20-25216654-T-G

Variant summary

Our verdict is Uncertain significance. Variant got 4 ACMG points: 4P and 0B. PM2PP3_Moderate

The NM_001247.5(ENTPD6):ā€‹c.716T>Gā€‹(p.Leu239Trp) variant causes a missense change. The variant allele was found at a frequency of 0.0000306 in 1,603,730 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.000026 ( 0 hom., cov: 32)
Exomes š‘“: 0.000031 ( 0 hom. )

Consequence

ENTPD6
NM_001247.5 missense

Scores

4
8
7

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.92
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 Uncertain_significance. Variant got 4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.9

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ENTPD6NM_001247.5 linkuse as main transcriptc.716T>G p.Leu239Trp missense_variant 8/15 ENST00000376652.9 NP_001238.3

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ENTPD6ENST00000376652.9 linkuse as main transcriptc.716T>G p.Leu239Trp missense_variant 8/151 NM_001247.5 ENSP00000365840 P4O75354-1

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152182
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:
0.0000588
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000129
AC:
3
AN:
232350
Hom.:
0
AF XY:
0.00000798
AC XY:
1
AN XY:
125264
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:
0.0000285
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000310
AC:
45
AN:
1451548
Hom.:
0
Cov.:
31
AF XY:
0.0000153
AC XY:
11
AN XY:
720802
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:
0.0000361
Gnomad4 OTH exome
AF:
0.0000833
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152182
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74344
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:
0.0000588
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000283
Hom.:
0
Bravo
AF:
0.0000340
ExAC
AF:
0.00000825
AC:
1

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 GeneticsDec 17, 2023The c.716T>G (p.L239W) alteration is located in exon 8 (coding exon 7) of the ENTPD6 gene. This alteration results from a T to G substitution at nucleotide position 716, causing the leucine (L) at amino acid position 239 to be replaced by a tryptophan (W). 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
Uncertain
0.35
BayesDel_addAF
Uncertain
0.017
T
BayesDel_noAF
Benign
-0.14
CADD
Uncertain
25
DANN
Benign
0.96
DEOGEN2
Benign
0.20
.;.;T;.;T;T;T;.
Eigen
Uncertain
0.19
Eigen_PC
Benign
0.071
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Benign
0.84
T;T;T;D;T;D;T;D
M_CAP
Benign
0.0064
T
MetaRNN
Pathogenic
0.90
D;D;D;D;D;D;D;D
MetaSVM
Uncertain
0.59
D
MutationAssessor
Pathogenic
3.6
.;.;H;.;.;.;.;.
MutationTaster
Benign
0.88
D;D;D;D
PrimateAI
Uncertain
0.54
T
PROVEAN
Pathogenic
-5.0
D;D;D;D;D;D;D;D
REVEL
Uncertain
0.31
Sift
Uncertain
0.0010
D;D;D;D;D;D;D;D
Sift4G
Pathogenic
0.0010
D;D;D;D;D;D;D;D
Polyphen
1.0
D;.;D;.;.;D;.;.
Vest4
0.67
MutPred
0.74
.;.;Gain of catalytic residue at P242 (P = 0.0243);.;.;Gain of catalytic residue at P242 (P = 0.0243);.;.;
MVP
0.45
MPC
1.2
ClinPred
0.96
D
GERP RS
5.1
Varity_R
0.88
gMVP
0.89

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: rs761444831; hg19: chr20-25197290; API