NM_000033.4:c.901-16C>T

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000033.4(ABCD1):​c.901-16C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0112 in 1,210,356 control chromosomes in the GnomAD database, including 87 homozygotes. There are 4,322 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0081 ( 5 hom., 252 hem., cov: 23)
Exomes 𝑓: 0.012 ( 82 hom. 4070 hem. )

Consequence

ABCD1
NM_000033.4 intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:8

Conservation

PhyloP100: 0.0110

Publications

0 publications found
Variant links:
Genes affected
ABCD1 (HGNC:61): (ATP binding cassette subfamily D member 1) The 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 intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ALD subfamily, which is involved in peroxisomal import of fatty acids and/or fatty acyl-CoAs in the organelle. All known peroxisomal ABC transporters are half transporters which require a partner half transporter molecule to form a functional homodimeric or heterodimeric transporter. This peroxisomal membrane protein is likely involved in the peroxisomal transport or catabolism of very long chain fatty acids. Defects in this gene have been identified as the underlying cause of adrenoleukodystrophy, an X-chromosome recessively inherited demyelinating disorder of the nervous system. [provided by RefSeq, Jul 2008]
ABCD1 Gene-Disease associations (from GenCC):
  • adrenoleukodystrophy
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P
  • X-linked cerebral adrenoleukodystrophy
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, Orphanet
  • hereditary spastic paraplegia
    Inheritance: XL Classification: STRONG Submitted by: Genomics England PanelApp
  • Hirschsprung disease
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • adrenomyeloneuropathy
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (BayesDel_noAF=-0.82).
BP6
Variant X-153729216-C-T is Benign according to our data. Variant chrX-153729216-C-T is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 92329.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.0081 (913/112729) while in subpopulation NFE AF = 0.0131 (698/53238). AF 95% confidence interval is 0.0123. There are 5 homozygotes in GnomAd4. There are 252 alleles in the male GnomAd4 subpopulation. Median coverage is 23. This position passed quality control check.
BS2
High AC in GnomAd4 at 913 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCD1NM_000033.4 linkc.901-16C>T intron_variant Intron 1 of 9 ENST00000218104.6 NP_000024.2 P33897
ABCD1NM_001440747.1 linkc.901-16C>T intron_variant Intron 1 of 10 NP_001427676.1
ABCD1XM_047441917.1 linkc.901-16C>T intron_variant Intron 1 of 7 XP_047297873.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCD1ENST00000218104.6 linkc.901-16C>T intron_variant Intron 1 of 9 1 NM_000033.4 ENSP00000218104.3 P33897
ABCD1ENST00000370129.4 linkc.346-16C>T intron_variant Intron 1 of 1 2 ENSP00000359147.3 A6NEP8

Frequencies

GnomAD3 genomes
AF:
0.00809
AC:
912
AN:
112675
Hom.:
5
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.00171
Gnomad AMI
AF:
0.0501
Gnomad AMR
AF:
0.00317
Gnomad ASJ
AF:
0.00714
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000361
Gnomad FIN
AF:
0.00995
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0131
Gnomad OTH
AF:
0.00790
GnomAD2 exomes
AF:
0.00765
AC:
1395
AN:
182246
AF XY:
0.00734
show subpopulations
Gnomad AFR exome
AF:
0.00190
Gnomad AMR exome
AF:
0.00201
Gnomad ASJ exome
AF:
0.00589
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0106
Gnomad NFE exome
AF:
0.0131
Gnomad OTH exome
AF:
0.00687
GnomAD4 exome
AF:
0.0115
AC:
12676
AN:
1097627
Hom.:
82
Cov.:
31
AF XY:
0.0112
AC XY:
4070
AN XY:
363051
show subpopulations
African (AFR)
AF:
0.00189
AC:
50
AN:
26394
American (AMR)
AF:
0.00233
AC:
82
AN:
35203
Ashkenazi Jewish (ASJ)
AF:
0.00738
AC:
143
AN:
19384
East Asian (EAS)
AF:
0.0000331
AC:
1
AN:
30203
South Asian (SAS)
AF:
0.000702
AC:
38
AN:
54128
European-Finnish (FIN)
AF:
0.0111
AC:
446
AN:
40284
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4129
European-Non Finnish (NFE)
AF:
0.0137
AC:
11501
AN:
841816
Other (OTH)
AF:
0.00900
AC:
415
AN:
46086
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.462
Heterozygous variant carriers
0
450
899
1349
1798
2248
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
442
884
1326
1768
2210
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.00810
AC:
913
AN:
112729
Hom.:
5
Cov.:
23
AF XY:
0.00723
AC XY:
252
AN XY:
34865
show subpopulations
African (AFR)
AF:
0.00170
AC:
53
AN:
31091
American (AMR)
AF:
0.00317
AC:
34
AN:
10740
Ashkenazi Jewish (ASJ)
AF:
0.00714
AC:
19
AN:
2660
East Asian (EAS)
AF:
0.00
AC:
0
AN:
3576
South Asian (SAS)
AF:
0.000362
AC:
1
AN:
2759
European-Finnish (FIN)
AF:
0.00995
AC:
62
AN:
6229
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
219
European-Non Finnish (NFE)
AF:
0.0131
AC:
698
AN:
53238
Other (OTH)
AF:
0.00780
AC:
12
AN:
1538
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
35
70
104
139
174
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
10
20
30
40
50
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.0102
Hom.:
81
Bravo
AF:
0.00741

ClinVar

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

Submissions by phenotype

not specified Benign:3
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Sep 03, 2014
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Aug 03, 2017
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

Adrenoleukodystrophy Benign:3
Nov 07, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 02, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Nov 29, 2021
Fulgent Genetics, Fulgent Genetics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
-
Clinical Genetics, Academic Medical Center
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Laboratory of Diagnostic Genome Analysis, Leiden University Medical Center (LUMC)
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.82
CADD
Benign
4.8
DANN
Benign
0.74
PhyloP100
0.011
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

Publications

Other links and lift over

dbSNP: rs41302176; hg19: chrX-152994671; API