1-94008308-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_000350.3(ABCA4):​c.5836-11G>A variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.181 in 1,608,016 control chromosomes in the GnomAD database, including 27,424 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.20 ( 3134 hom., cov: 32)
Exomes 𝑓: 0.18 ( 24290 hom. )

Consequence

ABCA4
NM_000350.3 intron

Scores

2
Splicing: ADA: 0.00001273
2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:18O:2

Conservation

PhyloP100: 0.0540
Variant links:
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]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.84).
BP6
Variant 1-94008308-C-T is Benign according to our data. Variant chr1-94008308-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 99408.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr1-94008308-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.256 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCA4NM_000350.3 linkc.5836-11G>A intron_variant Intron 41 of 49 ENST00000370225.4 NP_000341.2 P78363Q6AI28
ABCA4NM_001425324.1 linkc.5614-11G>A intron_variant Intron 40 of 48 NP_001412253.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCA4ENST00000370225.4 linkc.5836-11G>A intron_variant Intron 41 of 49 1 NM_000350.3 ENSP00000359245.3 P78363
ABCA4ENST00000465352.1 linkn.252-11G>A intron_variant Intron 2 of 5 5

Frequencies

GnomAD3 genomes
AF:
0.199
AC:
30230
AN:
151742
Hom.:
3121
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.259
Gnomad AMI
AF:
0.137
Gnomad AMR
AF:
0.167
Gnomad ASJ
AF:
0.212
Gnomad EAS
AF:
0.129
Gnomad SAS
AF:
0.130
Gnomad FIN
AF:
0.172
Gnomad MID
AF:
0.155
Gnomad NFE
AF:
0.185
Gnomad OTH
AF:
0.184
GnomAD3 exomes
AF:
0.174
AC:
43794
AN:
251210
Hom.:
4029
AF XY:
0.172
AC XY:
23287
AN XY:
135770
show subpopulations
Gnomad AFR exome
AF:
0.261
Gnomad AMR exome
AF:
0.157
Gnomad ASJ exome
AF:
0.203
Gnomad EAS exome
AF:
0.127
Gnomad SAS exome
AF:
0.133
Gnomad FIN exome
AF:
0.174
Gnomad NFE exome
AF:
0.183
Gnomad OTH exome
AF:
0.176
GnomAD4 exome
AF:
0.179
AC:
260223
AN:
1456156
Hom.:
24290
Cov.:
33
AF XY:
0.177
AC XY:
128452
AN XY:
724644
show subpopulations
Gnomad4 AFR exome
AF:
0.270
Gnomad4 AMR exome
AF:
0.160
Gnomad4 ASJ exome
AF:
0.204
Gnomad4 EAS exome
AF:
0.136
Gnomad4 SAS exome
AF:
0.132
Gnomad4 FIN exome
AF:
0.176
Gnomad4 NFE exome
AF:
0.182
Gnomad4 OTH exome
AF:
0.176
GnomAD4 genome
AF:
0.199
AC:
30295
AN:
151860
Hom.:
3134
Cov.:
32
AF XY:
0.197
AC XY:
14591
AN XY:
74208
show subpopulations
Gnomad4 AFR
AF:
0.260
Gnomad4 AMR
AF:
0.167
Gnomad4 ASJ
AF:
0.212
Gnomad4 EAS
AF:
0.130
Gnomad4 SAS
AF:
0.130
Gnomad4 FIN
AF:
0.172
Gnomad4 NFE
AF:
0.185
Gnomad4 OTH
AF:
0.187
Alfa
AF:
0.197
Hom.:
1338
Bravo
AF:
0.202
Asia WGS
AF:
0.148
AC:
516
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:18Other:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:7
-
Joint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

-
PreventionGenetics, part of Exact Sciences
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 04, 2020
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.5836-11G>A variant in ABCA4 is classified as benign because it has been identified in 25.8% (6425/24908) of African chromosomes by gnomAD (http://gnomad.broadinstitute.org). ACMG/AMP Criteria applied: BA1. -

Dec 01, 2017
Eurofins Ntd Llc (ga)
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Oct 10, 2012
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
Diagnostic Laboratory, Department of Genetics, University Medical Center Groningen
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

not provided Benign:2Other:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

-
Retina International
Significance: not provided
Review Status: no classification provided
Collection Method: literature only

- -

-
GenomeConnect, ClinGen
Significance: not provided
Review Status: no classification provided
Collection Method: phenotyping only

GenomeConnect assertions are reported exactly as they appear on the patient-provided report from the testing laboratory. GenomeConnect staff make no attempt to reinterpret the clinical significance of the variant. -

Retinitis Pigmentosa, Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Stargardt Disease, Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Age related macular degeneration 2 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

ABCA4-related disorder Benign:1
Jan 12, 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. -

Severe early-childhood-onset retinal dystrophy Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cone-Rod Dystrophy, Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Retinitis pigmentosa 19 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Cone-rod dystrophy 3 Benign:1
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Macular degeneration Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
13
DANN
Benign
0.54

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.000013
dbscSNV1_RF
Benign
0.0
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1800739; hg19: chr1-94473864; COSMIC: COSV64672037; COSMIC: COSV64672037; API