3-123284706-C-T

Variant summary

Our verdict is Uncertain significance. Variant got 1 ACMG points: 3P and 2B. PM2PP2BP4_Moderate

The NM_183357.3(ADCY5):​c.3688G>A​(p.Ala1230Thr) variant causes a missense change. 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 Uncertain significance (★).

Frequency

Genomes: not found (cov: 33)

Consequence

ADCY5
NM_183357.3 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.92
Variant links:
Genes affected
ADCY5 (HGNC:236): (adenylate cyclase 5) This gene encodes a member of the membrane-bound adenylyl cyclase enzymes. Adenylyl cyclases mediate G protein-coupled receptor signaling through the synthesis of the second messenger cAMP. Activity of the encoded protein is stimulated by the Gs alpha subunit of G protein-coupled receptors and is inhibited by protein kinase A, calcium and Gi alpha subunits. Single nucleotide polymorphisms in this gene may be associated with low birth weight and type 2 diabetes. Alternatively spliced transcript variants that encode different isoforms have been observed for this gene. [provided by RefSeq, Dec 2010]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 1 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), ADCY5. . Gene score misZ: 3.4043 (greater than the threshold 3.09). Trascript score misZ: 4.4657 (greater than threshold 3.09). The gene has 24 curated pathogenic missense variants (we use a threshold of 10). The gene has 45 curated benign missense variants. GenCC has associacion of the gene with dyskinesia with orofacial involvement, autosomal dominant, neurodevelopmental disorder with hyperkinetic movements and dyskinesia, choreatic disease, familial dyskinesia and facial myokymia.
BP4
Computational evidence support a benign effect (MetaRNN=0.1666871).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADCY5NM_183357.3 linkc.3688G>A p.Ala1230Thr missense_variant 21/21 ENST00000462833.6 NP_899200.1 O95622-1A0A384P5Q5B7Z2C7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADCY5ENST00000462833.6 linkc.3688G>A p.Ala1230Thr missense_variant 21/211 NM_183357.3 ENSP00000419361.1 O95622-1

Frequencies

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

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

Inborn genetic diseases Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsJun 03, 2024The c.3688G>A (p.A1230T) alteration is located in exon 21 (coding exon 21) of the ADCY5 gene. This alteration results from a G to A substitution at nucleotide position 3688, causing the alanine (A) at amino acid position 1230 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
0.077
BayesDel_addAF
Benign
-0.12
T
BayesDel_noAF
Benign
-0.42
CADD
Uncertain
24
DANN
Uncertain
0.99
DEOGEN2
Uncertain
0.42
T;T;.
Eigen
Benign
-0.23
Eigen_PC
Benign
-0.0022
FATHMM_MKL
Uncertain
0.79
D
LIST_S2
Benign
0.85
D;D;D
M_CAP
Benign
0.011
T
MetaRNN
Benign
0.17
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.055
N;.;.
PrimateAI
Uncertain
0.63
T
PROVEAN
Benign
-1.1
N;N;N
REVEL
Benign
0.082
Sift
Benign
0.22
T;T;T
Sift4G
Benign
0.57
T;T;T
Polyphen
0.099
B;B;.
Vest4
0.39
MutPred
0.40
Gain of glycosylation at Y1225 (P = 0.0034);.;.;
MVP
0.46
MPC
0.97
ClinPred
0.68
D
GERP RS
4.9
Varity_R
0.089
gMVP
0.47

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

No publications associated with this variant yet.

Other links and lift over

hg19: chr3-123003553; COSMIC: COSV59203141; COSMIC: COSV59203141; API