2-172504202-GA-G

Variant summary

Our verdict is Uncertain significance. The variant received 4 ACMG points: 4P and 0B. PVS1_ModeratePM2

The NM_001394928.1(ITGA6):​c.3351delA​(p.Lys1117AsnfsTer48) variant causes a frameshift change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000316 in 1,580,262 control chromosomes in the GnomAD database, with no homozygous occurrence. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

Frequency

Genomes: 𝑓 0.0000067 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000028 ( 0 hom. )

Consequence

ITGA6
NM_001394928.1 frameshift

Scores

Not classified

Clinical Significance

Not reported in ClinVar

Conservation

PhyloP100: 8.72

Publications

6 publications found
Variant links:
Genes affected
ITGA6 (HGNC:6142): (integrin subunit alpha 6) The gene encodes a member of the integrin alpha chain family of proteins. Integrins are heterodimeric integral membrane proteins composed of an alpha chain and a beta chain that function in cell surface adhesion and signaling. The encoded preproprotein is proteolytically processed to generate light and heavy chains that comprise the alpha 6 subunit. This subunit may associate with a beta 1 or beta 4 subunit to form an integrin that interacts with extracellular matrix proteins including members of the laminin family. The alpha 6 beta 4 integrin may promote tumorigenesis, while the alpha 6 beta 1 integrin may negatively regulate erbB2/HER2 signaling. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Oct 2015]
ITGA6-AS1 (HGNC:40308): (ITGA6 antisense RNA 1)
PDK1-AS1 (HGNC:40441): (PDK1 and ITGA6 antisense RNA 1)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 4 ACMG points.

PVS1
Loss of function variant, product does not undergo nonsense mediated mRNA decay. Variant is located in the 3'-most exon, not predicted to undergo nonsense mediated mRNA decay. Fraction of 0.0124 CDS is truncated, and there are 0 pathogenic variants in the truncated region.
PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ITGA6NM_001394928.1 linkc.3351delA p.Lys1117AsnfsTer48 frameshift_variant Exon 26 of 26 ENST00000442250.6 NP_001381857.1
ITGA6NM_000210.4 linkc.*142delA 3_prime_UTR_variant Exon 26 of 26 ENST00000684293.1 NP_000201.2 P23229-2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ITGA6ENST00000442250.6 linkc.3351delA p.Lys1117AsnfsTer48 frameshift_variant Exon 26 of 26 5 NM_001394928.1 ENSP00000406694.1 P23229-1
ITGA6ENST00000684293.1 linkc.*142delA 3_prime_UTR_variant Exon 26 of 26 NM_000210.4 ENSP00000508249.1 P23229-2

Frequencies

GnomAD3 genomes
AF:
0.00000665
AC:
1
AN:
150374
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:
0.00
Gnomad OTH
AF:
0.000482
GnomAD2 exomes
AF:
0.00000998
AC:
2
AN:
200476
AF XY:
0.00
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000351
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000114
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000280
AC:
4
AN:
1429888
Hom.:
0
Cov.:
31
AF XY:
0.00000423
AC XY:
3
AN XY:
708650
show subpopulations
⚠️ The allele balance in gnomAD version 4 Exomes is significantly skewed from the expected value of 0.5.
African (AFR)
AF:
0.00
AC:
0
AN:
32612
American (AMR)
AF:
0.00
AC:
0
AN:
40148
Ashkenazi Jewish (ASJ)
AF:
0.0000392
AC:
1
AN:
25488
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38520
South Asian (SAS)
AF:
0.00
AC:
0
AN:
81648
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
51598
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5708
European-Non Finnish (NFE)
AF:
0.00000274
AC:
3
AN:
1094920
Other (OTH)
AF:
0.00
AC:
0
AN:
59246
⚠️ The allele balance in gnomAD4 Exomes is highly skewed from 0.5 (p-value = 0.0104607), which strongly suggests a high chance of mosaicism in these individuals.
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.350
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome 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
GnomAD4 genome
AF:
0.00000665
AC:
1
AN:
150374
Hom.:
0
Cov.:
32
AF XY:
0.0000136
AC XY:
1
AN XY:
73340
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40904
American (AMR)
AF:
0.00
AC:
0
AN:
15102
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3452
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5112
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4748
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10194
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
312
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
67568
Other (OTH)
AF:
0.000482
AC:
1
AN:
2076
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.475
Heterozygous variant carriers
0
0
1
1
2
2
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:
0.00
Hom.:
0
Bravo
AF:
0.00000378

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
PhyloP100
8.7
Mutation Taster
=7/193
disease causing

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: rs201055917; hg19: chr2-173368930; COSMIC: COSV51221902; COSMIC: COSV51221902; API