rs28937312

Variant summary

Our verdict is Uncertain significance. The variant received 3 ACMG points: 4P and 1B. PP3_StrongBS2_Supporting

The NM_000354.6(SERPINA7):​c.740T>C​(p.Leu247Pro) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000364 in 1,097,608 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 2 hemizygotes in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as association (no stars).

Frequency

Genomes: not found (cov: 23)
Exomes 𝑓: 0.0000036 ( 0 hom. 2 hem. )

Consequence

SERPINA7
NM_000354.6 missense

Scores

4
6
7

Clinical Significance

association no assertion criteria provided O:1

Conservation

PhyloP100: 0.484

Publications

4 publications found
Variant links:
Genes affected
SERPINA7 (HGNC:11583): (serpin family A member 7) There are three proteins including thyroxine-binding globulin (TBG), transthyretin and albumin responsible for carrying the thyroid hormones thyroxine (T4) and 3,5,3'-triiodothyronine (T3) in the bloodstream. This gene encodes the major thyroid hormone transport protein, TBG, in serum. It belongs to the serpin family in genomics, but the protein has no inhibitory function like many other members of the serpin family. Mutations in this gene result in TGB deficiency, which has been classified as partial deficiency, complete deficiency, and excess, based on the level of serum TBG. Alternatively spliced transcript variants encoding different isoforms have been found, but the full-length nature of these variants has not been determined.[provided by RefSeq, Jun 2012]

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 3 ACMG points.

PP3
MetaRNN computational evidence supports a deleterious effect, 0.985
BS2
High Hemizygotes in GnomAdExome4 at 2 XL geneVariant has number of hemizygotes lower than other variant known as pathogenic in the gene, so the strength is limited to Supporting.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
SERPINA7NM_000354.6 linkc.740T>C p.Leu247Pro missense_variant Exon 3 of 5 ENST00000372563.2 NP_000345.2 P05543
SERPINA7XM_006724683.3 linkc.740T>C p.Leu247Pro missense_variant Exon 3 of 5 XP_006724746.1
SERPINA7XM_005262180.5 linkc.740T>C p.Leu247Pro missense_variant Exon 3 of 5 XP_005262237.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
SERPINA7ENST00000372563.2 linkc.740T>C p.Leu247Pro missense_variant Exon 3 of 5 5 NM_000354.6 ENSP00000361644.1 P05543
SERPINA7ENST00000327674.8 linkc.740T>C p.Leu247Pro missense_variant Exon 2 of 4 1 ENSP00000329374.4 P05543
SERPINA7ENST00000487487.1 linkn.13T>C non_coding_transcript_exon_variant Exon 1 of 3 3

Frequencies

GnomAD3 genomes
Cov.:
23
GnomAD2 exomes
AF:
0.00000547
AC:
1
AN:
182846
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000123
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000364
AC:
4
AN:
1097608
Hom.:
0
Cov.:
31
AF XY:
0.00000551
AC XY:
2
AN XY:
363110
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26376
American (AMR)
AF:
0.00
AC:
0
AN:
35177
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19360
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30196
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54130
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40531
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4132
European-Non Finnish (NFE)
AF:
0.00000356
AC:
3
AN:
841639
Other (OTH)
AF:
0.0000217
AC:
1
AN:
46067
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.450
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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
Cov.:
23
Alfa
AF:
0.00
Hom.:
0

ClinVar

Significance: association
Submissions summary: Other:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Thyroxine-binding globulin quantitative trait locus Other:1
Mar 01, 1992
OMIM
Significance:association
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.87
BayesDel_addAF
Pathogenic
0.41
D
BayesDel_noAF
Pathogenic
0.35
CADD
Benign
22
DANN
Uncertain
0.99
DEOGEN2
Benign
0.16
T;T
FATHMM_MKL
Benign
0.28
N
LIST_S2
Benign
0.49
.;T
M_CAP
Uncertain
0.20
D
MetaRNN
Pathogenic
0.99
D;D
MetaSVM
Uncertain
-0.27
T
MutationAssessor
Uncertain
2.8
M;M
PhyloP100
0.48
PrimateAI
Benign
0.30
T
PROVEAN
Uncertain
-2.8
D;D
REVEL
Uncertain
0.63
Sift
Benign
0.13
T;T
Sift4G
Benign
0.19
T;T
Polyphen
0.83
P;P
Vest4
0.64
MutPred
0.88
Loss of stability (P = 0.0238);Loss of stability (P = 0.0238);
MVP
0.93
MPC
0.24
ClinPred
0.87
D
GERP RS
3.2
Varity_R
0.96
gMVP
0.95
Mutation Taster
=14/86
disease causing

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: rs28937312; hg19: chrX-105279259; API