rs73343752

Variant summary

Our verdict is Benign. The variant received -13 ACMG points: 0P and 13B. BP4_StrongBP6BS1BS2

The NM_004577.4(PSPH):​c.650T>C​(p.Val217Ala) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00132 in 1,613,360 control chromosomes in the GnomAD database, including 20 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. V217V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0072 ( 11 hom., cov: 31)
Exomes 𝑓: 0.00070 ( 9 hom. )

Consequence

PSPH
NM_004577.4 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 1.26

Publications

3 publications found
Variant links:
Genes affected
PSPH (HGNC:9577): (phosphoserine phosphatase) The protein encoded by this gene belongs to a subfamily of the phosphotransferases. This encoded enzyme is responsible for the third and last step in L-serine formation. It catalyzes magnesium-dependent hydrolysis of L-phosphoserine and is also involved in an exchange reaction between L-serine and L-phosphoserine. Deficiency of this protein is thought to be linked to Williams syndrome. [provided by RefSeq, Jul 2008]
PSPH Gene-Disease associations (from GenCC):
  • Neu-Laxova syndrome 1
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • PSPH deficiency
    Inheritance: AR Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Ambry Genetics, Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • neurometabolic disorder due to serine deficiency
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -13 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0036592782).
BP6
Variant 7-56011790-A-G is Benign according to our data. Variant chr7-56011790-A-G is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 391900.
BS1
Variant frequency is greater than expected in population afr. GnomAd4 allele frequency = 0.00721 (1098/152316) while in subpopulation AFR AF = 0.0246 (1021/41574). AF 95% confidence interval is 0.0233. There are 11 homozygotes in GnomAd4. There are 523 alleles in the male GnomAd4 subpopulation. Median coverage is 31. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 11 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
PSPHNM_004577.4 linkc.650T>C p.Val217Ala missense_variant Exon 8 of 8 ENST00000275605.8 NP_004568.2 P78330A0A024RDL3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
PSPHENST00000275605.8 linkc.650T>C p.Val217Ala missense_variant Exon 8 of 8 1 NM_004577.4 ENSP00000275605.3 P78330
PSPHENST00000395471.7 linkc.650T>C p.Val217Ala missense_variant Exon 8 of 8 1 ENSP00000378854.3 P78330
PSPHENST00000437355.6 linkn.650T>C non_coding_transcript_exon_variant Exon 6 of 7 5 ENSP00000401639.2 P78330
PSPHENST00000459834.5 linkn.440T>C non_coding_transcript_exon_variant Exon 3 of 3 3

Frequencies

GnomAD3 genomes
AF:
0.00722
AC:
1099
AN:
152198
Hom.:
11
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.0247
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00360
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:
0.0000588
Gnomad OTH
AF:
0.00861
GnomAD2 exomes
AF:
0.00188
AC:
472
AN:
251138
AF XY:
0.00136
show subpopulations
Gnomad AFR exome
AF:
0.0255
Gnomad AMR exome
AF:
0.00119
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000529
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.000701
AC:
1024
AN:
1461044
Hom.:
9
Cov.:
30
AF XY:
0.000592
AC XY:
430
AN XY:
726866
show subpopulations
African (AFR)
AF:
0.0231
AC:
773
AN:
33436
American (AMR)
AF:
0.00161
AC:
72
AN:
44716
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26126
East Asian (EAS)
AF:
0.0000252
AC:
1
AN:
39682
South Asian (SAS)
AF:
0.000128
AC:
11
AN:
86234
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53410
Middle Eastern (MID)
AF:
0.000695
AC:
4
AN:
5756
European-Non Finnish (NFE)
AF:
0.0000549
AC:
61
AN:
1111320
Other (OTH)
AF:
0.00169
AC:
102
AN:
60364
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.472
Heterozygous variant carriers
0
48
96
145
193
241
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
26
52
78
104
130
<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:
0.00721
AC:
1098
AN:
152316
Hom.:
11
Cov.:
31
AF XY:
0.00702
AC XY:
523
AN XY:
74488
show subpopulations
African (AFR)
AF:
0.0246
AC:
1021
AN:
41574
American (AMR)
AF:
0.00360
AC:
55
AN:
15288
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4834
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0000588
AC:
4
AN:
68032
Other (OTH)
AF:
0.00852
AC:
18
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
54
108
161
215
269
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00291
Hom.:
1
Bravo
AF:
0.00833
ESP6500AA
AF:
0.0256
AC:
113
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.00236
AC:
286
Asia WGS
AF:
0.00231
AC:
9
AN:
3478
EpiCase
AF:
0.00
EpiControl
AF:
0.000178

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Deficiency of phosphoserine phosphatase Benign:3
Jan 31, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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. -

May 28, 2019
Mendelics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:1
Jan 09, 2017
GeneDx
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The V217A variant in the PSPH gene has not been reported previously as a pathogenic variant, nor as a benign variant, to our knowledge. Although not present in the homozygous state, the NHLBI ESP Exome Sequencing Project reports V217A was observed in 113/4,406 alleles (2.6%) from individuals of African American background. The V217A variant is a conservative amino acid substitution, which is not likely to impact secondary protein structure as these residues share similar properties. This substitution occurs at a position that is not conserved, and in silico analysis predicts this variant likely does not alter the protein structure/function. We interpret V217A as a variant of uncertain significance. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.50
CADD
Benign
8.7
DANN
Benign
0.37
DEOGEN2
Benign
0.0042
T;T
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.37
N
LIST_S2
Benign
0.63
.;T
MetaRNN
Benign
0.0037
T;T
MetaSVM
Benign
-0.96
T
MutationAssessor
Benign
-0.90
N;N
PhyloP100
1.3
PrimateAI
Benign
0.36
T
PROVEAN
Benign
1.0
N;N
REVEL
Benign
0.12
Sift
Benign
0.67
T;T
Sift4G
Benign
0.81
T;T
Polyphen
0.0
B;B
Vest4
0.063
MVP
0.14
MPC
0.26
ClinPred
0.0013
T
GERP RS
0.80
Varity_R
0.075
gMVP
0.35
Mutation Taster
=91/9
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs73343752; hg19: chr7-56079483; API