20-44619854-G-C

Variant summary

Our verdict is Likely benign. Variant got -4 ACMG points: 2P and 6B. PM2BP4_StrongBP6_Moderate

The ENST00000695956.1(ADA):​c.239C>G​(p.Thr80Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. T80K) has been classified as Likely benign.

Frequency

Genomes: not found (cov: 33)

Consequence

ADA
ENST00000695956.1 missense

Scores

2
Splicing: ADA: 0.1459
2

Clinical Significance

Likely benign criteria provided, single submitter B:1

Conservation

PhyloP100: -0.0860
Variant links:
Genes affected
ADA (HGNC:186): (adenosine deaminase) This gene encodes an enzyme that catalyzes the hydrolysis of adenosine to inosine in the purine catabolic pathway. Various mutations have been described for this gene and have been linked to human diseases related to impaired immune function such as severe combined immunodeficiency disease (SCID) which is the result of a deficiency in the ADA enzyme. In ADA-deficient individuals there is a marked depletion of T, B, and NK lymphocytes, and consequently, a lack of both humoral and cellular immunity. Conversely, elevated levels of this enzyme are associated with congenital hemolytic anemia. [provided by RefSeq, Sep 2019]
PKIG (HGNC:9019): (cAMP-dependent protein kinase inhibitor gamma) This gene encodes a member of the protein kinase inhibitor family. Studies of a similar protein in mice suggest that this protein acts as a potent competitive cAMP-dependent protein kinase inhibitor, and is a predominant form of inhibitor in various tissues. The encoded protein may be involved in osteogenesis. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -4 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.85).
BP6
Variant 20-44619854-G-C is Benign according to our data. Variant chr20-44619854-G-C is described in ClinVar as [Likely_benign]. Clinvar id is 3643341.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ADANM_000022.4 linkc.1079-7C>G splice_region_variant, intron_variant Intron 11 of 11 ENST00000372874.9 NP_000013.2 P00813A0A0S2Z381
ADANM_001322051.2 linkc.1007-7C>G splice_region_variant, intron_variant Intron 10 of 10 NP_001308980.1 F5GWI4
ADANM_001322050.2 linkc.674-7C>G splice_region_variant, intron_variant Intron 10 of 10 NP_001308979.1
ADANR_136160.2 linkn.1106-7C>G splice_region_variant, intron_variant Intron 10 of 10

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ADAENST00000695956.1 linkc.239C>G p.Thr80Arg missense_variant Exon 3 of 3 ENSP00000512285.1 A0A8Q3WKW4
ADAENST00000372874.9 linkc.1079-7C>G splice_region_variant, intron_variant Intron 11 of 11 1 NM_000022.4 ENSP00000361965.4 P00813
ADAENST00000695995.1 linkc.689-7C>G splice_region_variant, intron_variant Intron 8 of 8 ENSP00000512318.1 A0A8Q3SI64
ADAENST00000695991.1 linkc.617-7C>G splice_region_variant, intron_variant Intron 7 of 7 ENSP00000512314.1 A0A0S2Z3B9
ADAENST00000696038.1 linkn.*1280C>G non_coding_transcript_exon_variant Exon 9 of 9 ENSP00000512344.1 A0A8Q3SJ57
ADAENST00000696038.1 linkn.*1280C>G 3_prime_UTR_variant Exon 9 of 9 ENSP00000512344.1 A0A8Q3SJ57

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Severe combined immunodeficiency, autosomal recessive, T cell-negative, B cell-negative, NK cell-negative, due to adenosine deaminase deficiency Benign:1
Feb 28, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Likely benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.85
CADD
Benign
17
DANN
Benign
0.46

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.15
dbscSNV1_RF
Benign
0.0
SpliceAI score (max)
0.91
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.91
Position offset: -1
DS_AL_spliceai
0.33
Position offset: -7

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr20-43248495; API