6-43781058-C-G

Variant names:

• chr6-43781058-C-G
• rs3025018
• NM_003376.6:c.1034+255C>G

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_003376.6(VEGFA):​c.1034+255C>G variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0696 in 848,848 control chromosomes in the GnomAD database, including 2,512 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: 𝑓 0.063 (439 hom., cov: 33)
  • Exomes 𝑓: 0.071 (2073 hom.)
• Consequence: VEGFA NM_003376.6 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: 1.48
• Publications: 6 publications found

Genes affected

VEGFA (HGNC:12680): (vascular endothelial growth factor A) This gene is a member of the PDGF/VEGF growth factor family. It encodes a heparin-binding protein, which exists as a disulfide-linked homodimer. This growth factor induces proliferation and migration of vascular endothelial cells, and is essential for both physiological and pathological angiogenesis. Disruption of this gene in mice resulted in abnormal embryonic blood vessel formation. This gene is upregulated in many known tumors and its expression is correlated with tumor stage and progression. Elevated levels of this protein are found in patients with POEMS syndrome, also known as Crow-Fukase syndrome. Allelic variants of this gene have been associated with microvascular complications of diabetes 1 (MVCD1) and atherosclerosis. Alternatively spliced transcript variants encoding different isoforms have been described. There is also evidence for alternative translation initiation from upstream non-AUG (CUG) codons resulting in additional isoforms. A recent study showed that a C-terminally extended isoform is produced by use of an alternative in-frame translation termination codon via a stop codon readthrough mechanism, and that this isoform is antiangiogenic. Expression of some isoforms derived from the AUG start codon is regulated by a small upstream open reading frame, which is located within an internal ribosome entry site. The levels of VEGF are increased during infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), thus promoting inflammation by facilitating recruitment of inflammatory cells, and by increasing the level of angiopoietin II (Ang II), one of two products of the SARS-CoV-2 binding target, angiotensin-converting enzyme 2 (ACE2). In turn, Ang II facilitates the elevation of VEGF, thus forming a vicious cycle in the release of inflammatory cytokines. [provided by RefSeq, Jun 2020]

VEGFA Gene-Disease associations (from GenCC):

• congenital heart disease

  Inheritance: AD Classification: LIMITED Submitted by: ClinGen

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.48).
• BA1: GnomAd4 highest subpopulation (EAS) allele frequency at 95% confidence interval = 0.123 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_003376.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	VEGFA	NM_003376.6	MANE Select	c.1034+255C>G		intron	N/A	NP_003367.4
	VEGFA	NM_001025366.3		c.1085+204C>G		intron	N/A	NP_001020537.2	P15692-14
	VEGFA	NM_001025367.3		c.1016+273C>G		intron	N/A	NP_001020538.2	P15692-16

Ensembl Transcripts

Sel.	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	VEGFA	ENST00000672860.3	MANE Select	c.1034+255C>G		intron	N/A	ENSP00000500082.3	P15692-13
	VEGFA	ENST00000372055.9	TSL:1	c.1085+204C>G		intron	N/A	ENSP00000361125.5	P15692-14
	VEGFA	ENST00000425836.9	TSL:1	c.963-898C>G		intron	N/A	ENSP00000388465.4	A0A0A0MSH5

Frequencies

GnomAD3 genomes AF: 0.0628 AC: 9552 AN: 152012 Hom.: 439 Cov.: 33

Gnomad AFR AF: 0.0163

Gnomad AMI AF: 0.0351

Gnomad AMR AF: 0.0501

Gnomad ASJ AF: 0.0259

Gnomad EAS AF: 0.130

Gnomad SAS AF: 0.0797

Gnomad FIN AF: 0.133

Gnomad MID AF: 0.0510

Gnomad NFE AF: 0.0792

Gnomad OTH AF: 0.0594

GnomAD4 exome AF: 0.0711 AC: 49548 AN: 696718 Hom.: 2073 Cov.: 9 AF XY: 0.0709 AC XY: 25199 AN XY: 355614

African (AFR) AF: 0.0152 AC: 266 AN: 17460

American (AMR) AF: 0.0372 AC: 901 AN: 24192

Ashkenazi Jewish (ASJ) AF: 0.0253 AC: 406 AN: 16030

East Asian (EAS) AF: 0.0760 AC: 2404 AN: 31630

South Asian (SAS) AF: 0.0709 AC: 3786 AN: 53436

European-Finnish (FIN) AF: 0.118 AC: 3497 AN: 29634

Middle Eastern (MID) AF: 0.0289 AC: 72 AN: 2490

European-Non Finnish (NFE) AF: 0.0736 AC: 35896 AN: 487742

Other (OTH) AF: 0.0680 AC: 2320 AN: 34104

GnomAD4 genome AF: 0.0628 AC: 9552 AN: 152130 Hom.: 439 Cov.: 33 AF XY: 0.0653 AC XY: 4856 AN XY: 74376

African (AFR) AF: 0.0163 AC: 678 AN: 41484

American (AMR) AF: 0.0501 AC: 767 AN: 15298

Ashkenazi Jewish (ASJ) AF: 0.0259 AC: 90 AN: 3472

East Asian (EAS) AF: 0.131 AC: 675 AN: 5166

South Asian (SAS) AF: 0.0789 AC: 381 AN: 4826

European-Finnish (FIN) AF: 0.133 AC: 1406 AN: 10592

Middle Eastern (MID) AF: 0.0479 AC: 14 AN: 292

European-Non Finnish (NFE) AF: 0.0792 AC: 5382 AN: 67978

Other (OTH) AF: 0.0602 AC: 127 AN: 2110

Alfa AF: 0.0141 Hom.: 268

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.48
CADD	Benign	13
DANN	Benign	0.66
PhyloP100		1.5
RBP_binding_hub_radar		0.92
RBP_regulation_power_radar		2.2
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs3025018; hg19: chr6-43748795;