12-21913072-GAAAA-GAAAAA

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP6_Moderate

The NM_020297.4(ABCC9):​c.817-7dupT variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0109 in 1,201,468 control chromosomes in the GnomAD database, with no homozygous occurrence. 1/1 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★).

Frequency

Genomes: 𝑓 0.000074 ( 0 hom., cov: 32)
Exomes 𝑓: 0.012 ( 0 hom. )

Consequence

ABCC9
NM_020297.4 splice_region, intron

Scores

Not classified

Clinical Significance

Benign criteria provided, single submitter B:1

Conservation

PhyloP100: -2.02

Publications

0 publications found
Variant links:
Genes affected
ABCC9 (HGNC:60): (ATP binding cassette subfamily C member 9) 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 is thought to form ATP-sensitive potassium channels in cardiac, skeletal, and vascular and non-vascular smooth muscle. Protein structure suggests a role as the drug-binding channel-modulating subunit of the extra-pancreatic ATP-sensitive potassium channels. Mutations in this gene are associated with cardiomyopathy dilated type 1O. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Apr 2011]
ABCC9 Gene-Disease associations (from GenCC):
  • hypertrichotic osteochondrodysplasia Cantu type
    Inheritance: AD Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Orphanet, G2P, Labcorp Genetics (formerly Invitae), Ambry Genetics
  • dilated cardiomyopathy 1O
    Inheritance: AD Classification: STRONG, MODERATE, LIMITED Submitted by: Illumina, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • intellectual disability and myopathy syndrome
    Inheritance: AR Classification: MODERATE, LIMITED Submitted by: Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • acromegaloid facial appearance syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • familial isolated dilated cardiomyopathy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • hypertrichosis-acromegaloid facial appearance syndrome
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • Brugada syndrome
    Inheritance: AD Classification: LIMITED Submitted by: Genomics England PanelApp
  • dilated cardiomyopathy
    Inheritance: AD Classification: LIMITED Submitted by: ClinGen
  • atrial fibrillation, familial, 12
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP6
Variant 12-21913072-G-GA is Benign according to our data. Variant chr12-21913072-G-GA is described in ClinVar as Benign. ClinVar VariationId is 1164773.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCC9NM_020297.4 linkc.817-7dupT splice_region_variant, intron_variant Intron 7 of 39 ENST00000261200.9 NP_064693.2 O60706-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCC9ENST00000261200.9 linkc.817-7_817-6insT splice_region_variant, intron_variant Intron 7 of 39 5 NM_020297.4 ENSP00000261200.4 O60706-2

Frequencies

GnomAD3 genomes
AF:
0.0000744
AC:
9
AN:
120946
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000614
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000837
Gnomad ASJ
AF:
0.000342
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000140
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000720
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0134
AC:
1771
AN:
132398
AF XY:
0.0131
show subpopulations
Gnomad AFR exome
AF:
0.0125
Gnomad AMR exome
AF:
0.0263
Gnomad ASJ exome
AF:
0.0164
Gnomad EAS exome
AF:
0.0184
Gnomad FIN exome
AF:
0.0121
Gnomad NFE exome
AF:
0.00966
Gnomad OTH exome
AF:
0.0205
GnomAD4 exome
AF:
0.0121
AC:
13089
AN:
1080482
Hom.:
0
Cov.:
31
AF XY:
0.0115
AC XY:
6162
AN XY:
534836
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0146
AC:
332
AN:
22784
American (AMR)
AF:
0.0189
AC:
457
AN:
24198
Ashkenazi Jewish (ASJ)
AF:
0.0131
AC:
232
AN:
17672
East Asian (EAS)
AF:
0.00915
AC:
254
AN:
27760
South Asian (SAS)
AF:
0.0164
AC:
826
AN:
50508
European-Finnish (FIN)
AF:
0.0106
AC:
382
AN:
35936
Middle Eastern (MID)
AF:
0.00542
AC:
24
AN:
4430
European-Non Finnish (NFE)
AF:
0.0118
AC:
10080
AN:
853814
Other (OTH)
AF:
0.0116
AC:
502
AN:
43380
⚠️ 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: 0.243
Heterozygous variant carriers
0
2088
4175
6263
8350
10438
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
432
864
1296
1728
2160
<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:
0.0000744
AC:
9
AN:
120986
Hom.:
0
Cov.:
32
AF XY:
0.0000853
AC XY:
5
AN XY:
58596
show subpopulations
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.0000613
AC:
2
AN:
32644
American (AMR)
AF:
0.0000835
AC:
1
AN:
11974
Ashkenazi Jewish (ASJ)
AF:
0.000342
AC:
1
AN:
2928
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4260
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3858
European-Finnish (FIN)
AF:
0.000140
AC:
1
AN:
7150
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
220
European-Non Finnish (NFE)
AF:
0.0000721
AC:
4
AN:
55508
Other (OTH)
AF:
0.00
AC:
0
AN:
1646
⚠️ The allele balance in gnomAD version 4 Genomes is significantly skewed from the expected value of 0.5. (p-value = 0.0000000486845), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.281
Heterozygous variant carriers
0
1
3
4
6
7
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome 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
Alfa
AF:
0.0180
Hom.:
0

ClinVar

Significance: Benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Dilated cardiomyopathy 1O Benign:1
Dec 18, 2020
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
-2.0
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: rs193922684; hg19: chr12-22066006; API