4-3767313-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 2 ACMG points: 2P and 0B. PM2

The NM_000683.4(ADRA2C):ā€‹c.707T>Cā€‹(p.Val236Ala) variant causes a missense change. The variant allele was found at a frequency of 0.000000697 in 1,434,616 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: not found (cov: 33)
Exomes š‘“: 7.0e-7 ( 0 hom. )

Consequence

ADRA2C
NM_000683.4 missense

Scores

4
7
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 4.23
Variant links:
Genes affected
ADRA2C (HGNC:283): (adrenoceptor alpha 2C) Alpha-2-adrenergic receptors are members of the G protein-coupled receptor superfamily. They include 3 highly homologous subtypes: alpha2A, alpha2B, and alpha2C. These receptors have a critical role in regulating neurotransmitter release from sympathetic nerves and from adrenergic neurons in the central nervous system. The mouse studies revealed that both the alpha2A and alpha2C subtypes were required for normal presynaptic control of transmitter release from sympathetic nerves in the heart and from central noradrenergic neurons. The alpha2A subtype inhibited transmitter release at high stimulation frequencies, whereas the alpha2C subtype modulated neurotransmission at lower levels of nerve activity. This gene encodes the alpha2C subtype, which contains no introns in either its coding or untranslated sequences. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 2 ACMG points.

PM2
Very rare variant in population databases, with high coverage;

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADRA2CNM_000683.4 linkuse as main transcriptc.707T>C p.Val236Ala missense_variant 1/1 ENST00000330055.7 NP_000674.2 P18825Q4W594

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADRA2CENST00000330055.7 linkuse as main transcriptc.707T>C p.Val236Ala missense_variant 1/16 NM_000683.4 ENSP00000386069.2 P18825
ADRA2CENST00000509482.1 linkuse as main transcriptc.707T>C p.Val236Ala missense_variant 1/23 ENSP00000426268.1 D6RGL0

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
AF:
6.97e-7
AC:
1
AN:
1434616
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
711172
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:
9.09e-7
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
33

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 GeneticsNov 07, 2022The c.707T>C (p.V236A) alteration is located in exon 1 (coding exon 1) of the ADRA2C gene. This alteration results from a T to C substitution at nucleotide position 707, causing the valine (V) at amino acid position 236 to be replaced by an alanine (A). 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
Pathogenic
0.81
BayesDel_addAF
Benign
-0.081
T
BayesDel_noAF
Benign
-0.35
CADD
Uncertain
25
DANN
Uncertain
1.0
DEOGEN2
Benign
0.37
.;T
Eigen
Uncertain
0.42
Eigen_PC
Uncertain
0.39
FATHMM_MKL
Uncertain
0.93
D
LIST_S2
Uncertain
0.92
D;D
M_CAP
Benign
0.0050
T
MetaRNN
Uncertain
0.43
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
1.6
.;L
PrimateAI
Pathogenic
0.95
D
PROVEAN
Uncertain
-3.6
D;D
REVEL
Benign
0.28
Sift
Pathogenic
0.0
D;T
Sift4G
Pathogenic
0.0010
D;T
Polyphen
1.0
D;D
Vest4
0.40
MutPred
0.55
Loss of stability (P = 0.0029);Loss of stability (P = 0.0029);
MVP
0.52
ClinPred
0.99
D
GERP RS
3.9
Varity_R
0.27
gMVP
0.75

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: chr4-3769040; API