rs9260139

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_002116.8(HLA-A):​c.314T>A​(p.Leu105Gln) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000019 in 1,053,022 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar. Another variant affecting the same amino acid position, but resulting in a different missense (i.e. L105P) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0 ( 0 hom., cov: 8)
Exomes 𝑓: 0.0000019 ( 0 hom. )
Failed GnomAD Quality Control

Consequence

HLA-A
NM_002116.8 missense

Scores

4
1
12

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: -1.52

Publications

11 publications found
Variant links:
Genes affected
HLA-A (HGNC:4931): (major histocompatibility complex, class I, A) HLA-A belongs to the HLA class I heavy chain paralogues. This class I molecule is a heterodimer consisting of a heavy chain and a light chain (beta-2 microglobulin). The heavy chain is anchored in the membrane. Class I molecules play a central role in the immune system by presenting peptides derived from the endoplasmic reticulum lumen so that they can be recognized by cytotoxic T cells. They are expressed in nearly all cells. The heavy chain is approximately 45 kDa and its gene contains 8 exons. Exon 1 encodes the leader peptide, exons 2 and 3 encode the alpha1 and alpha2 domains, which both bind the peptide, exon 4 encodes the alpha3 domain, exon 5 encodes the transmembrane region, and exons 6 and 7 encode the cytoplasmic tail. Polymorphisms within exon 2 and exon 3 are responsible for the peptide binding specificity of each class one molecule. Typing for these polymorphisms is routinely done for bone marrow and kidney transplantation. More than 6000 HLA-A alleles have been described. The HLA system plays an important role in the occurrence and outcome of infectious diseases, including those caused by the malaria parasite, the human immunodeficiency virus (HIV), and the severe acute respiratory syndrome coronavirus (SARS-CoV). The structural spike and the nucleocapsid proteins of the novel coronavirus SARS-CoV-2, which causes coronavirus disease 2019 (COVID-19), are reported to contain multiple Class I epitopes with predicted HLA restrictions. Individual HLA genetic variation may help explain different immune responses to a virus across a population.[provided by RefSeq, Aug 2020]

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ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.877

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_002116.8. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HLA-A
NM_002116.8
MANE Select
c.314T>Ap.Leu105Gln
missense
Exon 2 of 8NP_002107.3

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
HLA-A
ENST00000376809.10
TSL:6 MANE Select
c.314T>Ap.Leu105Gln
missense
Exon 2 of 8ENSP00000366005.5P04439-1
HLA-A
ENST00000952344.1
c.314T>Ap.Leu105Gln
missense
Exon 2 of 8ENSP00000622403.1
HLA-A
ENST00000706894.1
c.314T>Ap.Leu105Gln
missense
Exon 3 of 8ENSP00000516610.1A0A9L9PYF9

Frequencies

GnomAD3 genomes
AF:
0.00
AC:
0
AN:
65298
Hom.:
0
Cov.:
8
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000190
AC:
2
AN:
1053022
Hom.:
0
Cov.:
21
AF XY:
0.00
AC XY:
0
AN XY:
523946
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000374
AC:
1
AN:
26764
American (AMR)
AF:
0.00
AC:
0
AN:
29184
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
18152
East Asian (EAS)
AF:
0.00
AC:
0
AN:
21638
South Asian (SAS)
AF:
0.00
AC:
0
AN:
73256
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
36668
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
3572
European-Non Finnish (NFE)
AF:
0.00000125
AC:
1
AN:
800558
Other (OTH)
AF:
0.00
AC:
0
AN:
43230
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.225
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
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
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
65298
Hom.:
0
Cov.:
8
AF XY:
0.00
AC XY:
0
AN XY:
31614
African (AFR)
AF:
0.00
AC:
0
AN:
18304
American (AMR)
AF:
0.00
AC:
0
AN:
5118
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
1362
East Asian (EAS)
AF:
0.00
AC:
0
AN:
2162
South Asian (SAS)
AF:
0.00
AC:
0
AN:
2004
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
5092
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
130
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
29892
Other (OTH)
AF:
0.00
AC:
0
AN:
840
ExAC
AF:
0.0000165
AC:
2

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.53
BayesDel_addAF
Benign
-0.0019
T
BayesDel_noAF
Benign
-0.24
CADD
Benign
17
DANN
Benign
0.85
DEOGEN2
Benign
0.093
T
Eigen
Benign
-0.28
Eigen_PC
Benign
-0.74
FATHMM_MKL
Benign
0.034
N
LIST_S2
Benign
0.55
T
M_CAP
Benign
0.0011
T
MetaRNN
Pathogenic
0.88
D
MetaSVM
Benign
-1.1
T
PhyloP100
-1.5
PrimateAI
Benign
0.32
T
PROVEAN
Pathogenic
-4.7
D
REVEL
Benign
0.23
Sift
Pathogenic
0.0
D
Sift4G
Pathogenic
0.0
D
Polyphen
1.0
D
Vest4
0.69
MutPred
0.83
Gain of disorder (P = 0.0158)
MVP
0.51
MPC
0.46
ClinPred
0.78
D
GERP RS
-4.0
PromoterAI
-0.0024
Neutral
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.83
gMVP
0.21
Mutation Taster
=100/0
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: rs9260139; hg19: chr6-29910774; API