13-51950132-C-T

Variant summary

Our verdict is Pathogenic. Variant got 12 ACMG points: 12P and 0B. PM1PM5PP5_Very_Strong

The NM_000053.4(ATP7B):​c.2605G>A​(p.Gly869Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00129 in 1,614,172 control chromosomes in the GnomAD database, including 3 homozygotes. Variant has been reported in ClinVar as Likely pathogenic (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. G869V) has been classified as Likely pathogenic.

Frequency

Genomes: 𝑓 0.0010 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0013 ( 3 hom. )

Consequence

ATP7B
NM_000053.4 missense

Scores

13
5
1

Clinical Significance

Pathogenic/Likely pathogenic criteria provided, multiple submitters, no conflicts P:25U:2

Conservation

PhyloP100: 7.82
Variant links:
Genes affected
ATP7B (HGNC:870): (ATPase copper transporting beta) This gene is a member of the P-type cation transport ATPase family and encodes a protein with several membrane-spanning domains, an ATPase consensus sequence, a hinge domain, a phosphorylation site, and at least 2 putative copper-binding sites. This protein is a monomer, and functions as a copper-transporting ATPase which exports copper out of the cells, such as the efflux of hepatic copper into the bile. Alternate transcriptional splice variants, encoding different isoforms with distinct cellular localizations, have been characterized. Mutations in this gene have been associated with Wilson disease which is characterized by copper accumulation. [provided by RefSeq, Dec 2019]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 12 ACMG points.

PM1
In a topological_domain Cytoplasmic (size 133) in uniprot entity ATP7B_HUMAN there are 18 pathogenic changes around while only 3 benign (86%) in NM_000053.4
PM5
Other missense variant is known to change same aminoacid residue: Variant chrnull-null-null-null is described in UniProt as null.
PP5
Variant 13-51950132-C-T is Pathogenic according to our data. Variant chr13-51950132-C-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 157939.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr13-51950132-C-T is described in Lovd as [Likely_pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATP7BNM_000053.4 linkc.2605G>A p.Gly869Arg missense_variant Exon 11 of 21 ENST00000242839.10 NP_000044.2 P35670-1B7ZLR4A0A024RDX3

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATP7BENST00000242839.10 linkc.2605G>A p.Gly869Arg missense_variant Exon 11 of 21 1 NM_000053.4 ENSP00000242839.5 P35670-1

Frequencies

GnomAD3 genomes
AF:
0.00103
AC:
157
AN:
152162
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000338
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000589
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000770
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.0000943
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.00182
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.000693
AC:
173
AN:
249580
Hom.:
0
AF XY:
0.000598
AC XY:
81
AN XY:
135408
show subpopulations
Gnomad AFR exome
AF:
0.000194
Gnomad AMR exome
AF:
0.000550
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000222
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0000928
Gnomad NFE exome
AF:
0.00122
Gnomad OTH exome
AF:
0.00115
GnomAD4 exome
AF:
0.00132
AC:
1926
AN:
1461892
Hom.:
3
Cov.:
35
AF XY:
0.00127
AC XY:
922
AN XY:
727248
show subpopulations
Gnomad4 AFR exome
AF:
0.000388
Gnomad4 AMR exome
AF:
0.000626
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.000126
Gnomad4 SAS exome
AF:
0.0000232
Gnomad4 FIN exome
AF:
0.000131
Gnomad4 NFE exome
AF:
0.00158
Gnomad4 OTH exome
AF:
0.00187
GnomAD4 genome
AF:
0.00102
AC:
156
AN:
152280
Hom.:
0
Cov.:
32
AF XY:
0.000967
AC XY:
72
AN XY:
74468
show subpopulations
Gnomad4 AFR
AF:
0.000337
Gnomad4 AMR
AF:
0.000588
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000578
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.0000943
Gnomad4 NFE
AF:
0.00182
Gnomad4 OTH
AF:
0.00237
Alfa
AF:
0.00126
Hom.:
1
Bravo
AF:
0.000918
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00104
AC:
4
ESP6500AA
AF:
0.000259
AC:
1
ESP6500EA
AF:
0.00157
AC:
13
ExAC
AF:
0.000678
AC:
82
Asia WGS
AF:
0.000577
AC:
2
AN:
3478
EpiCase
AF:
0.00169
EpiControl
AF:
0.00130

