9-104858586-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_005502.4(ABCA1):​c.656G>A​(p.Arg219Lys) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.302 in 1,613,856 control chromosomes in the GnomAD database, including 80,178 homozygotes. In-silico tool predicts a benign outcome for this variant. 15/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★).

Frequency

Genomes: 𝑓 0.38 ( 13060 hom., cov: 33)
Exomes 𝑓: 0.29 ( 67118 hom. )

Consequence

ABCA1
NM_005502.4 missense

Scores

18

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.545
Variant links:
Genes affected
ABCA1 (HGNC:29): (ATP binding cassette subfamily A member 1) The membrane-associated protein encoded by this gene is a member of the superfamily of ATP-binding cassette (ABC) transporters. ABC proteins transport various molecules across extra- and intracellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ABC1 subfamily. Members of the ABC1 subfamily comprise the only major ABC subfamily found exclusively in multicellular eukaryotes. With cholesterol as its substrate, this protein functions as a cholesteral efflux pump in the cellular lipid removal pathway. Mutations in both alleles of this gene cause Tangier disease and familial high-density lipoprotein (HDL) deficiency. [provided by RefSeq, Sep 2019]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=1.2091895E-5).
BP6
Variant 9-104858586-C-T is Benign according to our data. Variant chr9-104858586-C-T is described in ClinVar as [Benign]. Clinvar id is 9506.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-104858586-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.619 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCA1NM_005502.4 linkc.656G>A p.Arg219Lys missense_variant Exon 7 of 50 ENST00000374736.8 NP_005493.2 O95477B7XCW9B2RUU2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCA1ENST00000374736.8 linkc.656G>A p.Arg219Lys missense_variant Exon 7 of 50 1 NM_005502.4 ENSP00000363868.3 O95477
ABCA1ENST00000678995.1 linkc.656G>A p.Arg219Lys missense_variant Exon 7 of 50 ENSP00000504612.1 A0A7I2V5U0
ABCA1ENST00000423487.6 linkc.656G>A p.Arg219Lys missense_variant Exon 7 of 8 2 ENSP00000416623.2 B1AMI2

Frequencies

GnomAD3 genomes
AF:
0.384
AC:
58319
AN:
151970
Hom.:
13020
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.625
Gnomad AMI
AF:
0.447
Gnomad AMR
AF:
0.346
Gnomad ASJ
AF:
0.276
Gnomad EAS
AF:
0.427
Gnomad SAS
AF:
0.373
Gnomad FIN
AF:
0.222
Gnomad MID
AF:
0.396
Gnomad NFE
AF:
0.273
Gnomad OTH
AF:
0.377
GnomAD3 exomes
AF:
0.324
AC:
81377
AN:
251448
Hom.:
14428
AF XY:
0.320
AC XY:
43473
AN XY:
135900
show subpopulations
Gnomad AFR exome
AF:
0.630
Gnomad AMR exome
AF:
0.325
Gnomad ASJ exome
AF:
0.281
Gnomad EAS exome
AF:
0.431
Gnomad SAS exome
AF:
0.368
Gnomad FIN exome
AF:
0.220
Gnomad NFE exome
AF:
0.274
Gnomad OTH exome
AF:
0.318
GnomAD4 exome
AF:
0.293
AC:
428401
AN:
1461766
Hom.:
67118
Cov.:
42
AF XY:
0.295
AC XY:
214422
AN XY:
727200
show subpopulations
Gnomad4 AFR exome
AF:
0.647
Gnomad4 AMR exome
AF:
0.328
Gnomad4 ASJ exome
AF:
0.281
Gnomad4 EAS exome
AF:
0.472
Gnomad4 SAS exome
AF:
0.368
Gnomad4 FIN exome
AF:
0.220
Gnomad4 NFE exome
AF:
0.271
Gnomad4 OTH exome
AF:
0.319
GnomAD4 genome
AF:
0.384
AC:
58426
AN:
152090
Hom.:
13060
Cov.:
33
AF XY:
0.382
AC XY:
28416
AN XY:
74352
show subpopulations
Gnomad4 AFR
AF:
0.626
Gnomad4 AMR
AF:
0.346
Gnomad4 ASJ
AF:
0.276
Gnomad4 EAS
AF:
0.427
Gnomad4 SAS
AF:
0.372
Gnomad4 FIN
AF:
0.222
Gnomad4 NFE
AF:
0.273
Gnomad4 OTH
AF:
0.382
Alfa
AF:
0.298
Hom.:
13809
Bravo
AF:
0.404
TwinsUK
AF:
0.259
AC:
959
ALSPAC
AF:
0.268
AC:
1032
ESP6500AA
AF:
0.606
AC:
2672
ESP6500EA
AF:
0.281
AC:
2420
ExAC
AF:
0.330
AC:
40042
Asia WGS
AF:
0.423
AC:
1471
AN:
3478
EpiCase
AF:
0.288
EpiControl
AF:
0.283

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
-
Breakthrough Genomics, Breakthrough Genomics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: not provided

- -

Aug 30, 2018
GeneDx
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant is associated with the following publications: (PMID: 20170916, 21310416, 18927311, 12700893, 21643759, 20797885, 20346718, 21300560, 18621447, 19304534, 17407076, 11238261, 24157307, 26243156, 31006134, 25104170, 24466114, 27560308) -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Tangier disease Benign:2
Jul 14, 2021
Genome-Nilou Lab
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

- -

Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). No publications were found based on this search. Allele frequency data from public databases was too high to be consistent with this variant causing disease. Therefore, this variant is classified as benign. -

Cardiovascular phenotype Benign:1
Dec 11, 2018
Ambry Genetics
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This alteration is classified as benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

RECLASSIFIED - ABCA1 POLYMORPHISM Benign:1
Jan 01, 2006
OMIM
Significance: Benign
Review Status: no assertion criteria provided
Collection Method: literature only

- -

Hypoalphalipoproteinemia, primary, 1 Benign:1
Apr 27, 2017
Illumina Laboratory Services, Illumina
Significance: Benign
Review Status: criteria provided, single submitter
Collection Method: clinical testing

This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.072
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.31
CADD
Benign
6.2
DANN
Benign
0.83
DEOGEN2
Benign
0.24
T;T
Eigen
Benign
-0.83
Eigen_PC
Benign
-0.72
FATHMM_MKL
Benign
0.14
N
LIST_S2
Benign
0.37
T;T
MetaRNN
Benign
0.000012
T;T
MetaSVM
Benign
-0.92
T
MutationAssessor
Benign
-0.11
N;.
PrimateAI
Benign
0.27
T
PROVEAN
Benign
0.010
N;N
REVEL
Benign
0.19
Sift
Benign
0.62
T;T
Sift4G
Benign
0.92
T;T
Polyphen
0.0
B;.
Vest4
0.041
MPC
0.18
ClinPred
0.00098
T
GERP RS
0.057
Varity_R
0.10
gMVP
0.089

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: rs2230806; hg19: chr9-107620867; COSMIC: COSV66057914; COSMIC: COSV66057914; API