2-215312147-C-T

Variant summary

Our verdict is Benign. The variant received -16 ACMG points: 0P and 16B. BP4_StrongBP6_Very_StrongBS2

The NM_004044.7(ATIC):​c.5C>T​(p.Ala2Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000764 in 1,524,312 control chromosomes in the GnomAD database, including 9 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0039 ( 5 hom., cov: 33)
Exomes 𝑓: 0.00041 ( 4 hom. )

Consequence

ATIC
NM_004044.7 missense

Scores

3
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 0.910

Publications

0 publications found
Variant links:
Genes affected
ATIC (HGNC:794): (5-aminoimidazole-4-carboxamide ribonucleotide formyltransferase/IMP cyclohydrolase) This gene encodes a bifunctional protein that catalyzes the last two steps of the de novo purine biosynthetic pathway. The N-terminal domain has phosphoribosylaminoimidazolecarboxamide formyltransferase activity, and the C-terminal domain has IMP cyclohydrolase activity. A mutation in this gene results in AICA-ribosiduria. [provided by RefSeq, Sep 2009]
ATIC Gene-Disease associations (from GenCC):
  • AICA-ribosiduria
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -16 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.005638778).
BP6
Variant 2-215312147-C-T is Benign according to our data. Variant chr2-215312147-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 785991.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATICNM_004044.7 linkc.5C>T p.Ala2Val missense_variant Exon 1 of 16 ENST00000236959.14 NP_004035.2 P31939-1V9HWH7

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATICENST00000236959.14 linkc.5C>T p.Ala2Val missense_variant Exon 1 of 16 1 NM_004044.7 ENSP00000236959.9 P31939-1

Frequencies

GnomAD3 genomes
AF:
0.00392
AC:
596
AN:
152210
Hom.:
5
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0130
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000103
Gnomad OTH
AF:
0.00287
GnomAD2 exomes
AF:
0.000661
AC:
78
AN:
118040
AF XY:
0.000539
show subpopulations
Gnomad AFR exome
AF:
0.0166
Gnomad AMR exome
AF:
0.000304
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000683
Gnomad OTH exome
AF:
0.000822
GnomAD4 exome
AF:
0.000413
AC:
567
AN:
1371988
Hom.:
4
Cov.:
33
AF XY:
0.000352
AC XY:
238
AN XY:
677020
show subpopulations
African (AFR)
AF:
0.0153
AC:
453
AN:
29670
American (AMR)
AF:
0.000658
AC:
23
AN:
34932
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
24746
East Asian (EAS)
AF:
0.00
AC:
0
AN:
34448
South Asian (SAS)
AF:
0.00
AC:
0
AN:
77610
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
34412
Middle Eastern (MID)
AF:
0.00146
AC:
6
AN:
4120
European-Non Finnish (NFE)
AF:
0.0000158
AC:
17
AN:
1074742
Other (OTH)
AF:
0.00119
AC:
68
AN:
57308
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
32
64
95
127
159
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
20
40
60
80
100
<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:
0.00392
AC:
597
AN:
152324
Hom.:
5
Cov.:
33
AF XY:
0.00379
AC XY:
282
AN XY:
74488
show subpopulations
African (AFR)
AF:
0.0130
AC:
542
AN:
41590
American (AMR)
AF:
0.00261
AC:
40
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5180
South Asian (SAS)
AF:
0.000414
AC:
2
AN:
4832
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000103
AC:
7
AN:
68006
Other (OTH)
AF:
0.00284
AC:
6
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
27
55
82
110
137
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<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:
0.00140
Hom.:
0
Bravo
AF:
0.00425
ESP6500AA
AF:
0.0106
AC:
33
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.000487
AC:
19
Asia WGS
AF:
0.00144
AC:
5
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Mar 08, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

AICA-ribosiduria Benign:1
Jul 20, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Intellectual disability Benign:1
Jan 01, 2019
Centre de Biologie Pathologie Génétique, Centre Hospitalier Universitaire de Lille
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.18
BayesDel_addAF
Benign
-0.37
T
BayesDel_noAF
Benign
-0.29
CADD
Benign
20
DANN
Uncertain
1.0
DEOGEN2
Benign
0.11
T
Eigen
Benign
-0.018
Eigen_PC
Benign
-0.016
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Benign
0.77
T
MetaRNN
Benign
0.0056
T
MetaSVM
Benign
-0.82
T
MutationAssessor
Benign
1.7
L
PhyloP100
0.91
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-0.95
N
REVEL
Benign
0.10
Sift
Benign
0.33
T
Sift4G
Benign
0.26
T
Polyphen
0.67
P
Vest4
0.40
MVP
0.64
MPC
0.071
ClinPred
0.044
T
GERP RS
4.1
PromoterAI
-0.11
Neutral
Varity_R
0.12
gMVP
0.44
Mutation Taster
=86/14
polymorphism

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: rs138988481; hg19: chr2-216176870; COSMIC: COSV107249208; COSMIC: COSV107249208; API