1-93992865-T-C

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_Strong BP6_Very_Strong BA1

The NM_000350.3(ABCA4):c.*372A>G variant causes a 3 prime UTR change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0602 in 335,058 control chromosomes in the GnomAD database, including 975 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

• Frequency:
  • Genomes: 𝑓 0.076 (668 hom., cov: 32)
  • Exomes 𝑓: 0.047 (307 hom.)
• Consequence: ABCA4 NM_000350.3 3_prime_UTR
• Clinical Significance: Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6
• Conservation: PhyloP100: 0.662

Genes affected

ABCA4 (HGNC:34): (ATP binding cassette subfamily A member 4) The membrane-associated protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intracellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ABC1 subfamily. Members of the ABC1 subfamily comprise the only major ABC subfamily found exclusively in multicellular eukaryotes. This protein is a retina-specific ABC transporter with N-retinylidene-PE as a substrate. It is expressed exclusively in retina photoreceptor cells, and the gene product mediates transport of an essental molecule, all-trans-retinal aldehyde (atRAL), across the photoreceptor cell membrane. Mutations in this gene are found in patients diagnosed with Stargardt disease, a form of juvenile-onset macular degeneration. Mutations in this gene are also associated with retinitis pigmentosa-19, cone-rod dystrophy type 3, early-onset severe retinal dystrophy, fundus flavimaculatus, and macular degeneration age-related 2. [provided by RefSeq, Sep 2019]

ACMG classification

Verdict is Benign. Variant got -20 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.7).
• BP6: Variant 1-93992865-T-C is Benign according to our data. Variant chr1-93992865-T-C is described in ClinVar as [Likely_benign]. Clinvar id is 298215.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
• BA1: GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.159 is higher than 0.05.

Transcripts

RefSeq

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	MANE	UniProt
ABCA4	NM_000350.3	c.*372A>G		3_prime_UTR_variant	50/50	ENST00000370225.4
ABCA4	XM_047416704.1	c.*372A>G		3_prime_UTR_variant	49/49

Ensembl

Gene	Transcript	HGVSc	HGVSp	Effect	#exon/exons	TSL	MANE	Appris	UniProt
ABCA4	ENST00000370225.4	c.*372A>G		3_prime_UTR_variant	50/50	1	NM_000350.3	P1

Frequencies

GnomAD3 genomes AF: 0.0760 AC: 11567 AN: 152118 Hom.: 668 Cov.: 32

Gnomad AFR AF: 0.163

Gnomad AMI AF: 0.0976

Gnomad AMR AF: 0.0561

Gnomad ASJ AF: 0.0314

Gnomad EAS AF: 0.0508

Gnomad SAS AF: 0.0673

Gnomad FIN AF: 0.00565

Gnomad MID AF: 0.117

Gnomad NFE AF: 0.0429

Gnomad OTH AF: 0.0804

GnomAD4 exome AF: 0.0470 AC: 8596 AN: 182822 Hom.: 307 Cov.: 0 AF XY: 0.0485 AC XY: 4703 AN XY: 97060

Gnomad4 AFR exome AF: 0.168

Gnomad4 AMR exome AF: 0.0481

Gnomad4 ASJ exome AF: 0.0384

Gnomad4 EAS exome AF: 0.0407

Gnomad4 SAS exome AF: 0.0595

Gnomad4 FIN exome AF: 0.00785

Gnomad4 NFE exome AF: 0.0404

Gnomad4 OTH exome AF: 0.0491

GnomAD4 genome AF: 0.0760 AC: 11570 AN: 152236 Hom.: 668 Cov.: 32 AF XY: 0.0744 AC XY: 5536 AN XY: 74458

Gnomad4 AFR AF: 0.163

Gnomad4 AMR AF: 0.0559

Gnomad4 ASJ AF: 0.0314

Gnomad4 EAS AF: 0.0508

Gnomad4 SAS AF: 0.0663

Gnomad4 FIN AF: 0.00565

Gnomad4 NFE AF: 0.0429

Gnomad4 OTH AF: 0.0791

Alfa AF: 0.0503 Hom.: 403

Bravo AF: 0.0839

Asia WGS AF: 0.0480 AC: 166 AN: 3478

ClinVar

Significance: Benign/Likely benign

Submissions summary: Benign:6

Revision: criteria provided, multiple submitters, no conflicts

Submissions by phenotype

Retinitis Pigmentosa, Recessive Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jun 14, 2016

- -

Stargardt Disease, Recessive Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jun 14, 2016

- -

ABCA4-related disorder Benign:1

Benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jan 12, 2018

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. -

Cone-Rod Dystrophy, Recessive Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jun 14, 2016

- -

not provided Benign:1

Benign, criteria provided, single submitter

clinical testing

GeneDx

May 08, 2021

- -

Macular degeneration Benign:1

Likely benign, criteria provided, single submitter

clinical testing

Illumina Laboratory Services, Illumina

Jun 14, 2016

- -

Computational scores

Source: dbNSFP v4.3

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.70
Cadd	Benign	9.8
Dann	Benign	0.73

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

LitVar

Other links and lift over

dbSNP: rs3747961; hg19: chr1-94458421;