20-25207220-G-A

Variant summary

Our verdict is Likely benign. Variant got -2 ACMG points: 2P and 4B. PM2BP4_Strong

The NM_001247.5(ENTPD6):​c.199G>A​(p.Ala67Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000482 in 1,614,064 control chromosomes in the GnomAD database, with no homozygous occurrence. 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 Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00026 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00051 ( 0 hom. )

Consequence

ENTPD6
NM_001247.5 missense

Scores

1
18

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.31
Variant links:
Genes affected
ENTPD6 (HGNC:3368): (ectonucleoside triphosphate diphosphohydrolase 6) ENTPD6 is similar to E-type nucleotidases (NTPases). NTPases, such as CD39, mediate catabolism of extracellular nucleotides. ENTPD6 contains 4 apyrase-conserved regions which are characteristic of NTPases. Alternative splicing results in multiple transcript variants encoding different isoforms. [provided by RefSeq, Dec 2015]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.03007859).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ENTPD6NM_001247.5 linkuse as main transcriptc.199G>A p.Ala67Thr missense_variant 3/15 ENST00000376652.9 NP_001238.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ENTPD6ENST00000376652.9 linkuse as main transcriptc.199G>A p.Ala67Thr missense_variant 3/151 NM_001247.5 ENSP00000365840 P4O75354-1

Frequencies

GnomAD3 genomes
AF:
0.000256
AC:
39
AN:
152172
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000966
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
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:
0.000485
Gnomad OTH
AF:
0.000479
GnomAD3 exomes
AF:
0.000300
AC:
75
AN:
249886
Hom.:
0
AF XY:
0.000229
AC XY:
31
AN XY:
135238
show subpopulations
Gnomad AFR exome
AF:
0.000185
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:
0.000623
Gnomad OTH exome
AF:
0.000327
GnomAD4 exome
AF:
0.000506
AC:
739
AN:
1461774
Hom.:
0
Cov.:
31
AF XY:
0.000499
AC XY:
363
AN XY:
727192
show subpopulations
Gnomad4 AFR exome
AF:
0.000209
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000252
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000750
Gnomad4 NFE exome
AF:
0.000635
Gnomad4 OTH exome
AF:
0.000348
GnomAD4 genome
AF:
0.000256
AC:
39
AN:
152290
Hom.:
0
Cov.:
33
AF XY:
0.000228
AC XY:
17
AN XY:
74482
show subpopulations
Gnomad4 AFR
AF:
0.0000963
Gnomad4 AMR
AF:
0.0000653
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000485
Gnomad4 OTH
AF:
0.000474
Alfa
AF:
0.000463
Hom.:
0
Bravo
AF:
0.000329
TwinsUK
AF:
0.00189
AC:
7
ALSPAC
AF:
0.00156
AC:
6
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000465
AC:
4
ExAC
AF:
0.000329
AC:
40
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000382
EpiControl
AF:
0.000474

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 GeneticsApr 28, 2022The c.199G>A (p.A67T) alteration is located in exon 3 (coding exon 2) of the ENTPD6 gene. This alteration results from a G to A substitution at nucleotide position 199, causing the alanine (A) at amino acid position 67 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
0.072
BayesDel_addAF
Benign
-0.49
T
BayesDel_noAF
Benign
-0.49
CADD
Benign
12
DANN
Uncertain
0.99
DEOGEN2
Benign
0.0097
.;.;T;.;T;T;.;T;.
Eigen
Benign
-0.74
Eigen_PC
Benign
-0.67
FATHMM_MKL
Benign
0.12
N
LIST_S2
Benign
0.68
T;T;T;T;T;T;T;T;T
M_CAP
Benign
0.0027
T
MetaRNN
Benign
0.030
T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.8
.;.;L;.;.;.;.;.;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Benign
0.43
T
PROVEAN
Benign
-0.87
N;N;N;N;N;N;N;N;N
REVEL
Benign
0.024
Sift
Benign
0.083
T;T;T;T;T;D;T;D;D
Sift4G
Benign
0.52
T;T;T;T;T;T;T;T;T
Polyphen
0.20
B;.;B;.;.;B;.;.;.
Vest4
0.27
MVP
0.18
MPC
0.25
ClinPred
0.020
T
GERP RS
2.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
2.6
Varity_R
0.037
gMVP
0.62

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: rs200024189; hg19: chr20-25187856; COSMIC: COSV61751492; COSMIC: COSV61751492; API