rs33984024

Variant summary

Our verdict is Likely pathogenic. Variant got 6 ACMG points: 6P and 0B. PM2PP3_Strong

The NM_000558.5(HBA1):​c.193G>A​(p.Asp65Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000213 in 1,405,526 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as other (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D65Y) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 31)
Exomes 𝑓: 0.0000016 ( 0 hom. )

Consequence

HBA1
NM_000558.5 missense

Scores

2
5
11

Clinical Significance

other no assertion criteria provided O:2

Conservation

PhyloP100: 0.103
Variant links:
Genes affected
HBA1 (HGNC:4823): (hemoglobin subunit alpha 1) The human alpha globin gene cluster located on chromosome 16 spans about 30 kb and includes seven loci: 5'- zeta - pseudozeta - mu - pseudoalpha-1 - alpha-2 - alpha-1 - theta - 3'. The alpha-2 (HBA2) and alpha-1 (HBA1) coding sequences are identical. These genes differ slightly over the 5' untranslated regions and the introns, but they differ significantly over the 3' untranslated regions. Two alpha chains plus two beta chains constitute HbA, which in normal adult life comprises about 97% of the total hemoglobin; alpha chains combine with delta chains to constitute HbA-2, which with HbF (fetal hemoglobin) makes up the remaining 3% of adult hemoglobin. Alpha thalassemias result from deletions of each of the alpha genes as well as deletions of both HBA2 and HBA1; some nondeletion alpha thalassemias have also been reported. [provided by RefSeq, Jul 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 6 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.94

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
HBA1NM_000558.5 linkuse as main transcriptc.193G>A p.Asp65Asn missense_variant 2/3 ENST00000320868.9 NP_000549.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
HBA1ENST00000320868.9 linkuse as main transcriptc.193G>A p.Asp65Asn missense_variant 2/31 NM_000558.5 ENSP00000322421 P1
HBA1ENST00000472694.1 linkuse as main transcriptn.329G>A non_coding_transcript_exon_variant 1/21
HBA1ENST00000487791.1 linkuse as main transcriptn.162G>A non_coding_transcript_exon_variant 2/21
HBA1ENST00000397797.1 linkuse as main transcriptc.97G>A p.Asp33Asn missense_variant 2/32 ENSP00000380899

Frequencies

GnomAD3 genomes
AF:
0.00000668
AC:
1
AN:
149800
Hom.:
0
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0000247
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000159
AC:
2
AN:
1255726
Hom.:
0
Cov.:
19
AF XY:
0.00
AC XY:
0
AN XY:
626094
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00000208
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000668
AC:
1
AN:
149800
Hom.:
0
Cov.:
31
AF XY:
0.00
AC XY:
0
AN XY:
72968
show subpopulations
Gnomad4 AFR
AF:
0.0000247
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.00
Gnomad4 OTH
AF:
0.00

ClinVar

Significance: other
Submissions summary: Other:2
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

HEMOGLOBIN G (WAIMANALO) Other:1
other, no assertion criteria providedliterature onlyOMIMMay 10, 2018- -
HEMOGLOBIN AIDA Other:1
other, no assertion criteria providedliterature onlyOMIMMay 10, 2018- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.15
BayesDel_addAF
Uncertain
0.083
D
BayesDel_noAF
Benign
-0.12
CADD
Benign
15
DANN
Uncertain
0.98
DEOGEN2
Benign
0.14
T;.
Eigen
Benign
-0.65
Eigen_PC
Benign
-0.78
FATHMM_MKL
Benign
0.16
N
LIST_S2
Uncertain
0.89
D;D
M_CAP
Pathogenic
0.68
D
MetaRNN
Pathogenic
0.94
D;D
MetaSVM
Uncertain
0.014
D
MutationTaster
Benign
1.0
N;N
PrimateAI
Benign
0.42
T
PROVEAN
Benign
-1.8
N;N
REVEL
Uncertain
0.29
Sift
Benign
0.054
T;D
Sift4G
Benign
0.66
T;T
Vest4
0.53
MutPred
0.91
Gain of MoRF binding (P = 0.0491);.;
MVP
0.98
ClinPred
0.21
T
GERP RS
2.3
Varity_R
0.31
gMVP
0.81

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: rs33984024; hg19: chr16-227025; API