rs773189052

Variant summary

Our verdict is Benign. The variant received -8 ACMG points: 0P and 8B. BP4_StrongBS2

The NM_002641.4(PIGA):​c.1418G>C​(p.Arg473Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000108 in 1,204,961 control chromosomes in the GnomAD database, with no homozygous occurrence. There are 4 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Synonymous variant affecting the same amino acid position (i.e. R473R) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.0000089 ( 0 hom., 1 hem., cov: 23)
Exomes 𝑓: 0.000011 ( 0 hom. 3 hem. )

Consequence

PIGA
NM_002641.4 missense

Scores

16

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 1.01

Publications

0 publications found
Variant links:
Genes affected
PIGA (HGNC:8957): (phosphatidylinositol glycan anchor biosynthesis class A) This gene encodes a protein required for synthesis of N-acetylglucosaminyl phosphatidylinositol (GlcNAc-PI), the first intermediate in the biosynthetic pathway of GPI anchor. The GPI anchor is a glycolipid found on many blood cells and which serves to anchor proteins to the cell surface. Paroxysmal nocturnal hemoglobinuria, an acquired hematologic disorder, has been shown to result from mutations in this gene. Alternate splice variants have been characterized. A related pseudogene is located on chromosome 12. [provided by RefSeq, Jun 2010]
PIGA Gene-Disease associations (from GenCC):
  • complex neurodevelopmental disorder
    Inheritance: XL Classification: DEFINITIVE Submitted by: ClinGen
  • multiple congenital anomalies-hypotonia-seizures syndrome 2
    Inheritance: XL Classification: DEFINITIVE, STRONG, MODERATE, SUPPORTIVE Submitted by: Illumina, Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • infantile spasms
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • malignant migrating partial seizures of infancy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • ferro-cerebro-cutaneous syndrome
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet
  • paroxysmal nocturnal hemoglobinuria
    Inheritance: Unknown Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -8 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.06282875).
BS2
High AC in GnomAdExome4 at 12 Unknown,XL,AD gene.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002641.4. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PIGA
NM_002641.4
MANE Select
c.1418G>Cp.Arg473Thr
missense
Exon 6 of 6NP_002632.1P37287-1
PIGA
NM_001440789.1
c.1511G>Cp.Arg504Thr
missense
Exon 7 of 7NP_001427718.1
PIGA
NM_001440790.1
c.809G>Cp.Arg270Thr
missense
Exon 6 of 6NP_001427719.1

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
PIGA
ENST00000333590.6
TSL:1 MANE Select
c.1418G>Cp.Arg473Thr
missense
Exon 6 of 6ENSP00000369820.3P37287-1
PIGA
ENST00000542278.6
TSL:5
c.1418G>Cp.Arg473Thr
missense
Exon 6 of 6ENSP00000442653.2P37287-1
PIGA
ENST00000482148.6
TSL:5
c.911G>Cp.Arg304Thr
missense
Exon 5 of 5ENSP00000489528.1P37287-2

Frequencies

GnomAD3 genomes
AF:
0.00000889
AC:
1
AN:
112429
Hom.:
0
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00
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:
0.0000188
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.00000545
AC:
1
AN:
183355
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000122
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000110
AC:
12
AN:
1092532
Hom.:
0
Cov.:
28
AF XY:
0.00000838
AC XY:
3
AN XY:
358170
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
26293
American (AMR)
AF:
0.00
AC:
0
AN:
35198
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
19346
East Asian (EAS)
AF:
0.00
AC:
0
AN:
30184
South Asian (SAS)
AF:
0.00
AC:
0
AN:
54001
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
40534
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4121
European-Non Finnish (NFE)
AF:
0.0000131
AC:
11
AN:
836950
Other (OTH)
AF:
0.0000218
AC:
1
AN:
45905
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.458
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.00000889
AC:
1
AN:
112429
Hom.:
0
Cov.:
23
AF XY:
0.0000289
AC XY:
1
AN XY:
34589
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
30917
American (AMR)
AF:
0.00
AC:
0
AN:
10570
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
2657
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3616
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2793
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
6158
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
240
European-Non Finnish (NFE)
AF:
0.0000188
AC:
1
AN:
53278
Other (OTH)
AF:
0.00
AC:
0
AN:
1517

Age Distribution

Genome Hom
Variant carriers
0
2
4
6
8
10
<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:
0.00
Hom.:
0
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

ClinVar submissions as Germline
Significance:Uncertain significance
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
2
-
Multiple congenital anomalies-hypotonia-seizures syndrome 2 (2)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.071
BayesDel_addAF
Benign
-0.35
T
BayesDel_noAF
Benign
-0.74
CADD
Benign
2.1
DANN
Benign
0.46
DEOGEN2
Benign
0.13
T
FATHMM_MKL
Benign
0.20
N
LIST_S2
Benign
0.82
T
M_CAP
Benign
0.0075
T
MetaRNN
Benign
0.063
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.69
N
PhyloP100
1.0
PrimateAI
Benign
0.25
T
PROVEAN
Benign
-0.090
N
REVEL
Benign
0.030
Sift
Benign
0.22
T
Sift4G
Benign
0.23
T
Polyphen
0.0010
B
Vest4
0.12
MutPred
0.10
Gain of phosphorylation at R473 (P = 0.0573)
MVP
0.17
MPC
0.84
ClinPred
0.035
T
GERP RS
2.1
Varity_R
0.041
gMVP
0.54
Mutation Taster
=93/7
polymorphism

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

Other links and lift over

dbSNP: rs773189052; hg19: chrX-15339665; COSMIC: COSV107368512; COSMIC: COSV107368512; API