rs6023

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000130.5(F5):​c.730+7C>T variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0737 in 1,613,268 control chromosomes in the GnomAD database, including 4,966 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.057 ( 343 hom., cov: 32)
Exomes 𝑓: 0.075 ( 4623 hom. )

Consequence

F5
NM_000130.5 splice_region, intron

Scores

2
Splicing: ADA: 0.00004755
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts U:1B:9

Conservation

PhyloP100: -0.564

Publications

8 publications found
Variant links:
Genes affected
F5 (HGNC:3542): (coagulation factor V) This gene encodes an essential cofactor of the blood coagulation cascade. This factor circulates in plasma, and is converted to the active form by the release of the activation peptide by thrombin during coagulation. This generates a heavy chain and a light chain which are held together by calcium ions. The activated protein is a cofactor that participates with activated coagulation factor X to activate prothrombin to thrombin. Defects in this gene result in either an autosomal recessive hemorrhagic diathesis or an autosomal dominant form of thrombophilia, which is known as activated protein C resistance. [provided by RefSeq, Oct 2008]
F5 Gene-Disease associations (from GenCC):
  • thrombophilia due to activated protein C resistance
    Inheritance: AD Classification: DEFINITIVE, STRONG Submitted by: ClinGen, Labcorp Genetics (formerly Invitae), Genomics England PanelApp
  • congenital factor V deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Orphanet, Labcorp Genetics (formerly Invitae)
  • East Texas bleeding disorder
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.89).
BP6
Variant 1-169559146-G-A is Benign according to our data. Variant chr1-169559146-G-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 255216.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0848 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000130.5. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
F5
NM_000130.5
MANE Select
c.730+7C>T
splice_region intron
N/ANP_000121.2

Ensembl Transcripts

Selected
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
F5
ENST00000367797.9
TSL:1 MANE Select
c.730+7C>T
splice_region intron
N/AENSP00000356771.3
F5
ENST00000367796.3
TSL:5
c.730+7C>T
splice_region intron
N/AENSP00000356770.3

Frequencies

GnomAD3 genomes
AF:
0.0570
AC:
8672
AN:
152058
Hom.:
342
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0163
Gnomad AMI
AF:
0.121
Gnomad AMR
AF:
0.0571
Gnomad ASJ
AF:
0.106
Gnomad EAS
AF:
0.00771
Gnomad SAS
AF:
0.0296
Gnomad FIN
AF:
0.0372
Gnomad MID
AF:
0.114
Gnomad NFE
AF:
0.0867
Gnomad OTH
AF:
0.0693
GnomAD2 exomes
AF:
0.0585
AC:
14675
AN:
250954
AF XY:
0.0600
show subpopulations
Gnomad AFR exome
AF:
0.0150
Gnomad AMR exome
AF:
0.0415
Gnomad ASJ exome
AF:
0.0927
Gnomad EAS exome
AF:
0.00827
Gnomad FIN exome
AF:
0.0393
Gnomad NFE exome
AF:
0.0855
Gnomad OTH exome
AF:
0.0705
GnomAD4 exome
AF:
0.0754
AC:
110159
AN:
1461092
Hom.:
4623
Cov.:
32
AF XY:
0.0748
AC XY:
54366
AN XY:
726890
show subpopulations
African (AFR)
AF:
0.0139
AC:
466
AN:
33450
American (AMR)
AF:
0.0448
AC:
2002
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.0945
AC:
2467
AN:
26118
East Asian (EAS)
AF:
0.0118
AC:
468
AN:
39688
South Asian (SAS)
AF:
0.0312
AC:
2693
AN:
86248
European-Finnish (FIN)
AF:
0.0427
AC:
2278
AN:
53300
Middle Eastern (MID)
AF:
0.0834
AC:
481
AN:
5766
European-Non Finnish (NFE)
AF:
0.0855
AC:
95067
AN:
1111430
Other (OTH)
AF:
0.0702
AC:
4237
AN:
60378
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.469
Heterozygous variant carriers
0
5028
10056
15084
20112
25140
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
3384
6768
10152
13536
16920
<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:
0.0570
AC:
8670
AN:
152176
Hom.:
343
Cov.:
32
AF XY:
0.0541
AC XY:
4028
AN XY:
74402
show subpopulations
African (AFR)
AF:
0.0163
AC:
677
AN:
41530
American (AMR)
AF:
0.0571
AC:
872
AN:
15284
Ashkenazi Jewish (ASJ)
AF:
0.106
AC:
366
AN:
3468
East Asian (EAS)
AF:
0.00773
AC:
40
AN:
5176
South Asian (SAS)
AF:
0.0299
AC:
144
AN:
4822
European-Finnish (FIN)
AF:
0.0372
AC:
394
AN:
10602
Middle Eastern (MID)
AF:
0.116
AC:
34
AN:
294
European-Non Finnish (NFE)
AF:
0.0867
AC:
5890
AN:
67974
Other (OTH)
AF:
0.0676
AC:
143
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
418
837
1255
1674
2092
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
100
200
300
400
500
<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:
0.0768
Hom.:
809
Bravo
AF:
0.0571
Asia WGS
AF:
0.0340
AC:
118
AN:
3478
EpiCase
AF:
0.0902
EpiControl
AF:
0.0934

ClinVar

Significance: Benign/Likely benign
Submissions summary: Uncertain:1Benign:9
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

May 11, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

multiple AR variants in same gene - keep for nowAllele frequency is common in at least one population database (frequency: 9.27% in gnomAD_ExomesFounderPop) based on the frequency threshold of 5.0% for this gene.Variant was observed in a homozygous state in population databases more than expected for disease.

Thrombophilia due to activated protein C resistance Benign:2
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

not specified Benign:1
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Congenital factor V deficiency Benign:1
Feb 04, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

Budd-Chiari syndrome Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Factor V deficiency Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Thrombophilia due to thrombin defect Benign:1
Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease.

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.89
CADD
Benign
0.15
DANN
Benign
0.50
PhyloP100
-0.56
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000048
dbscSNV1_RF
Benign
0.0040
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: rs6023; hg19: chr1-169528384; COSMIC: COSV63130054; API