4-70601418-T-C

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_016519.6(AMBN):ā€‹c.295T>Cā€‹(p.Tyr99His) variant causes a missense, splice region change. The variant allele was found at a frequency of 0.00018 in 1,613,512 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. 3/3 splice prediction tools predict no significant impact on normal splicing. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00012 ( 0 hom., cov: 33)
Exomes š‘“: 0.00019 ( 0 hom. )

Consequence

AMBN
NM_016519.6 missense, splice_region

Scores

5
6
8
Splicing: ADA: 0.8990
2

Clinical Significance

Uncertain significance criteria provided, single submitter P:1U:1

Conservation

PhyloP100: 4.03
Variant links:
Genes affected
AMBN (HGNC:452): (ameloblastin) This gene encodes the nonamelogenin enamel matrix protein ameloblastin. The encoded protein may be important in enamel matrix formation and mineralization. This gene is located in the calcium-binding phosphoprotein gene cluster on chromosome 4. Mutations in this gene may be associated with dentinogenesis imperfect and autosomal dominant amylogenesis imperfect. [provided by RefSeq, Aug 2011]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.751

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
AMBNNM_016519.6 linkc.295T>C p.Tyr99His missense_variant, splice_region_variant 6/13 ENST00000322937.10 NP_057603.1 Q9NP70-1Q546D7

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
AMBNENST00000322937.10 linkc.295T>C p.Tyr99His missense_variant, splice_region_variant 6/131 NM_016519.6 ENSP00000313809.6 Q9NP70-1
AMBNENST00000449493.2 linkc.295-45T>C intron_variant 5 ENSP00000391234.2 Q9NP70-2

Frequencies

GnomAD3 genomes
AF:
0.000125
AC:
19
AN:
152212
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000482
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:
0.000250
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.0000880
AC:
22
AN:
250040
Hom.:
0
AF XY:
0.0000888
AC XY:
12
AN XY:
135130
show subpopulations
Gnomad AFR exome
AF:
0.0000615
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:
0.000187
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.000186
AC:
272
AN:
1461300
Hom.:
0
Cov.:
31
AF XY:
0.000188
AC XY:
137
AN XY:
727006
show subpopulations
Gnomad4 AFR exome
AF:
0.0000897
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:
0.0000187
Gnomad4 NFE exome
AF:
0.000229
Gnomad4 OTH exome
AF:
0.000232
GnomAD4 genome
AF:
0.000125
AC:
19
AN:
152212
Hom.:
0
Cov.:
33
AF XY:
0.0000807
AC XY:
6
AN XY:
74370
show subpopulations
Gnomad4 AFR
AF:
0.0000482
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:
0.000250
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000133
Hom.:
0
Bravo
AF:
0.000147
TwinsUK
AF:
0.000539
AC:
2
ALSPAC
AF:
0.000259
AC:
1
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.000698
AC:
6
ExAC
AF:
0.0000824
AC:
10
EpiCase
AF:
0.000109
EpiControl
AF:
0.000119

ClinVar

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

Submissions by phenotype

Amelogenesis imperfecta type 1F Pathogenic:1
Likely pathogenic, no assertion criteria providedresearchLeeds Amelogenesis Imperfecta Research Group, University of LeedsMay 04, 2023- -
not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsDec 15, 2023The c.295T>C (p.Y99H) alteration is located in exon 6 (coding exon 6) of the AMBN gene. This alteration results from a T to C substitution at nucleotide position 295, causing the tyrosine (Y) at amino acid position 99 to be replaced by a histidine (H). 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
0.88
BayesDel_addAF
Benign
-0.025
T
BayesDel_noAF
Uncertain
-0.010
CADD
Pathogenic
29
DANN
Uncertain
1.0
DEOGEN2
Benign
0.27
T;.
Eigen
Uncertain
0.68
Eigen_PC
Pathogenic
0.67
FATHMM_MKL
Uncertain
0.78
D
LIST_S2
Benign
0.76
T;T
M_CAP
Benign
0.027
D
MetaRNN
Pathogenic
0.75
D;D
MetaSVM
Benign
-0.79
T
MutationAssessor
Benign
1.6
L;.
PrimateAI
Pathogenic
0.81
D
PROVEAN
Uncertain
-2.6
D;.
REVEL
Uncertain
0.34
Sift
Pathogenic
0.0
D;.
Sift4G
Benign
0.087
T;T
Polyphen
1.0
D;.
Vest4
0.78
MVP
0.64
MPC
0.41
ClinPred
0.36
T
GERP RS
5.7
BranchPoint Hunter
0.0
Varity_R
0.60
gMVP
0.49

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.90
dbscSNV1_RF
Benign
0.59
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: rs148944860; hg19: chr4-71467135; API