11-17393023-C-T

Variant summary

Our verdict is Benign. The variant received -11 ACMG points: 2P and 13B. PM1BP4_StrongBP6BA1

The NM_000352.6(ABCC8):​c.4714G>A​(p.Val1572Ile) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0575 in 1,614,124 control chromosomes in the GnomAD database, including 3,148 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.050 ( 226 hom., cov: 33)
Exomes 𝑓: 0.058 ( 2922 hom. )

Consequence

ABCC8
NM_000352.6 missense

Scores

18

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:16

Conservation

PhyloP100: 0.486

Publications

36 publications found
Variant links:
Genes affected
ABCC8 (HGNC:59): (ATP binding cassette subfamily C member 8) The 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 intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the MRP subfamily which is involved in multi-drug resistance. This protein functions as a modulator of ATP-sensitive potassium channels and insulin release. Mutations in the ABCC8 gene and deficiencies in the encoded protein have been observed in patients with hyperinsulinemic hypoglycemia of infancy, an autosomal recessive disorder of unregulated and high insulin secretion. Mutations have also been associated with non-insulin-dependent diabetes mellitus type II, an autosomal dominant disease of defective insulin secretion. Alternatively spliced transcript variants have been found for this gene. [provided by RefSeq, Jul 2020]
ABCC8 Gene-Disease associations (from GenCC):
  • hyperinsulinemic hypoglycemia, familial, 1
    Inheritance: AD, AR, SD Classification: DEFINITIVE, STRONG Submitted by: Ambry Genetics, Illumina, Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • diabetes mellitus, permanent neonatal 3
    Inheritance: AR, SD, AD Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Ambry Genetics
  • familial hyperinsulinism
    Inheritance: AR Classification: DEFINITIVE Submitted by: Myriad Women’s Health
  • diabetes mellitus
    Inheritance: SD Classification: DEFINITIVE Submitted by: Ambry Genetics
  • monogenic diabetes
    Inheritance: SD Classification: DEFINITIVE Submitted by: ClinGen
  • diabetes mellitus, noninsulin-dependent
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • hypoglycemia, leucine-induced
    Inheritance: AD Classification: STRONG Submitted by: Genomics England PanelApp
  • transient neonatal diabetes mellitus
    Inheritance: AD Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
  • permanent neonatal diabetes mellitus
    Inheritance: AR, AD Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet
  • diabetes mellitus, transient neonatal, 2
    Inheritance: Unknown, AD Classification: STRONG Submitted by: Genomics England PanelApp, Labcorp Genetics (formerly Invitae)
  • pulmonary arterial hypertension
    Inheritance: AD Classification: MODERATE Submitted by: ClinGen
  • autosomal dominant hyperinsulinism due to SUR1 deficiency
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • DEND syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • diazoxide-resistant focal hyperinsulinism due to SUR1 deficiency
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • maturity-onset diabetes of the young
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • autosomal recessive hyperinsulinism due to SUR1 deficiency
    Inheritance: AR Classification: SUPPORTIVE Submitted by: Orphanet
  • type 2 diabetes mellitus
    Inheritance: AD Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -11 ACMG points.

PM1
In a topological_domain Cytoplasmic (size 283) in uniprot entity ABCC8_HUMAN there are 70 pathogenic changes around while only 11 benign (86%) in NM_000352.6
BP4
Computational evidence support a benign effect (MetaRNN=0.0015296042).
BP6
Variant 11-17393023-C-T is Benign according to our data. Variant chr11-17393023-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 157705.We mark this variant Benign, oryginal submissions are: {Uncertain_significance=1, Benign=12, Likely_benign=2}.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.0621 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCC8NM_000352.6 linkc.4714G>A p.Val1572Ile missense_variant Exon 39 of 39 ENST00000389817.8 NP_000343.2 Q09428-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCC8ENST00000389817.8 linkc.4714G>A p.Val1572Ile missense_variant Exon 39 of 39 1 NM_000352.6 ENSP00000374467.4 Q09428-1

