20-25216729-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.791G>A​(p.Arg264His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000107 in 1,594,756 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: 𝑓 0.000085 ( 0 hom., cov: 32)
Exomes 𝑓: 0.00011 ( 0 hom. )

Consequence

ENTPD6
NM_001247.5 missense

Scores

19

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.06
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=0.013240486).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ENTPD6NM_001247.5 linkuse as main transcriptc.791G>A p.Arg264His 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.791G>A p.Arg264His missense_variant 8/151 NM_001247.5 ENSP00000365840 P4O75354-1

Frequencies

GnomAD3 genomes
AF:
0.0000855
AC:
13
AN:
152116
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000655
Gnomad ASJ
AF:
0.00173
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000441
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.000248
AC:
53
AN:
213488
Hom.:
0
AF XY:
0.000297
AC XY:
34
AN XY:
114428
show subpopulations
Gnomad AFR exome
AF:
0.0000772
Gnomad AMR exome
AF:
0.000452
Gnomad ASJ exome
AF:
0.00261
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.0000762
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000845
Gnomad OTH exome
AF:
0.000750
GnomAD4 exome
AF:
0.000109
AC:
157
AN:
1442640
Hom.:
0
Cov.:
31
AF XY:
0.000122
AC XY:
87
AN XY:
715436
show subpopulations
Gnomad4 AFR exome
AF:
0.0000601
Gnomad4 AMR exome
AF:
0.000402
Gnomad4 ASJ exome
AF:
0.00234
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000145
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000444
Gnomad4 OTH exome
AF:
0.000251
GnomAD4 genome
AF:
0.0000855
AC:
13
AN:
152116
Hom.:
0
Cov.:
32
AF XY:
0.0000942
AC XY:
7
AN XY:
74320
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.0000655
Gnomad4 ASJ
AF:
0.00173
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000207
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000441
Gnomad4 OTH
AF:
0.000956
Alfa
AF:
0.000231
Hom.:
0
Bravo
AF:
0.000132
ExAC
AF:
0.0000993
AC:
12

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 12, 2022The c.791G>A (p.R264H) alteration is located in exon 8 (coding exon 7) of the ENTPD6 gene. This alteration results from a G to A substitution at nucleotide position 791, causing the arginine (R) at amino acid position 264 to be replaced by a histidine (H). 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
0.081
BayesDel_addAF
Benign
-0.46
T
BayesDel_noAF
Benign
-0.56
CADD
Benign
19
DANN
Benign
0.97
DEOGEN2
Benign
0.011
.;.;T;.;T;T;.
Eigen
Benign
-0.67
Eigen_PC
Benign
-0.81
FATHMM_MKL
Benign
0.081
N
LIST_S2
Benign
0.75
T;T;T;T;T;T;T
M_CAP
Benign
0.0047
T
MetaRNN
Benign
0.013
T;T;T;T;T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
.;.;L;.;.;.;.
MutationTaster
Benign
1.0
N;N;N;N
PrimateAI
Benign
0.29
T
PROVEAN
Benign
-1.7
N;N;N;N;N;N;N
REVEL
Benign
0.068
Sift
Benign
0.13
T;T;T;T;T;T;T
Sift4G
Benign
0.17
T;T;T;T;T;T;T
Polyphen
0.96
D;.;D;.;.;D;.
Vest4
0.24
MVP
0.18
MPC
0.31
ClinPred
0.032
T
GERP RS
1.5
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.056
gMVP
0.37

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: rs774493774; hg19: chr20-25197365; API