14-70457639-A-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_003813.4(ADAM21):ā€‹c.140A>Cā€‹(p.Lys47Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000744 in 1,613,722 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000013 ( 0 hom., cov: 31)
Exomes š‘“: 0.0000068 ( 0 hom. )

Consequence

ADAM21
NM_003813.4 missense

Scores

1
6
9

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 0.617
Variant links:
Genes affected
ADAM21 (HGNC:200): (ADAM metallopeptidase domain 21) This gene encodes a member of the ADAM (a disintegrin and metalloprotease domain) family. Members of this family are membrane-anchored proteins structurally related to snake venom disintegrins, and have been implicated in a variety of biological processes involving cell-cell and cell-matrix interactions, including fertilization, muscle development, and neurogenesis. The expression of this gene expression is testis-specific. [provided by RefSeq, May 2011]
ADAM20P1 (HGNC:20102): (ADAM metallopeptidase domain 20 pseudogene 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADAM21NM_003813.4 linkuse as main transcriptc.140A>C p.Lys47Thr missense_variant 2/2 ENST00000603540.2 NP_003804.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADAM21ENST00000603540.2 linkuse as main transcriptc.140A>C p.Lys47Thr missense_variant 2/23 NM_003813.4 ENSP00000474385 P1
ENST00000556646.1 linkuse as main transcriptn.184-4130T>G intron_variant, non_coding_transcript_variant 4
ADAM20P1ENST00000649019.1 linkuse as main transcriptn.507-2211T>G intron_variant, non_coding_transcript_variant
ADAM21ENST00000679631.1 linkuse as main transcriptc.140A>C p.Lys47Thr missense_variant 2/2 ENSP00000506213 P1

Frequencies

GnomAD3 genomes
AF:
0.0000131
AC:
2
AN:
152134
Hom.:
0
Cov.:
31
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:
0.0000294
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.00000684
AC:
10
AN:
1461588
Hom.:
0
Cov.:
66
AF XY:
0.00000550
AC XY:
4
AN XY:
727086
show subpopulations
Gnomad4 AFR exome
AF:
0.00
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:
0.00000899
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.0000131
AC:
2
AN:
152134
Hom.:
0
Cov.:
31
AF XY:
0.0000269
AC XY:
2
AN XY:
74328
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:
0.0000294
Gnomad4 OTH
AF:
0.00
ExAC
AF:
0.0000165
AC:
2

ClinVar

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

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsOct 06, 2022The c.140A>C (p.K47T) alteration is located in exon 2 (coding exon 1) of the ADAM21 gene. This alteration results from a A to C substitution at nucleotide position 140, causing the lysine (K) at amino acid position 47 to be replaced by a threonine (T). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.25
BayesDel_addAF
Benign
-0.21
T
BayesDel_noAF
Benign
-0.53
CADD
Benign
23
DANN
Uncertain
0.99
DEOGEN2
Benign
0.33
T
Eigen
Uncertain
0.37
Eigen_PC
Benign
0.20
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Uncertain
0.87
D
M_CAP
Benign
0.0036
T
MetaRNN
Uncertain
0.50
D
MetaSVM
Benign
-1.1
T
MutationAssessor
Pathogenic
3.5
H
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.48
T
Sift4G
Uncertain
0.0070
D
Polyphen
0.95
P
Vest4
0.30
MutPred
0.70
Loss of methylation at K47 (P = 0.0073);
MVP
0.44
MPC
1.1
ClinPred
0.86
D
GERP RS
1.4
Varity_R
0.65
gMVP
0.78

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: rs746044901; hg19: chr14-70924356; API