17-44374352-A-G

Variant summary

Our verdict is Pathogenic. Variant got 10 ACMG points: 10P and 0B. PM3_SupportingPVS1_StrongPP4_StrongPM2_Supporting

This summary comes from the ClinGen Evidence Repository: The NM_000419.4:c.3060+2T>C variant is a splice site variant that causes aberrant splicing and results in the deletion of 38 amino acids in the transmembrane domain (PMID:9215749). It is present in a very low frequency in gnomAD (0.00003876). It is seen in four individuals in the compound heterozygous state in the published literature. In summary, based on the available evidence at the time the c.3060+2T>C variant is classified as pathogenic. GT-specific criteria applied: PVS1_Strong, PM2_Supporting, PP4_Strong, PM3_Supporting. LINK:https://erepo.genome.network/evrepo/ui/classification/CA290944108/MONDO:0010119/011

Frequency

Genomes: 𝑓 0.000040 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000026 ( 0 hom. )

Consequence

ITGA2B
NM_000419.5 splice_donor

Scores

4
1
2
Splicing: ADA: 0.9999
2

Clinical Significance

Pathogenic reviewed by expert panel P:4U:1

Conservation

PhyloP100: 4.05
Variant links:
Genes affected
ITGA2B (HGNC:6138): (integrin subunit alpha 2b) This gene encodes a member of the integrin alpha chain family of proteins. The encoded preproprotein is proteolytically processed to generate light and heavy chains that associate through disulfide linkages to form a subunit of the alpha-IIb/beta-3 integrin cell adhesion receptor. This receptor plays a crucial role in the blood coagulation system, by mediating platelet aggregation. Mutations in this gene are associated with platelet-type bleeding disorders, which are characterized by a failure of platelet aggregation, including Glanzmann thrombasthenia. [provided by RefSeq, Jan 2016]

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ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 10 ACMG points.

PVS1
For more information check the summary or visit ClinGen Evidence Repository.
PM2
For more information check the summary or visit ClinGen Evidence Repository.
PM3
For more information check the summary or visit ClinGen Evidence Repository.
PP4
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ITGA2BNM_000419.5 linkuse as main transcriptc.3060+2T>C splice_donor_variant ENST00000262407.6 NP_000410.2
ITGA2BXM_011524749.2 linkuse as main transcriptc.3111+2T>C splice_donor_variant XP_011523051.2
ITGA2BXM_011524750.2 linkuse as main transcriptc.3096+307T>C intron_variant XP_011523052.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ITGA2BENST00000262407.6 linkuse as main transcriptc.3060+2T>C splice_donor_variant 1 NM_000419.5 ENSP00000262407 P1P08514-1
ITGA2BENST00000587295.5 linkuse as main transcriptc.253+1481T>C intron_variant 3 ENSP00000467269
ITGA2BENST00000648408.1 linkuse as main transcriptc.2374+307T>C intron_variant ENSP00000498119
ITGA2BENST00000592462.5 linkuse as main transcriptn.2761T>C non_coding_transcript_exon_variant 15/155

Frequencies

GnomAD3 genomes
AF:
0.0000395
AC:
6
AN:
151810
Hom.:
0
Cov.:
32
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:
0.0000883
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000159
AC:
4
AN:
251324
Hom.:
0
AF XY:
0.0000221
AC XY:
3
AN XY:
135844
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:
0.0000352
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000260
AC:
38
AN:
1461414
Hom.:
0
Cov.:
31
AF XY:
0.0000289
AC XY:
21
AN XY:
727064
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:
0.0000116
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000324
Gnomad4 OTH exome
AF:
0.0000166
GnomAD4 genome
AF:
0.0000395
AC:
6
AN:
151810
Hom.:
0
Cov.:
32
AF XY:
0.0000405
AC XY:
3
AN XY:
74132
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:
0.0000883
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000970
Hom.:
0
Bravo
AF:
0.0000151
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:4Uncertain:1
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not provided Pathogenic:2
Pathogenic, no assertion criteria providedclinical testingJoint Genome Diagnostic Labs from Nijmegen and Maastricht, Radboudumc and MUMC+-- -
Pathogenic, no assertion criteria providedclinical testingDiagnostic Laboratory, Department of Genetics, University Medical Center Groningen-- -
Glanzmann thrombasthenia Pathogenic:1
Pathogenic, reviewed by expert panelcurationClinGen Platelet Disorders Variant Curation Expert Panel, ClinGenSep 04, 2020The NM_000419.4:c.3060+2T>C variant is a splice site variant that causes aberrant splicing and results in the deletion of 38 amino acids in the transmembrane domain (PMID: 9215749). It is present in a very low frequency in gnomAD (0.00003876). It is seen in four individuals in the compound heterozygous state in the published literature. In summary, based on the available evidence at the time the c.3060+2T>C variant is classified as pathogenic. GT-specific criteria applied: PVS1_Strong, PM2_Supporting, PP4_Strong, PM3_Supporting. -
Glanzmann thrombasthenia 1 Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingKardioGenetik, Herz- und Diabeteszentrum NRWAug 15, 2023- -
Abnormal platelet function Uncertain:1
Uncertain significance, criteria provided, single submitterresearchNIHR Bioresource Rare Diseases, University of CambridgeFeb 01, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.55
D
BayesDel_noAF
Pathogenic
0.18
CADD
Pathogenic
28
DANN
Uncertain
0.99
Eigen
Pathogenic
0.98
Eigen_PC
Pathogenic
0.82
FATHMM_MKL
Benign
0.68
D
MutationTaster
Benign
1.0
A;A
GERP RS
5.0

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
1.0
dbscSNV1_RF
Pathogenic
0.87
SpliceAI score (max)
0.76
Details are displayed if max score is > 0.2
DS_DL_spliceai
0.76
Position offset: 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: rs74664206; hg19: chr17-42451720; API