5-65188199-C-G

Variant summary

Our verdict is Likely benign. Variant got -5 ACMG points: 1P and 6B. PP2BP4_ModerateBS2

The NM_197941.4(ADAMTS6):ā€‹c.2727G>Cā€‹(p.Leu909Phe) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000566 in 1,613,846 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 15/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (ā˜…).

Frequency

Genomes: š‘“ 0.00026 ( 0 hom., cov: 32)
Exomes š‘“: 0.00060 ( 0 hom. )

Consequence

ADAMTS6
NM_197941.4 missense

Scores

4
15

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: -0.268
Variant links:
Genes affected
ADAMTS6 (HGNC:222): (ADAM metallopeptidase with thrombospondin type 1 motif 6) This gene encodes a member of the ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs) protein family. Members of the family share several distinct protein modules, including a propeptide region, a metalloproteinase domain, a disintegrin-like domain, and a thrombospondin type 1 (TS) motif. Individual members of this family differ in the number of C-terminal TS motifs, and some have unique C-terminal domains. The encoded preproprotein is proteolytically processed to generate the mature enzyme. Expression of this gene may be regulated by the cytokine TNF-alpha. [provided by RefSeq, Mar 2016]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -5 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), ADAMTS6. . Gene score misZ 3.088 (greater than the threshold 3.09). Trascript score misZ 4.203 (greater than threshold 3.09). GenCC has associacion of gene with Tourette syndrome.
BP4
Computational evidence support a benign effect (MetaRNN=0.07230973).
BS2
High AC in GnomAd4 at 39 AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADAMTS6NM_197941.4 linkuse as main transcriptc.2727G>C p.Leu909Phe missense_variant 22/25 ENST00000381055.8 NP_922932.2 Q9UKP5-1Q5IR90

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADAMTS6ENST00000381055.8 linkuse as main transcriptc.2727G>C p.Leu909Phe missense_variant 22/251 NM_197941.4 ENSP00000370443.3 Q9UKP5-1

Frequencies

GnomAD3 genomes
AF:
0.000256
AC:
39
AN:
152188
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000241
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.000189
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000382
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.000239
AC:
60
AN:
250740
Hom.:
0
AF XY:
0.000244
AC XY:
33
AN XY:
135512
show subpopulations
Gnomad AFR exome
AF:
0.000308
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:
0.0000464
Gnomad NFE exome
AF:
0.000450
Gnomad OTH exome
AF:
0.000491
GnomAD4 exome
AF:
0.000598
AC:
874
AN:
1461658
Hom.:
0
Cov.:
31
AF XY:
0.000551
AC XY:
401
AN XY:
727140
show subpopulations
Gnomad4 AFR exome
AF:
0.000120
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.0000383
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.0000188
Gnomad4 NFE exome
AF:
0.000761
Gnomad4 OTH exome
AF:
0.000364
GnomAD4 genome
AF:
0.000256
AC:
39
AN:
152188
Hom.:
0
Cov.:
32
AF XY:
0.000215
AC XY:
16
AN XY:
74350
show subpopulations
Gnomad4 AFR
AF:
0.000241
Gnomad4 AMR
AF:
0.0000654
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.000189
Gnomad4 NFE
AF:
0.000382
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.000427
Hom.:
0
Bravo
AF:
0.000314
TwinsUK
AF:
0.000809
AC:
3
ALSPAC
AF:
0.00182
AC:
7
ESP6500AA
AF:
0.000454
AC:
2
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000239
AC:
29
EpiCase
AF:
0.000382
EpiControl
AF:
0.000237

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 GeneticsOct 26, 2022The c.2727G>C (p.L909F) alteration is located in exon 22 (coding exon 21) of the ADAMTS6 gene. This alteration results from a G to C substitution at nucleotide position 2727, causing the leucine (L) at amino acid position 909 to be replaced by a phenylalanine (F). 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
0.090
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.44
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.030
T
Eigen
Benign
-0.25
Eigen_PC
Benign
-0.092
FATHMM_MKL
Benign
0.71
D
LIST_S2
Uncertain
0.90
D
M_CAP
Benign
0.010
T
MetaRNN
Benign
0.072
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.83
L
PrimateAI
Benign
0.47
T
PROVEAN
Benign
-0.44
N
REVEL
Benign
0.11
Sift
Uncertain
0.0040
D
Sift4G
Uncertain
0.0040
D
Polyphen
0.056
B
Vest4
0.33
MutPred
0.36
Loss of ubiquitination at K913 (P = 0.1016);
MVP
0.18
MPC
0.77
ClinPred
0.089
T
GERP RS
4.5
Varity_R
0.23
gMVP
0.21

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: rs143410831; hg19: chr5-64484026; API