rs41273519

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 0P and 5B. BP4_StrongBS2_Supporting

The NM_003126.4(SPTA1):​c.6421C>T​(p.Arg2141Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0027 in 1,613,944 control chromosomes in the GnomAD database, including 8 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R2141Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0026 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0027 ( 7 hom. )

Consequence

SPTA1
NM_003126.4 missense

Scores

6
7
4

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts P:1U:8

Conservation

PhyloP100: 3.04
Variant links:
Genes affected
SPTA1 (HGNC:11272): (spectrin alpha, erythrocytic 1) This gene encodes a member of a family of molecular scaffold proteins that link the plasma membrane to the actin cytoskeleton and functions in the determination of cell shape, arrangement of transmembrane proteins, and organization of organelles. The encoded protein is primarily composed of 22 spectrin repeats which are involved in dimer formation. It forms a component of the erythrocyte plasma membrane. Mutations in this gene result in a variety of hereditary red blood cell disorders, including elliptocytosis-2, pyropoikilocytosis, and spherocytosis, type 3. [provided by RefSeq, Aug 2017]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.04913938).
BS2
High Homozygotes in GnomAdExome4 at 7 AD,AR geneVariant has number of homozygotes 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/exons MANE UniProt
SPTA1NM_003126.4 linkuse as main transcriptc.6421C>T p.Arg2141Trp missense_variant 45/52 ENST00000643759.2
SPTA1XM_011509916.3 linkuse as main transcriptc.6421C>T p.Arg2141Trp missense_variant 46/53
SPTA1XM_011509917.4 linkuse as main transcriptc.6421C>T p.Arg2141Trp missense_variant 45/51
SPTA1XM_047428883.1 linkuse as main transcriptc.6100C>T p.Arg2034Trp missense_variant 45/52

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
SPTA1ENST00000643759.2 linkuse as main transcriptc.6421C>T p.Arg2141Trp missense_variant 45/52 NM_003126.4 P1P02549-1
SPTA1ENST00000484520.1 linkuse as main transcriptn.624C>T non_coding_transcript_exon_variant 2/23

Frequencies

GnomAD3 genomes
AF:
0.00256
AC:
390
AN:
152082
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00384
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00288
Gnomad ASJ
AF:
0.00375
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000472
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00247
Gnomad OTH
AF:
0.000478
GnomAD3 exomes
AF:
0.00200
AC:
500
AN:
249544
Hom.:
2
AF XY:
0.00183
AC XY:
248
AN XY:
135384
show subpopulations
Gnomad AFR exome
AF:
0.00316
Gnomad AMR exome
AF:
0.00339
Gnomad ASJ exome
AF:
0.00248
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000327
Gnomad FIN exome
AF:
0.000788
Gnomad NFE exome
AF:
0.00240
Gnomad OTH exome
AF:
0.00313
GnomAD4 exome
AF:
0.00271
AC:
3964
AN:
1461744
Hom.:
7
Cov.:
31
AF XY:
0.00258
AC XY:
1879
AN XY:
727178
show subpopulations
Gnomad4 AFR exome
AF:
0.00346
Gnomad4 AMR exome
AF:
0.00313
Gnomad4 ASJ exome
AF:
0.00203
Gnomad4 EAS exome
AF:
0.0000504
Gnomad4 SAS exome
AF:
0.0000348
Gnomad4 FIN exome
AF:
0.000562
Gnomad4 NFE exome
AF:
0.00311
Gnomad4 OTH exome
AF:
0.00257
GnomAD4 genome
AF:
0.00256
AC:
390
AN:
152200
Hom.:
1
Cov.:
32
AF XY:
0.00253
AC XY:
188
AN XY:
74406
show subpopulations
Gnomad4 AFR
AF:
0.00383
Gnomad4 AMR
AF:
0.00288
Gnomad4 ASJ
AF:
0.00375
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000472
Gnomad4 NFE
AF:
0.00247
Gnomad4 OTH
AF:
0.000473
Alfa
AF:
0.00254
Hom.:
1
Bravo
AF:
0.00277
TwinsUK
AF:
0.00189
AC:
7
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.00278
AC:
11
ESP6500EA
AF:
0.00264
AC:
22
ExAC
AF:
0.00188
AC:
227
Asia WGS
AF:
0.00173
AC:
6
AN:
3478
EpiCase
AF:
0.00207
EpiControl
AF:
0.00284

ClinVar

Significance: Uncertain significance
Submissions summary: Pathogenic:1Uncertain:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Elliptocytosis 2 Uncertain:3
Uncertain significance, criteria provided, single submitterclinical testingCentogene AG - the Rare Disease CompanyMay 04, 2020- -
Uncertain significance, criteria provided, single submitterclinical testingMendelicsJan 31, 2023- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
not provided Uncertain:3
Uncertain significance, criteria provided, single submitterclinical testingRevvity Omics, RevvityJun 06, 2023- -
Uncertain significance, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 07, 2023- -
Uncertain significance, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicOct 06, 2022- -
Hereditary spherocytosis type 3 Pathogenic:1Uncertain:1
Likely pathogenic, flagged submissionclinical testingDepartment of Genetic, Henri Mondor Hospital, Assistance Publique des Hôpitaux de ParisFeb 27, 2018- -
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases did not allow this variant to be ruled in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
Pyropoikilocytosis, hereditary Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.22
BayesDel_addAF
Benign
-0.090
T
BayesDel_noAF
Uncertain
0.10
CADD
Uncertain
24
DANN
Pathogenic
1.0
DEOGEN2
Uncertain
0.69
D;D
Eigen
Uncertain
0.55
Eigen_PC
Uncertain
0.46
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Pathogenic
0.98
.;D
M_CAP
Pathogenic
0.47
D
MetaRNN
Benign
0.049
T;T
MetaSVM
Uncertain
0.34
D
MutationAssessor
Pathogenic
3.1
M;M
MutationTaster
Benign
1.0
D;D
PrimateAI
Uncertain
0.60
T
REVEL
Pathogenic
0.69
Sift4G
Pathogenic
0.0
D;.
Polyphen
1.0
D;D
Vest4
0.87
MVP
0.82
MPC
0.047
ClinPred
0.050
T
GERP RS
2.2
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.53
gMVP
0.65

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.17
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: rs41273519; hg19: chr1-158589121; COSMIC: COSV63757868; COSMIC: COSV63757868; API