The ClinGen Evidence Repository is an FDA-recognized human genetic variant database containing expert-curated assertions regarding variants' pathogenicity and supporting evidence summaries. [Disclaimer]
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Variant: NM_001386306.1:c.1095C>G

CA343772391

Gene: SERPINC1
Condition: antithrombin III deficiency
Inheritance Mode: Autosomal dominant inheritance
UUID: e969f093-b6e9-4944-8519-e89b0379626f
Approved on: 2024-02-19
Published on: 2024-02-19

HGVS expressions

NM_001386306.1:c.1095C>G
NC_000001.11:g.173903973G>C
CM000663.2:g.173903973G>C
NC_000001.10:g.173873111G>C
CM000663.1:g.173873111G>C
NC_000001.9:g.172139734G>C
NG_012462.1:g.18406C>G
ENST00000367698.4:c.1311C>G
ENST00000367698.3:c.1311C>G
ENST00000617423.4:c.696C>G
NM_000488.3:c.1311C>G
NM_001365052.1:c.1167C>G
NM_000488.4:c.1311C>G
NM_001365052.2:c.1167C>G
NM_001386302.1:c.1434C>G
NM_001386303.1:c.1392C>G
NM_001386304.1:c.1290C>G
NM_001386305.1:c.1254C>G

Pathogenic

Met criteria codes 3
PP3 PP1_Strong PS4
Not Met criteria codes 2
BS1 PM2

Evidence Links 0

Expert Panel

Criteria Specification Information

Criteria Specifications for this VCEP
Evidence submitted by expert panel
Thrombosis VCEP
The c.1311C>G (NM_000488.3) variant in SERPINC1 is a missense variant predicted to cause substitution of asparagine by lysine at amino acid 437 (p.Asn437Lys). The computational predictor REVEL gives a score of 0.683, which is above the threshold of >0.6 and provides evidence that correlates with impact to SERPINC1 function, meeting criteria for PP3. The variant has been reported in at least 8 probands with AT deficiency in the literature (7.5 points applied PMID 28300866; PMID 24684277; PMID 12755798; PMID 1469094). The variant has been reported to segregate with autosomal dominant hereditary antithrombin deficiency in 7 affected family meioses from 4 families (PP1_strong; PMID: 1469094; PMID: 12755798; PMID: 28300866). In summary, this variant meets criteria to be classified as pathogenic. ACMG/AMP criteria applied, as specified by the Thrombosis Variant Curation Expert Panel for SERPINC1: PP1_Strong, PS4, PP3.
Met criteria codes
PP3
The computational predictor REVEL gives a score of 0.683, which is above the threshold of >0.6 and provides evidence that correlates with impact to SERPINC1 function, meeting criteria for PP3.
PP1_Strong
The variant has been reported to segregate with autosomal dominant hereditary antithrombin deficiency in 7 affected family meioses from 4 families (PP1_supporting; PMID: 1469094; PMID: 12755798; PMID: 28300866).
PS4
The variant has been reported in at least 8 probands with AT deficiency in the literature (7.5 points applied PMID 28300866; PMID 24684277; PMID 12755798; PMID 1469094).
Not Met criteria codes
BS1
The variant is reported at the highest MAF of 0.00005437 (1/18392 alleles) in the East Asian population in gnomAD v2.1.1, which does not meet criteria for BS1 (MAF >=0.0002).
PM2
The variant is reported at the highest MAF of 0.00005437 (1/18392 alleles) in the East Asian population in gnomAD v2.1.1, which does not meet criteria for PM2_Supporting (MAF =< 2.0 X 10-5 in gnomAD).
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