ClinVar

Significance: Pathogenic/Likely pathogenic
Submissions summary: Pathogenic:25Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Wilson disease Pathogenic:18
Jun 30, 2021
Fulgent Genetics, Fulgent Genetics
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 19, 2021
Women's Health and Genetics/Laboratory Corporation of America, LabCorp
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Variant summary: ATP7B c.2605G>A (p.Gly869Arg) results in a non-conservative amino acid change in the encoded protein sequence. Five of five in-silico tools predict a damaging effect of the variant on protein function. The variant allele was found at a frequency of 0.00069 in 252586 control chromosomes. This frequency is not significantly higher than expected for a pathogenic variant in ATP7B causing Wilson Disease (0.00069 vs 0.0054), allowing no conclusion about variant significance. c.2605G>A has been reported in the literature in in numerous affected individuals without K-F rings in the literature, reported in late-onset patients with mild phenotype, and in some cases, in clinically asymptomatic individuals, although with abnormal biochemical findings (low plasma Cu and CP levels, elevated urinary Cu level). Therefore, this variant represents a mild mutation with a phenotypic outcome significantly dependent on a genetic background (Dong_2016, Ferenci_2007, Gu_2013, Mukherjee_2014). These data indicate that the variant is very likely to be associated with disease. To our knowledge, no experimental evidence demonstrating an impact on protein function has been reported. Eight clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar after 2014 without evidence for independent evaluation (Pathogenic/likely pathogenic, n=7; VUS, n=1). Based on the evidence outlined above, the variant was classified as pathogenic. -

Nov 20, 2020
Molecular Genetics, Royal Melbourne Hospital
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change is predicted to replace glycine with arginine at codon 869 of the ATP7B protein (p.Gly869Arg). The glycine residue is highly conserved (100 vertebrates, UCSC), and is located in the proton ATPase domain. There is a large physicochemical difference between glycine and arginine. The variant is present in a large population cohort at a frequency of 0.07% (rs191312027, 206/280,980 alleles, 0 homozygotes in gnomAD v2.1). It has been identified compound heterozygous with other pathogenic alleles in multiple Wilson disease cases along with reduced serum ceruloplasmin and elevated urinary copper which establishes a biochemical diagnosis (PMID: 15952988, 23843956, 27398169, 30702195 - PM3_VeryStrong, PP4). Multiple lines of computational evidence predict a deleterious effect for the missense substitution (7/7 algorithms - PP3). Based on the classification scheme RMH ACMG Guidelines v1.2.1, this variant is classified as PATHOGENIC. Following criteria are met: PM3_VeryStrong, PP3, PP4. -

Jan 05, 2022
DASA
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.2605G>A;p.(Gly869Arg) missense variant has been observed in affected individual(s) and ClinVar contains an entry for this variant (ClinVar ID: 157939; PMID: 23843956; 15952988; 27398169; 11093740; 30702195) - PS4. The variant is located in a mutational hot spot and/or critical and well-established functional domain (E1-E2_ATPase domain) - PM1. The variant is present at low allele frequencies population databases (rs191312027– gnomAD 0.01032%; ABraOM 0.001708 frequency - http://abraom.ib.usp.br/) - PM2_supporting. The p.(Gly869Arg) was detected in trans with a pathogenic variant (PMID: 23843956; 15952988; 27398169; 11093740; 30702195) - PM3_strong. Multiple lines of computational evidence support a deleterious effect on the gene or gene product - PP3. In summary, the currently available evidence indicates that the variant is pathogenic. -

May 21, 2020
Victorian Clinical Genetics Services, Murdoch Childrens Research Institute
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Based on the classification scheme VCGS_Germline_v1.1.1, this variant is classified as pathogenic. Following criteria are met: 0102 - Loss-of-function is a known mechanism of disease for this gene. (N) 0106 - This gene is known to be associated with autosomal recessive disease. (N) 0112 - Variants in this gene are known to have reduced penetrance (N) 0200 - Variant is predicted to result in a missense amino acid change from glycine to arginine (exon 11). (N) 0251 - Variant is heterozygous. (N) 0304 - Variant is present in gnomAD <0.01 for a recessive condition (206 Heterozygotes, 0 Homozygotes). (P) 0309 - An alternative amino acid change at the same position has been observed in gnomAD (2 Heterozygotes, 0 Homozygotes). (N) 0501 - Missense variant consistently predicted to be damaging by multiple in silico tools or highly conserved with a major amino acid change. (P) 0600 - Variant is located in an annotated domain or motif (PDB). (N) 0708 - Comparable variant has been reported as a VUS (LOVD). (N) 0801 - Strong previous evidence of pathogenicity in unrelated individuals (ClinVar, Li, X. et al. (2019), Mukherjee, S. et al. (2014), Shah, A. B. et al. (1997), Hua, R. et al. (2016), Bowling, K. M. et al. (2017)). (P) 0905 - No segregation evidence has been identified for this variant. (N) 1007 - No published functional evidence has been identified for this variant. (N) 1208 - Inheritance information for this variant is not currently available. (N) Legend: (P) - Pathogenic, (N) - Neutral, (B) - Benign -

