9-133445796-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_139027.6(ADAMTS13):​c.2708C>T​(p.Ser903Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00138 in 1,590,318 control chromosomes in the GnomAD database, including 46 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 Likely benign (★★).

Frequency

Genomes: 𝑓 0.0016 ( 5 hom., cov: 33)
Exomes 𝑓: 0.0014 ( 41 hom. )

Consequence

ADAMTS13
NM_139027.6 missense

Scores

18

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:6

Conservation

PhyloP100: 0.625
Variant links:
Genes affected
ADAMTS13 (HGNC:1366): (ADAM metallopeptidase with thrombospondin type 1 motif 13) This gene encodes a member of a family of proteins containing several distinct regions, including a metalloproteinase domain, a disintegrin-like domain, and a thrombospondin type 1 (TS) motif. The enzyme encoded by this gene specifically cleaves von Willebrand Factor (vWF). Defects in this gene are associated with thrombotic thrombocytopenic purpura. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012989759).
BP6
Variant 9-133445796-C-T is Benign according to our data. Variant chr9-133445796-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 365555.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-133445796-C-T is described in Lovd as [Benign]. Variant chr9-133445796-C-T is described in Lovd as [Likely_benign].
BS1
Variant frequency is greater than expected in population eas. gnomad4 allele frequency = 0.00156 (238/152232) while in subpopulation EAS AF= 0.0424 (219/5162). AF 95% confidence interval is 0.0378. There are 5 homozygotes in gnomad4. There are 145 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 5 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADAMTS13NM_139027.6 linkuse as main transcriptc.2708C>T p.Ser903Leu missense_variant 21/29 ENST00000355699.7 NP_620596.2 Q76LX8-2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADAMTS13ENST00000355699.7 linkuse as main transcriptc.2708C>T p.Ser903Leu missense_variant 21/291 NM_139027.6 ENSP00000347927.2 Q76LX8-2

Frequencies

GnomAD3 genomes
AF:
0.00156
AC:
238
AN:
152110
Hom.:
5
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.0000483
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000131
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.0423
Gnomad SAS
AF:
0.00104
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000882
Gnomad OTH
AF:
0.000956
GnomAD3 exomes
AF:
0.00355
AC:
855
AN:
240894
Hom.:
23
AF XY:
0.00323
AC XY:
422
AN XY:
130732
show subpopulations
Gnomad AFR exome
AF:
0.0000625
Gnomad AMR exome
AF:
0.000118
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0449
Gnomad SAS exome
AF:
0.000886
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00000934
Gnomad OTH exome
AF:
0.000509
GnomAD4 exome
AF:
0.00136
AC:
1956
AN:
1438086
Hom.:
41
Cov.:
32
AF XY:
0.00133
AC XY:
946
AN XY:
710674
show subpopulations
Gnomad4 AFR exome
AF:
0.0000604
Gnomad4 AMR exome
AF:
0.0000912
Gnomad4 ASJ exome
AF:
0.0000393
Gnomad4 EAS exome
AF:
0.0445
Gnomad4 SAS exome
AF:
0.000930
Gnomad4 FIN exome
AF:
0.0000384
Gnomad4 NFE exome
AF:
0.0000265
Gnomad4 OTH exome
AF:
0.00164
GnomAD4 genome
AF:
0.00156
AC:
238
AN:
152232
Hom.:
5
Cov.:
33
AF XY:
0.00195
AC XY:
145
AN XY:
74440
show subpopulations
Gnomad4 AFR
AF:
0.0000481
Gnomad4 AMR
AF:
0.000131
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.0424
Gnomad4 SAS
AF:
0.00104
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.000946
Alfa
AF:
0.000204
Hom.:
0
Bravo
AF:
0.00177
ESP6500AA
AF:
0.000227
AC:
1
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00339
AC:
411
Asia WGS
AF:
0.00982
AC:
34
AN:
3478

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Upshaw-Schulman syndrome Benign:4
Likely benign, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsMay 25, 2022- -
Benign, criteria provided, single submitterclinical testingMendelicsMay 28, 2019- -
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJun 14, 2016- -
Likely benign, criteria provided, single submitterclinical testingGenetic Services Laboratory, University of ChicagoAug 16, 2016- -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 12, 2024- -
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2023ADAMTS13: BP4, BS1, BS2 -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.076
BayesDel_addAF
Benign
-0.57
T
BayesDel_noAF
Benign
-0.57
CADD
Benign
8.2
DANN
Benign
0.96
DEOGEN2
Benign
0.13
T;.;.
Eigen
Benign
-1.2
Eigen_PC
Benign
-1.2
FATHMM_MKL
Benign
0.048
N
LIST_S2
Benign
0.27
T;T;T
MetaRNN
Benign
0.013
T;T;T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
-0.92
N;N;.
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.83
N;N;N
REVEL
Benign
0.15
Sift
Benign
0.081
T;T;T
Sift4G
Benign
0.36
T;T;.
Polyphen
0.0
B;B;B
Vest4
0.62
MVP
0.55
MPC
0.30
ClinPred
0.0046
T
GERP RS
0.16
Varity_R
0.056
gMVP
0.35

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.080
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: rs78977446; hg19: chr9-136310917; COSMIC: COSV63020528; API