4-3767444-C-T

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The NM_000683.4(ADRA2C):​c.838C>T​(p.Pro280Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000188 in 1,498,540 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.00012 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00020 ( 0 hom. )

Consequence

ADRA2C
NM_000683.4 missense

Scores

1
1
17

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 1.41
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]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.108457774).
BS2
High AC in GnomAd4 at 18 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADRA2CNM_000683.4 linkuse as main transcriptc.838C>T p.Pro280Ser 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.838C>T p.Pro280Ser missense_variant 1/16 NM_000683.4 ENSP00000386069.2 P18825
ADRA2CENST00000509482.1 linkuse as main transcriptc.838C>T p.Pro280Ser missense_variant 1/23 ENSP00000426268.1 D6RGL0

Frequencies

GnomAD3 genomes
AF:
0.000112
AC:
17
AN:
151204
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000484
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000221
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000546
AC:
5
AN:
91636
Hom.:
0
AF XY:
0.0000589
AC XY:
3
AN XY:
50968
show subpopulations
Gnomad AFR exome
AF:
0.000370
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000109
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000196
AC:
264
AN:
1347230
Hom.:
0
Cov.:
32
AF XY:
0.000190
AC XY:
126
AN XY:
663700
show subpopulations
Gnomad4 AFR exome
AF:
0.0000712
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:
0.000238
Gnomad4 OTH exome
AF:
0.000143
GnomAD4 genome
AF:
0.000119
AC:
18
AN:
151310
Hom.:
0
Cov.:
33
AF XY:
0.000135
AC XY:
10
AN XY:
73962
show subpopulations
Gnomad4 AFR
AF:
0.0000724
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000221
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000142
Hom.:
0
Bravo
AF:
0.000106

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 GeneticsApr 07, 2022The c.838C>T (p.P280S) alteration is located in exon 1 (coding exon 1) of the ADRA2C gene. This alteration results from a C to T substitution at nucleotide position 838, causing the proline (P) at amino acid position 280 to be replaced by a serine (S). 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
0.093
BayesDel_addAF
Benign
-0.34
T
BayesDel_noAF
Benign
-0.41
CADD
Benign
17
DANN
Uncertain
1.0
DEOGEN2
Benign
0.030
.;T
Eigen
Benign
-0.34
Eigen_PC
Benign
-0.17
FATHMM_MKL
Benign
0.68
D
LIST_S2
Benign
0.36
T;T
M_CAP
Benign
0.039
D
MetaRNN
Benign
0.11
T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.99
.;L
PrimateAI
Pathogenic
0.91
D
PROVEAN
Benign
0.13
N;N
REVEL
Benign
0.055
Sift
Benign
0.11
T;T
Sift4G
Benign
0.74
T;T
Polyphen
0.16
B;B
Vest4
0.10
MutPred
0.27
Loss of catalytic residue at P279 (P = 0.0516);Loss of catalytic residue at P279 (P = 0.0516);
MVP
0.54
ClinPred
0.048
T
GERP RS
4.1
Varity_R
0.10
gMVP
0.23

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: rs953574599; hg19: chr4-3769171; API