Oct 09, 2023
Zotz-Klimas Genetics Lab, MVZ Zotz Klimas
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Sep 25, 2024
All of Us Research Program, National Institutes of Health
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This missense variant replaces glycine with arginine at codon 869 of the ATP7B protein. Computational prediction suggests that this variant may have deleterious impact on protein structure and function (internally defined REVEL score threshold >= 0.7, PMID: 27666373). Although functional studies have not been reported, this variant alters a conserved glycine residue in the A domain of the ATP7B protein that is involved in the ATP hydrolysis (a.a. 786 - 917), a highly conserved region that is considered to be important for ATP7B protein function (PMID: 35245129; ClinVar). This variant has been reported in over twenty individuals affected with autosomal recessive Wilson disease, including up to ten individuals confirmed to be compound heterozygous with a known pathogenic variant in the same gene (PMID: 9311736, 15952988, 17433323, 23219664, 23518715, 23843956, 24094725, 27022412, 27398169, 30702195, 31980526, 33159804, 33258288; Castellano et al., 2023 EASL Congress). This variant has been identified in 206/280980 chromosomes (161/128724 Non-Finnish European chromosomes) in the general population by the Genome Aggregation Database (gnomAD). Based on the available evidence, this variant is classified as Pathogenic. This variant is reported to show reduced penetrance and is associated with a mild phenotype in compound heterozygous individuals with Wilson disease (PMID: 32248359, 33159804; Castellano et al., 2023 EASL Congress). -

Feb 10, 2015
HudsonAlpha Institute for Biotechnology, HudsonAlpha Institute for Biotechnology
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: research

- -

Jan 27, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This sequence change replaces glycine, which is neutral and non-polar, with arginine, which is basic and polar, at codon 869 of the ATP7B protein (p.Gly869Arg). This variant is present in population databases (rs191312027, gnomAD 0.1%), and has an allele count higher than expected for a pathogenic variant. This missense change has been observed in individual(s) with Wilson disease (PMID: 11093740, 15952988, 23843956, 27398169, 30702195). ClinVar contains an entry for this variant (Variation ID: 157939). Invitae Evidence Modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) indicates that this missense variant is expected to disrupt ATP7B protein function with a positive predictive value of 80%. For these reasons, this variant has been classified as Pathogenic. -

Mar 30, 2024
Baylor Genetics
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Sep 13, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The ATP7B c.2605G>A; p.Gly869Arg variant (rs191312027) is reported in the medical literature in several individuals with a clinical diagnosis of Wilson disease, many of whom carried an additional pathogenic variant (Dong 2016, Gu 2013, Hua 2016, Huang2022, Li 2019, Loudianos 2013, Margarit 2005, Mukherjee 2014). This variant is found in the European population with an overall allele frequency of 0.13% (161/128724 alleles) in the Genome Aggregation Database. Computational analyses predict that this variant is deleterious (REVEL: 0.876). Considering available information, this variant is considered to be likely pathogenic. References: Dong Y et al. Spectrum and Classification of ATP7B Variants in a Large Cohort of Chinese Patients with Wilson's Disease Guides Genetic Diagnosis. Theranostics. 2016 Mar 3;6(5):638-49. PMID: 27022412. Gu S et al. Novel ATPase Cu(2+) transporting beta polypeptide mutations in Chinese families with Wilson's disease. PLoS One. 2013 Jul 2;8(7):e66526. PMID: 23843956. Hua R et al. Mutational analysis of ATP7B in Chinese Wilson disease patients. Am J Transl Res. 2016 Jun 15;8(6):2851-61. PMID: 27398169. Huang C et al. Genetic studies discover novel coding and non-coding mutations in patients with Wilson's disease in China. J Clin Lab Anal. 2022 Jun;36(6):e24459. PMID: 35470480. Li X et al. Complex ATP7B mutation patterns in Wilson disease and evaluation of a yeast model for functional analysis of variants. Hum Mutat. 2019 May;40(5):552-565. PMID: 30702195. Loudianos G et al. Wilson's disease in two consecutive generations: the detection of three mutated alleles in the ATP7B gene in two Sardinian families. Dig Liver Dis. 2013 Apr;45(4):342-5. PMID: 23219664. Margarit E et al. Mutation analysis of Wilson disease in the Spanish population -- identification of a prevalent substitution and eight novel mutations in the ATP7B gene. Clin Genet. 2005 Jul;68(1):61-8. PMID: 15952988. Mukherjee S et al. Genetic defects in Indian Wilson disease patients and genotype-phenotype correlation. Parkinsonism Relat Disord. 2014 Jan;20(1):75-81. PMID: 24094725. -

