Our verdict is Likely pathogenic. The variant received 7 ACMG points: 9P and 2B. PM1PM2PP2PP3_StrongBP6_Moderate
The NM_000053.4(ATP7B):c.2623G>A(p.Gly875Arg) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Benign (★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar. Synonymous variant affecting the same amino acid position (i.e. G875G) has been classified as Likely benign.
ATP7B (HGNC:870): (ATPase copper transporting beta) This gene is a member of the P-type cation transport ATPase family and encodes a protein with several membrane-spanning domains, an ATPase consensus sequence, a hinge domain, a phosphorylation site, and at least 2 putative copper-binding sites. This protein is a monomer, and functions as a copper-transporting ATPase which exports copper out of the cells, such as the efflux of hepatic copper into the bile. Alternate transcriptional splice variants, encoding different isoforms with distinct cellular localizations, have been characterized. Mutations in this gene have been associated with Wilson disease which is characterized by copper accumulation. [provided by RefSeq, Dec 2019]
ATP7B Gene-Disease associations (from GenCC):
Wilson disease
Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: ClinGen, Genomics England PanelApp, Orphanet, Labcorp Genetics (formerly Invitae)
Our verdict: Likely_pathogenic. The variant received 7 ACMG points.
PM1
In a hotspot region, there are 7 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 0 benign, 4 uncertain in NM_000053.4
PM2
Very rare variant in population databases, with high coverage;
PP2
Missense variant in the gene, where a lot of missense mutations are associated with disease in ClinVar. The gene has 198 curated pathogenic missense variants (we use a threshold of 10). The gene has 32 curated benign missense variants. Gene score misZ: -0.88091 (below the threshold of 3.09). Trascript score misZ: 0.82063 (below the threshold of 3.09). GenCC associations: The gene is linked to Wilson disease.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.958
BP6
Variant 13-51950114-C-T is Benign according to our data. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars. Variant chr13-51950114-C-T is described in CliVar as Benign. Clinvar id is 157940.Status of the report is criteria_provided_single_submitter, 1 stars.