13-95021583-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_005845.5(ABCC4):​c.3970G>A​(p.Ala1324Thr) variant causes a missense change. The variant allele was found at a frequency of 0.0000815 in 1,607,096 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★).

Frequency

Genomes: 𝑓 0.000059 ( 0 hom., cov: 33)
Exomes 𝑓: 0.000084 ( 0 hom. )

Consequence

ABCC4
NM_005845.5 missense

Scores

7
12

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:2

Conservation

PhyloP100: 3.81
Variant links:
Genes affected
ABCC4 (HGNC:55): (ATP binding cassette subfamily C member 4 (PEL blood group)) 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 family member plays a role in cellular detoxification as a pump for its substrate, organic anions. It may also function in prostaglandin-mediated cAMP signaling in ciliogenesis. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Sep 2014]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.23815936).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCC4NM_005845.5 linkuse as main transcriptc.3970G>A p.Ala1324Thr missense_variant 31/31 ENST00000645237.2 NP_005836.2 O15439-1A8K2Q2
ABCC4NM_001301829.2 linkuse as main transcriptc.3829G>A p.Ala1277Thr missense_variant 30/30 NP_001288758.1 O15439-2A8K2Q2
ABCC4XM_047430034.1 linkuse as main transcriptc.3841G>A p.Ala1281Thr missense_variant 31/31 XP_047285990.1
ABCC4XM_047430035.1 linkuse as main transcriptc.3421G>A p.Ala1141Thr missense_variant 28/28 XP_047285991.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCC4ENST00000645237.2 linkuse as main transcriptc.3970G>A p.Ala1324Thr missense_variant 31/31 NM_005845.5 ENSP00000494609.1 O15439-1

Frequencies

GnomAD3 genomes
AF:
0.0000592
AC:
9
AN:
152086
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000519
AC:
13
AN:
250466
Hom.:
0
AF XY:
0.0000664
AC XY:
9
AN XY:
135528
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000115
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000838
AC:
122
AN:
1455010
Hom.:
0
Cov.:
31
AF XY:
0.0000884
AC XY:
64
AN XY:
724246
show subpopulations
Gnomad4 AFR exome
AF:
0.0000601
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.000102
Gnomad4 OTH exome
AF:
0.000116
GnomAD4 genome
AF:
0.0000592
AC:
9
AN:
152086
Hom.:
0
Cov.:
33
AF XY:
0.0000135
AC XY:
1
AN XY:
74278
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000132
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000110
Hom.:
0
Bravo
AF:
0.0000567
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000659
AC:
8
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:2
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Uncertain:2
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJan 02, 2024The c.3970G>A (p.A1324T) alteration is located in exon 31 (coding exon 31) of the ABCC4 gene. This alteration results from a G to A substitution at nucleotide position 3970, causing the alanine (A) at amino acid position 1324 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -
Uncertain significance, criteria provided, single submitterclinical testingCenter for Genomic Medicine, Rigshospitalet, Copenhagen University HospitalAug 15, 2023- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.042
T
BayesDel_noAF
Uncertain
-0.060
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.10
T;T;.
Eigen
Uncertain
0.21
Eigen_PC
Uncertain
0.26
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.82
.;T;T
M_CAP
Benign
0.069
D
MetaRNN
Benign
0.24
T;T;T
MetaSVM
Uncertain
0.44
D
MutationAssessor
Benign
1.3
L;L;.
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-0.81
.;N;.
REVEL
Uncertain
0.43
Sift
Benign
0.22
.;T;.
Sift4G
Benign
0.16
.;T;.
Polyphen
0.29
B;B;P
Vest4
0.37
MVP
0.84
MPC
0.27
ClinPred
0.17
T
GERP RS
5.5
Varity_R
0.068
gMVP
0.70

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: rs201869271; hg19: chr13-95673837; API