Feb 01, 2024
Laboratory of Medical Genetics, National & Kapodistrian University of Athens
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: curation

- -

Sep 02, 2021
Revvity Omics, Revvity
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Aug 10, 2021
Genome-Nilou Lab
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Jun 20, 2013
Genetic Services Laboratory, University of Chicago
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 20, 2021
Laboratory for Molecular Medicine, Mass General Brigham Personalized Medicine
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The p.Gly869Arg variant in ATP7B has been reported 6 individuals with Wilson disease, all of whom were compound heterozygous (Garcia-Villarreal 2000 PMID: 11093740, Margarit 2005 PMID: 15952988, Gu 2013 PMID: 23843956, Hua 2016 PMID: 27398169, Li 2019 PMID: 30702195). This variant has also been reported in ClinVar (Variation ID#3848). This variant has also been identified in 0.125% (161/128724) of European chromosomes by Genome Aggregation Database (gnomAD, Http://gnomad.broadinstitute.org). This frequency is consistent with the known carrier frequency of Wilson disease. Computational prediction tools and conservation analyses suggest that this variant may impact the protein, though this information is not predictive enough to determine pathogenicity. In summary, although additional studies are required to fully establish its clinical significance, the p.Gly869Arg variant is likely pathogenic for Wilson disease in an autosomal recessive manner. ACMG/AMP Criteria applied: PM3_VStrong; PP3, PP4. -

Aug 21, 2023
Color Diagnostics, LLC DBA Color Health
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This missense variant replaces glycine with arginine at codon 869 of the ATP7B protein. Computational prediction suggests that this variant may have deleterious impact on protein structure and function (internally defined REVEL score threshold >= 0.7, PMID: 27666373). Although functional studies have not been reported, this variant alters a conserved glycine residue in the A domain of the ATP7B protein that is involved in the ATP hydrolysis (a.a. 786 - 917), a highly conserved region that is considered to be important for ATP7B protein function (PMID: 35245129; ClinVar). This variant has been reported in over twenty individuals affected with autosomal recessive Wilson disease, including up to ten individuals confirmed to be compound heterozygous with a known pathogenic variant in the same gene (PMID: 9311736, 15952988, 17433323, 23219664, 23518715, 23843956, 24094725, 27022412, 27398169, 30702195, 31980526, 33159804, 33258288; Castellano et al., 2023 EASL Congress). This variant has been identified in 206/280980 chromosomes (161/128724 Non-Finnish European chromosomes) in the general population by the Genome Aggregation Database (gnomAD). Based on the available evidence, this variant is classified as Pathogenic. This variant is reported to show reduced penetrance and is associated with a mild phenotype in compound heterozygous individuals with Wilson disease (PMID: 32248359, 33159804; Castellano et al., 2023 EASL Congress). -

Apr 15, 2021
Genetics and Molecular Pathology, SA Pathology
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

not provided Pathogenic:5Uncertain:2
Oct 01, 2024
CeGaT Center for Human Genetics Tuebingen
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

ATP7B: PM3:Very Strong, PM5, PM2:Supporting -

May 23, 2023
Mayo Clinic Laboratories, Mayo Clinic
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

PP3, PP4_moderate, PM2, PS4_moderate -

-
Genome Diagnostics Laboratory, University Medical Center Utrecht
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Mar 14, 2022
AiLife Diagnostics, AiLife Diagnostics
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Dec 12, 2024
GeneDx
Significance: Likely pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

Described as a mild variant associated with reduced penetrance as it has been observed in association with late-onset, a mild phenotype, and in asymptomatic adult twins from a single family (PMID: 11093740, 32248359, 22692182, 23219664); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; This variant is associated with the following publications: (PMID: 11093740, 18371106, 17433323, 17949296, 27022412, 23518715, 24720933, 24094725, 27398169, 30702195, 30097039, 32248359, 22692182, 15952988, 9311736, 23843956, 34426522, 33159754, 33258288, 31980526, 35637795, 35470480, 35844287, 30275481, 35314707, 36253962, 34620762, 33159804, 35220961, 34405919, 30254379, 36437915, 37445923, 36910591, 23219664, 34381985, 37147621, 37937776, 31708252, 39198578, 39322449, Kerr[article]2024) -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance: Uncertain significance
Review Status: no assertion criteria provided
Collection Method: clinical testing