Frequencies

GnomAD3 genomes
AF:
0.0506
AC:
7697
AN:
152226
Hom.:
225
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0299
Gnomad AMI
AF:
0.0462
Gnomad AMR
AF:
0.0475
Gnomad ASJ
AF:
0.151
Gnomad EAS
AF:
0.00173
Gnomad SAS
AF:
0.0556
Gnomad FIN
AF:
0.0370
Gnomad MID
AF:
0.0949
Gnomad NFE
AF:
0.0637
Gnomad OTH
AF:
0.0626
GnomAD2 exomes
AF:
0.0549
AC:
13812
AN:
251374
AF XY:
0.0585
show subpopulations
Gnomad AFR exome
AF:
0.0289
Gnomad AMR exome
AF:
0.0294
Gnomad ASJ exome
AF:
0.139
Gnomad EAS exome
AF:
0.000381
Gnomad FIN exome
AF:
0.0404
Gnomad NFE exome
AF:
0.0662
Gnomad OTH exome
AF:
0.0709
GnomAD4 exome
AF:
0.0582
AC:
85132
AN:
1461780
Hom.:
2922
Cov.:
32
AF XY:
0.0594
AC XY:
43161
AN XY:
727190
show subpopulations
African (AFR)
AF:
0.0305
AC:
1020
AN:
33478
American (AMR)
AF:
0.0323
AC:
1445
AN:
44724
Ashkenazi Jewish (ASJ)
AF:
0.145
AC:
3797
AN:
26136
East Asian (EAS)
AF:
0.00471
AC:
187
AN:
39700
South Asian (SAS)
AF:
0.0682
AC:
5882
AN:
86258
European-Finnish (FIN)
AF:
0.0393
AC:
2096
AN:
53322
Middle Eastern (MID)
AF:
0.101
AC:
585
AN:
5768
European-Non Finnish (NFE)
AF:
0.0597
AC:
66371
AN:
1112000
Other (OTH)
AF:
0.0621
AC:
3749
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
5431
10863
16294
21726
27157
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
2380
4760
7140
9520
11900
<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:
0.0505
AC:
7691
AN:
152344
Hom.:
226
Cov.:
33
AF XY:
0.0488
AC XY:
3637
AN XY:
74500
show subpopulations
African (AFR)
AF:
0.0298
AC:
1238
AN:
41586
American (AMR)
AF:
0.0475
AC:
727
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.151
AC:
524
AN:
3470
East Asian (EAS)
AF:
0.00173
AC:
9
AN:
5192
South Asian (SAS)
AF:
0.0559
AC:
270
AN:
4834
European-Finnish (FIN)
AF:
0.0370
AC:
393
AN:
10622
Middle Eastern (MID)
AF:
0.0918
AC:
27
AN:
294
European-Non Finnish (NFE)
AF:
0.0637
AC:
4331
AN:
68016
Other (OTH)
AF:
0.0614
AC:
130
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.497
Heterozygous variant carriers
0
379
759
1138
1518
1897
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
100
200
300
400
500
<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:
0.0607
Hom.:
1204
Bravo
AF:
0.0501
TwinsUK
AF:
0.0512
AC:
190
ALSPAC
AF:
0.0542
AC:
209
ESP6500AA
AF:
0.0350
AC:
154
ESP6500EA
AF:
0.0659
AC:
566
ExAC
AF:
0.0561
AC:
6817
Asia WGS
AF:
0.0250
AC:
88
AN:
3478
EpiCase
AF:
0.0714
EpiControl
AF:
0.0724

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:16
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Benign:3
Oct 01, 2018
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 29, 2023
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

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

- -

not specified Benign:2
-
Genetic Services Laboratory, University of Chicago
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

- -

Hyperinsulinemic hypoglycemia, familial, 1 Benign:2
Jul 01, 2021
Pars Genome Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 13, 2018
Illumina Laboratory Services, Illumina
Significance:Likely 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 likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Diabetes mellitus, transient neonatal, 2 Benign:2
Jan 13, 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. -

Jul 01, 2021
Pars Genome Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Neonatal hypoglycemia Uncertain:1
-
Clinical Genomics, Uppaluri K&H Personalized Medicine Clinic
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

Mutations in the ABCC8 gene are associated with both neonatal diabetes mellitus as well as MODY. Patients with this mutation have a better response to sulfonylureas. However, the significance of rs8192690 in neonatal Diabetes Mellitus is uncertain. -

Hereditary hyperinsulinism Benign:1
Nov 22, 2019
Natera, Inc.
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Leucine-induced hypoglycemia Benign:1
Jul 01, 2021
Pars Genome Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Hyperinsulinism, Dominant/Recessive Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Maturity onset diabetes mellitus in young Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Diabetes mellitus, permanent neonatal 3 Benign:1
Jul 01, 2021
Pars Genome Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Transient Neonatal Diabetes, Dominant Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Permanent neonatal diabetes mellitus Benign:1
Jun 14, 2016
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.52
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
10
DANN
Benign
0.86
DEOGEN2
Benign
0.33
.;.;T;.;.;.;.;.
Eigen
Benign
-0.96
Eigen_PC
Benign
-0.83
FATHMM_MKL
Benign
0.26
N
LIST_S2
Benign
0.85
D;.;D;D;D;D;D;D
MetaRNN
Benign
0.0015
T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.89
T
MutationAssessor
Benign
-0.10
.;.;N;.;.;.;.;.
PhyloP100
0.49
PrimateAI
Benign
0.30
T
PROVEAN
Benign
0.090
.;.;N;N;.;.;.;.
REVEL
Benign
0.17
Sift
Benign
0.46
.;.;T;T;.;.;.;.
Sift4G
Benign
0.93
.;.;T;T;.;.;.;.
Polyphen
0.0050
.;.;B;.;.;.;.;.
Vest4
0.031, 0.030
MPC
0.57
ClinPred
0.00077
T
GERP RS
1.3
Varity_R
0.021
gMVP
0.69
Mutation Taster
=96/4
polymorphism (auto)

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: rs8192690; hg19: chr11-17414570; COSMIC: COSV56855126; COSMIC: COSV56855126; API