22-17182027-G-C

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_001282225.2(ADA2):​c.1240-5C>G variant causes a splice region, intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.296 in 1,605,842 control chromosomes in the GnomAD database, including 75,008 homozygotes. In-silico tool predicts a benign outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.27 ( 5979 hom., cov: 32)
Exomes 𝑓: 0.30 ( 69029 hom. )

Consequence

ADA2
NM_001282225.2 splice_region, intron

Scores

2
Splicing: ADA: 0.0002144
2

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:7O:1

Conservation

PhyloP100: -0.278

Publications

9 publications found
Variant links:
Genes affected
ADA2 (HGNC:1839): (adenosine deaminase 2) This gene encodes a member of a subfamily of the adenosine deaminase protein family. The encoded protein is one of two adenosine deaminases found in humans, which regulate levels of the signaling molecule, adenosine. The encoded protein is secreted from monocytes undergoing differentiation and may regulate cell proliferation and differentiation. This gene may be responsible for some of the phenotypic features associated with cat eye syndrome. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Aug 2013]
ADA2 Gene-Disease associations (from GenCC):
  • deficiency of adenosine deaminase 2
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • vasculitis due to ADA2 deficiency
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Genomics England PanelApp, Orphanet, Labcorp Genetics (formerly Invitae)
  • Sneddon syndrome
    Inheritance: AD, AR Classification: MODERATE, SUPPORTIVE Submitted by: Orphanet, Genomics England PanelApp
  • polyarteritis nodosa
    Inheritance: AR Classification: MODERATE Submitted by: Genomics England PanelApp
  • Diamond-Blackfan anemia
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.87).
BP6
Variant 22-17182027-G-C is Benign according to our data. Variant chr22-17182027-G-C is described in ClinVar as Benign. ClinVar VariationId is 402528.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.322 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_001282225.2. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADA2
NM_001282225.2
MANE Select
c.1240-5C>G
splice_region intron
N/ANP_001269154.1Q9NZK5-1
ADA2
NM_001282226.2
c.1240-5C>G
splice_region intron
N/ANP_001269155.1Q9NZK5-1
ADA2
NM_001282227.2
c.1114-5C>G
splice_region intron
N/ANP_001269156.1B4E3Q4

Ensembl Transcripts

Sel.
GeneTranscriptTagsHGVScHGVSpEffectExon RankProteinUniProt
ADA2
ENST00000399837.8
TSL:1 MANE Select
c.1240-5C>G
splice_region intron
N/AENSP00000382731.2Q9NZK5-1
ADA2
ENST00000262607.3
TSL:1
c.1240-5C>G
splice_region intron
N/AENSP00000262607.2Q9NZK5-1
ADA2
ENST00000885359.1
c.1357-5C>G
splice_region intron
N/AENSP00000555418.1

Frequencies

GnomAD3 genomes
AF:
0.270
AC:
40994
AN:
151910
Hom.:
5983
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.229
Gnomad AMI
AF:
0.225
Gnomad AMR
AF:
0.206
Gnomad ASJ
AF:
0.252
Gnomad EAS
AF:
0.0511
Gnomad SAS
AF:
0.156
Gnomad FIN
AF:
0.326
Gnomad MID
AF:
0.288
Gnomad NFE
AF:
0.326
Gnomad OTH
AF:
0.291
GnomAD2 exomes
AF:
0.246
AC:
61385
AN:
249176
AF XY:
0.248
show subpopulations
Gnomad AFR exome
AF:
0.223
Gnomad AMR exome
AF:
0.145
Gnomad ASJ exome
AF:
0.258
Gnomad EAS exome
AF:
0.0475
Gnomad FIN exome
AF:
0.314
Gnomad NFE exome
AF:
0.321
Gnomad OTH exome
AF:
0.259
GnomAD4 exome
AF:
0.299
AC:
434998
AN:
1453812
Hom.:
69029
Cov.:
31
AF XY:
0.296
AC XY:
214350
AN XY:
723328
show subpopulations
African (AFR)
AF:
0.221
AC:
7388
AN:
33362
American (AMR)
AF:
0.152
AC:
6786
AN:
44530
Ashkenazi Jewish (ASJ)
AF:
0.258
AC:
6683
AN:
25872
East Asian (EAS)
AF:
0.0515
AC:
2041
AN:
39668
South Asian (SAS)
AF:
0.165
AC:
14201
AN:
85956
European-Finnish (FIN)
AF:
0.310
AC:
16501
AN:
53290
Middle Eastern (MID)
AF:
0.307
AC:
1759
AN:
5722
European-Non Finnish (NFE)
AF:
0.328
AC:
362743
AN:
1105318
Other (OTH)
AF:
0.281
AC:
16896
AN:
60094
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.454
Heterozygous variant carriers
0
12908
25816
38723
51631
64539
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
11492
22984
34476
45968
57460
<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:
0.270
AC:
41004
AN:
152030
Hom.:
5979
Cov.:
32
AF XY:
0.264
AC XY:
19604
AN XY:
74306
show subpopulations
African (AFR)
AF:
0.229
AC:
9490
AN:
41466
American (AMR)
AF:
0.206
AC:
3142
AN:
15260
Ashkenazi Jewish (ASJ)
AF:
0.252
AC:
873
AN:
3470
East Asian (EAS)
AF:
0.0512
AC:
265
AN:
5176
South Asian (SAS)
AF:
0.157
AC:
759
AN:
4822
European-Finnish (FIN)
AF:
0.326
AC:
3451
AN:
10570
Middle Eastern (MID)
AF:
0.279
AC:
82
AN:
294
European-Non Finnish (NFE)
AF:
0.326
AC:
22129
AN:
67948
Other (OTH)
AF:
0.288
AC:
608
AN:
2112
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.503
Heterozygous variant carriers
0
1501
3002
4502
6003
7504
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
408
816
1224
1632
2040
<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:
0.221
Hom.:
765
Bravo
AF:
0.259
EpiCase
AF:
0.322
EpiControl
AF:
0.317

ClinVar

ClinVar submissions
Significance:Benign
Revision:criteria provided, multiple submitters, no conflicts
View on ClinVar
Pathogenic
VUS
Benign
Condition
-
-
4
not specified (4)
-
-
2
not provided (3)
-
-
1
Vasculitis due to ADA2 deficiency (1)

Computational scores

Source: dbNSFP v4.9

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.87
CADD
Benign
1.2
DANN
Benign
0.66
PhyloP100
-0.28
Mutation Taster
=100/0
polymorphism (auto)

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.00021
dbscSNV1_RF
Benign
0.018
SpliceAI score (max)
0.050
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: rs3764846; hg19: chr22-17662917; COSMIC: COSV52831563; COSMIC: COSV52831563; API