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GeneBe

2-206445313-A-T

Variant summary

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

The NM_003812.4(ADAM23):c.221A>T(p.His74Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000137 in 1,460,490 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: not found (cov: 32)
Exomes 𝑓: 0.0000014 ( 0 hom. )

Consequence

ADAM23
NM_003812.4 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.47
Variant links:
Genes affected
ADAM23 (HGNC:202): (ADAM metallopeptidase domain 23) 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. It is reported that inactivation of this gene is associated with tumorigenesis in human cancers. [provided by RefSeq, May 2013]

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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=0.08932117).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ADAM23NM_003812.4 linkuse as main transcriptc.221A>T p.His74Leu missense_variant 2/26 ENST00000264377.8
ADAM23NM_001410985.1 linkuse as main transcriptc.221A>T p.His74Leu missense_variant 2/26
ADAM23XM_005246932.4 linkuse as main transcriptc.221A>T p.His74Leu missense_variant 2/25

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ADAM23ENST00000264377.8 linkuse as main transcriptc.221A>T p.His74Leu missense_variant 2/261 NM_003812.4 P4O75077-1
ADAM23ENST00000374415.7 linkuse as main transcriptc.221A>T p.His74Leu missense_variant 2/265 A1

Frequencies

GnomAD3 genomes
Cov.:
32
GnomAD3 exomes
AF:
0.00000398
AC:
1
AN:
251254
Hom.:
0
AF XY:
0.00000736
AC XY:
1
AN XY:
135826
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:
0.00000880
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.00000137
AC:
2
AN:
1460490
Hom.:
0
Cov.:
31
AF XY:
0.00000275
AC XY:
2
AN XY:
726586
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:
0.00000180
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
32

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 25, 2023The c.221A>T (p.H74L) alteration is located in exon 2 (coding exon 2) of the ADAM23 gene. This alteration results from a A to T substitution at nucleotide position 221, causing the histidine (H) at amino acid position 74 to be replaced by a leucine (L). 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
0.076
BayesDel_addAF
Benign
-0.24
T
BayesDel_noAF
Benign
-0.58
Cadd
Benign
11
Dann
Benign
0.77
DEOGEN2
Benign
0.14
T;T
Eigen
Benign
-1.3
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.43
N
LIST_S2
Benign
0.48
T;T
M_CAP
Benign
0.0057
T
MetaRNN
Benign
0.089
T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
0.69
N;.
MutationTaster
Benign
0.96
N;N;N
PrimateAI
Benign
0.48
T
PROVEAN
Benign
-1.2
N;N
REVEL
Benign
0.064
Sift
Uncertain
0.024
D;D
Sift4G
Benign
0.097
T;T
Polyphen
0.0
B;.
Vest4
0.22
MutPred
0.45
Loss of disorder (P = 0.0988);Loss of disorder (P = 0.0988);
MVP
0.12
MPC
1.7
ClinPred
0.029
T
GERP RS
-1.3
Varity_R
0.084
gMVP
0.31

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs1338485796; hg19: chr2-207310037; API