rs33924775

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM2PM5PP3_StrongPP5_Moderate

The NM_000518.5(HBB):​c.277C>T​(p.His93Tyr) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. H93D) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 32)

Consequence

HBB
NM_000518.5 missense

Scores

14
3
2

Clinical Significance

Pathogenic criteria provided, single submitter P:2O:3

Conservation

PhyloP100: 7.51
Variant links:
Genes affected
HBB (HGNC:4827): (hemoglobin subunit beta) The alpha (HBA) and beta (HBB) loci determine the structure of the 2 types of polypeptide chains in adult hemoglobin, Hb A. The normal adult hemoglobin tetramer consists of two alpha chains and two beta chains. Mutant beta globin causes sickle cell anemia. Absence of beta chain causes beta-zero-thalassemia. Reduced amounts of detectable beta globin causes beta-plus-thalassemia. The order of the genes in the beta-globin cluster is 5'-epsilon -- gamma-G -- gamma-A -- delta -- beta--3'. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr11-5226613-G-Y is described in Lovd as [Pathogenic].
PP3
MetaRNN computational evidence supports a deleterious effect, 0.993
PP5
Variant 11-5226615-G-A is Pathogenic according to our data. Variant chr11-5226615-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 15255.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HBBNM_000518.5 linkuse as main transcriptc.277C>T p.His93Tyr missense_variant 2/3 ENST00000335295.4 NP_000509.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HBBENST00000335295.4 linkuse as main transcriptc.277C>T p.His93Tyr missense_variant 2/31 NM_000518.5 ENSP00000333994 P1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD4 exome
Cov.:
36
GnomAD4 genome
Cov.:
32

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:2Other:3
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingQuest Diagnostics Nichols Institute San Juan CapistranoMar 14, 2023This variant has not been reported in large, multi-ethnic general populations (http://gnomad.broadinstitute.org). In the published literature, the variant has been reported in de novo heterozygous individuals (PMIDs: 1398295 (1992), 32747614 (2020)) and in families that have been described as generally asymptomatic, but also affected with cyanosis, methemoglobinemia, and hemolytic anemia especially during crises (PMIDs: 5669922 (1968), 933112 (1976), 31267164 (2019), 33251782 (2020)). Functional studies have shown that this variant is unstable (PMID: 933112 (1976)). Based on the available information, this variant is classified as pathogenic. -
METHEMOGLOBINEMIA, BETA TYPE Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMJan 01, 1998- -
HEMOGLOBIN M (HYDE PARK) Other:1
other, no assertion criteria providedliterature onlyOMIMMay 10, 2018- -
HEMOGLOBIN M (AKITA) Other:1
other, no assertion criteria providedliterature onlyOMIMMay 10, 2018- -
HEMOGLOBIN M (MILWAUKEE 2) Other:1
other, no assertion criteria providedliterature onlyOMIMMay 10, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.56
D
BayesDel_noAF
Pathogenic
0.56
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T;T;.
Eigen
Pathogenic
1.0
Eigen_PC
Pathogenic
0.94
FATHMM_MKL
Uncertain
0.96
D
LIST_S2
Pathogenic
0.98
.;D;D
M_CAP
Pathogenic
0.85
D
MetaRNN
Pathogenic
0.99
D;D;D
MetaSVM
Pathogenic
0.99
D
MutationAssessor
Pathogenic
4.7
H;H;.
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.74
T
PROVEAN
Pathogenic
-5.7
D;.;.
REVEL
Pathogenic
0.98
Sift
Pathogenic
0.0
D;.;.
Sift4G
Pathogenic
0.0
D;.;.
Polyphen
1.0
D;D;.
Vest4
0.95
MutPred
0.95
Loss of methylation at K96 (P = 0.0553);Loss of methylation at K96 (P = 0.0553);Loss of methylation at K96 (P = 0.0553);
MVP
0.88
MPC
0.27
ClinPred
1.0
D
GERP RS
5.2
Varity_R
0.92
gMVP
0.99

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: rs33924775; hg19: chr11-5247845; API