- -

Dec 08, 2015
Eurofins Ntd Llc (ga)
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Inborn genetic diseases Pathogenic:1
Jul 02, 2024
Ambry Genetics
Significance: Pathogenic
Review Status: criteria provided, single submitter
Collection Method: clinical testing

The c.2605G>A (p.G869R) alteration is located in coding exon 11 of the ATP7B gene. This alteration results from a G to A substitution at nucleotide position 2605, causing the glycine (G) at amino acid position 869 to be replaced by an arginine (R). Based on data from gnomAD, the A allele has an overall frequency of 0.073% (206/280980) total alleles studied. The highest observed frequency was 0.125% (161/128724) of European (non-Finnish) alleles. This variant was detected in an individual in conjunction with p.L708P and a mild presentation with normal liver biopsy, near normal ceruloplasmin levels, elevated liver and urinary copper levels, and was diagnosed with Wilson disease at age 26 (Garcia Villarreal, 2000). This variant was in trans with p.D765G in an individual with neurologic symptoms, hepatosplenomegaly, jaundice, Kayser-Fleischer rings, and elevated urinary copper levels (Gu, 2013). In addition, several other individuals with this and a second variant presented with a hepatic phenotype (Margarit, 2005; Hua, 2016), a Parkinsonian-like phenotype (Margarit, 2005), and a mild Wilson disease phenotype (Schushan, 2012). This amino acid position is highly conserved in available vertebrate species. This alteration is predicted to be deleterious by in silico analysis. Based on the available evidence, this alteration is classified as pathogenic. -

ATP7B-related disorder Pathogenic:1
Sep 03, 2024
PreventionGenetics, part of Exact Sciences
Significance: Pathogenic
Review Status: no assertion criteria provided
Collection Method: clinical testing

The ATP7B c.2605G>A variant is predicted to result in the amino acid substitution p.Gly869Arg. This variant was reported in the compound heterozygous state in many individuals with varied features consistent with Wilson disease (Shah et al. 1997. PubMed ID: 9311736; Margarit et al. 2005. PubMed ID: 15952988; Hua et al. 2016. PubMed ID: 27398169; Gu et al. 2013. PubMed ID: 23843956; Huang et al. 2022. PubMed ID: 35470480). However, this variant is also reported in 0.16% of alleles in individuals of European (non-Finnish) descent including 3 homozygotes in gnomAD v4.0.0. This higher than expected allele frequency is consistent with this variant being a mild or possibly low penetrance variant (García-Villarreal et al. 2000. PubMed ID: 11093740; Wallace et al. 2020. PubMed ID: 32248359). For example, this variant was reported with the p.Met645Arg variant in an individual with late onset (50 years old), mild Wilson disease (Schushan et al. 2012. PubMed ID: 22692182). In summary, this variant is interpreted as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.41
BayesDel_addAF
Pathogenic
0.18
D
BayesDel_noAF
Pathogenic
0.47
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Pathogenic
0.96
D;D;.;.;.;.;.
Eigen
Pathogenic
0.86
Eigen_PC
Pathogenic
0.74
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Pathogenic
0.99
D;D;D;D;D;D;D
M_CAP
Pathogenic
0.70
D
MetaRNN
Uncertain
0.66
D;D;D;D;D;D;D
MetaSVM
Pathogenic
1.0
D
MutationAssessor
Pathogenic
3.7
H;.;.;.;.;.;.
PrimateAI
Uncertain
0.73
T
PROVEAN
Pathogenic
-7.4
D;D;D;D;D;.;D
REVEL
Pathogenic
0.88
Sift
Uncertain
0.0010
D;D;D;D;D;.;D
Sift4G
Pathogenic
0.0010
D;D;D;D;D;D;D
Polyphen
1.0
D;D;D;D;D;D;D
Vest4
0.77
MutPred
0.94
Gain of solvent accessibility (P = 0.0306);.;.;.;.;.;Gain of solvent accessibility (P = 0.0306);
MVP
0.98
MPC
0.40
ClinPred
0.32
T
GERP RS
5.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.84
gMVP
0.92

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

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

Other links and lift over

dbSNP: rs191312027; hg19: chr13-52524268; API