disease associations (from GenCC):
  • thrombophilia, familial, due to decreased release of tissue plasminogen activator
    Inheritance: AR, AD Classification: MODERATE, NO_KNOWN Submitted by: Genomics England PanelApp, ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -12 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0053712428).
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0127 (1942/152358) while in subpopulation NFE AF = 0.0217 (1477/68026). AF 95% confidence interval is 0.0208. There are 15 homozygotes in GnomAd4. There are 861 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 15 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PLATNM_000930.5 linkc.490C>T p.Arg164Trp missense_variant Exon 6 of 14 ENST00000220809.9 NP_000921.1 P00750-1
PLATNM_033011.4 linkc.352C>T p.Arg118Trp missense_variant Exon 5 of 13 NP_127509.1 P00750-3
PLATNM_001319189.2 linkc.364+459C>T intron_variant Intron 5 of 11 NP_001306118.1 P00750B4DN26

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PLATENST00000220809.9 linkc.490C>T p.Arg164Trp missense_variant Exon 6 of 14 1 NM_000930.5 ENSP00000220809.4 P00750-1

Frequencies

GnomAD3 genomes
AF:
0.0128
AC:
1942
AN:
152240
Hom.:
15
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00408
Gnomad AMI
AF:
0.00658
Gnomad AMR
AF:
0.00863
Gnomad ASJ
AF:
0.00749
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00496
Gnomad FIN
AF:
0.00828
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.0217
Gnomad OTH
AF:
0.00860
GnomAD2 exomes
AF:
0.0122
AC:
2966
AN:
243878
AF XY:
0.0127
show subpopulations
Gnomad AFR exome
AF:
0.00359
Gnomad AMR exome
AF:
0.00528
Gnomad ASJ exome
AF:
0.00739
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00806
Gnomad NFE exome
AF:
0.0207
Gnomad OTH exome
AF:
0.0131
GnomAD4 exome
AF:
0.0193
AC:
27988
AN:
1451116
Hom.:
329
Cov.:
34
AF XY:
0.0189
AC XY:
13651
AN XY:
722126
show subpopulations
African (AFR)
AF:
0.00407
AC:
136
AN:
33440
American (AMR)
AF:
0.00574
AC:
256
AN:
44632
Ashkenazi Jewish (ASJ)
AF:
0.00682
AC:
178
AN:
26100
East Asian (EAS)
AF:
0.0000756
AC:
3
AN:
39662
South Asian (SAS)
AF:
0.00456
AC:
393
AN:
86098
European-Finnish (FIN)
AF:
0.00898
AC:
399
AN:
44430
Middle Eastern (MID)
AF:
0.0191
AC:
110
AN:
5766
European-Non Finnish (NFE)
AF:
0.0230
AC:
25515
AN:
1110754
Other (OTH)
AF:
0.0166
AC:
998
AN:
60234
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
1365
2730
4096
5461
6826
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
982
1964
2946
3928
4910
<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:
0.0127
AC:
1942
AN:
152358
Hom.:
15
Cov.:
33
AF XY:
0.0116
AC XY:
861
AN XY:
74516
show subpopulations
African (AFR)
AF:
0.00406
AC:
169
AN:
41588
American (AMR)
AF:
0.00856
AC:
131
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.00749
AC:
26
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5190
South Asian (SAS)
AF:
0.00518
AC:
25
AN:
4830
European-Finnish (FIN)
AF:
0.00828
AC:
88
AN:
10624
Middle Eastern (MID)
AF:
0.00680
AC:
2
AN:
294
European-Non Finnish (NFE)
AF:
0.0217
AC:
1477
AN:
68026
Other (OTH)
AF:
0.00851
AC:
18
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.499
Heterozygous variant carriers
0
108
217
325
434
542
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
24
48
72
96
120
<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:
0.0204
Hom.:
931
Bravo
AF:
0.0121
TwinsUK
AF:
0.0229
AC:
85
ALSPAC
AF:
0.0236
AC:
91
ESP6500AA
AF:
0.00499
AC:
22
ESP6500EA
AF:
0.0222
AC:
191
ExAC
AF:
0.0121
AC:
1464
Asia WGS
AF:
0.00260
AC:
10
AN:
3478
EpiCase
AF:
0.0216
EpiControl
AF:
0.0211

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.097
BayesDel_addAF
Benign
-0.42
T
BayesDel_noAF
Benign
-0.36
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.33
T;T;.;T
Eigen
Benign
-0.68
Eigen_PC
Benign
-0.66
FATHMM_MKL
Benign
0.31
N
LIST_S2
Benign
0.83
.;T;T;T
MetaRNN
Benign
0.0054
T;T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Uncertain
2.1
M;M;.;.
PhyloP100
1.1
PrimateAI
Benign
0.33
T
PROVEAN
Uncertain
-3.8
D;D;D;D
REVEL
Benign
0.047
Sift
Benign
0.10
T;T;T;D
Sift4G
Uncertain
0.051
T;T;D;.
Polyphen
0.037
B;B;B;.
Vest4
0.13
MPC
0.24
ClinPred
0.044
T
GERP RS
1.9
Varity_R
0.27
gMVP
0.47
Mutation Taster
=80/20
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: rs2020921; hg19: chr8-42044965; COSMIC: COSV54274230; COSMIC: COSV54274230; API