NM_000212.3:c.176T>C

Variant summary

Our verdict is Benign. The variant received -14 ACMG points: 0P and 14B. BS3BP2BP4BA1

This summary comes from the ClinGen Evidence Repository: The ITGB3 c.176T>C (p.Leu59Pro) missense variant has been reported many times in the literature as an alloantigenic site. This variant has been observed in cis with several other Glanzmann thrombasthenia variants, including the pathogenic c.224del frameshift variant (PMID:25728920). It is present in gnomAD at an overall allele frequency of 0.1223 (and 0.1550 in the non-Finnish European population). Computational evidence suggest no impact on the gene/gene product, with a REVEL score of 0.217. Functional studies in CHO cells have shown no deleterious effect on surface expression or fibrinogen binding (PMID:10727448). In summary, this variant meets criteria to be classified as benign for GT. GT-specific criteria applied: BA1, BS3, BP2, BP4. LINK:https://erepo.genome.network/evrepo/ui/classification/CA123235/MONDO:0010119/011

Frequency

Genomes: 𝑓 0.13 ( 1387 hom., cov: 32)
Exomes 𝑓: 0.14 ( 15584 hom. )

Consequence

ITGB3
NM_000212.3 missense

Scores

1
16

Clinical Significance

Benign reviewed by expert panel B:8

Conservation

PhyloP100: -1.35

Publications

329 publications found
Variant links:
Genes affected
ITGB3 (HGNC:6156): (integrin subunit beta 3) The ITGB3 protein product is the integrin beta chain beta 3. Integrins are integral cell-surface proteins composed of an alpha chain and a beta chain. A given chain may combine with multiple partners resulting in different integrins. Integrin beta 3 is found along with the alpha IIb chain in platelets. Integrins are known to participate in cell adhesion as well as cell-surface mediated signalling. [provided by RefSeq, Jul 2008]
EFCAB13-DT (HGNC:55338): (EFCAB13 divergent transcript)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -14 ACMG points.

BP2
For more information check the summary or visit ClinGen Evidence Repository.
BP4
For more information check the summary or visit ClinGen Evidence Repository.
BS3
For more information check the summary or visit ClinGen Evidence Repository.
BA1
For more information check the summary or visit ClinGen Evidence Repository.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ITGB3NM_000212.3 linkc.176T>C p.Leu59Pro missense_variant Exon 3 of 15 ENST00000559488.7 NP_000203.2 P05106-1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ITGB3ENST00000559488.7 linkc.176T>C p.Leu59Pro missense_variant Exon 3 of 15 1 NM_000212.3 ENSP00000452786.2 P05106-1
ENSG00000259753ENST00000560629.1 linkn.140T>C non_coding_transcript_exon_variant Exon 3 of 18 2 ENSP00000456711.2 H3BM21

Frequencies

GnomAD3 genomes
AF:
0.128
AC:
19456
AN:
152154
Hom.:
1387
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.105
Gnomad AMI
AF:
0.149
Gnomad AMR
AF:
0.103
Gnomad ASJ
AF:
0.144
Gnomad EAS
AF:
0.00634
Gnomad SAS
AF:
0.0998
Gnomad FIN
AF:
0.133
Gnomad MID
AF:
0.142
Gnomad NFE
AF:
0.156
Gnomad OTH
AF:
0.142
GnomAD2 exomes
AF:
0.121
AC:
30400
AN:
251122
AF XY:
0.123
show subpopulations
Gnomad AFR exome
AF:
0.106
Gnomad AMR exome
AF:
0.0767
Gnomad ASJ exome
AF:
0.157
Gnomad EAS exome
AF:
0.00277
Gnomad FIN exome
AF:
0.145
Gnomad NFE exome
AF:
0.154
Gnomad OTH exome
AF:
0.133
GnomAD4 exome
AF:
0.141
AC:
206046
AN:
1461664
Hom.:
15584
Cov.:
34
AF XY:
0.140
AC XY:
101833
AN XY:
727142
show subpopulations
African (AFR)
AF:
0.108
AC:
3612
AN:
33478
American (AMR)
AF:
0.0797
AC:
3564
AN:
44722
Ashkenazi Jewish (ASJ)
AF:
0.155
AC:
4052
AN:
26130
East Asian (EAS)
AF:
0.00338
AC:
134
AN:
39700
South Asian (SAS)
AF:
0.0962
AC:
8296
AN:
86252
European-Finnish (FIN)
AF:
0.144
AC:
7712
AN:
53400
Middle Eastern (MID)
AF:
0.150
AC:
868
AN:
5768
European-Non Finnish (NFE)
AF:
0.153
AC:
169759
AN:
1111820
Other (OTH)
AF:
0.133
AC:
8049
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.470
Heterozygous variant carriers
0
10317
20633
30950
41266
51583
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
5888
11776
17664
23552
29440
<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:
0.128
AC:
19457
AN:
152272
Hom.:
1387
Cov.:
32
AF XY:
0.125
AC XY:
9315
AN XY:
74446
show subpopulations
African (AFR)
AF:
0.105
AC:
4372
AN:
41538
American (AMR)
AF:
0.102
AC:
1566
AN:
15306
Ashkenazi Jewish (ASJ)
AF:
0.144
AC:
498
AN:
3468
East Asian (EAS)
AF:
0.00674
AC:
35
AN:
5194
South Asian (SAS)
AF:
0.0990
AC:
478
AN:
4826
European-Finnish (FIN)
AF:
0.133
AC:
1414
AN:
10608
Middle Eastern (MID)
AF:
0.143
AC:
42
AN:
294
European-Non Finnish (NFE)
AF:
0.156
AC:
10619
AN:
68016
Other (OTH)
AF:
0.141
AC:
297
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
875
1750
2625
3500
4375
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
224
448
672
896
1120
<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:
0.144
Hom.:
7301
Bravo
AF:
0.124
TwinsUK
AF:
0.157
AC:
583
ALSPAC
AF:
0.150
AC:
580
ESP6500AA
AF:
0.107
AC:
470
ESP6500EA
AF:
0.152
AC:
1305
ExAC
AF:
0.123
AC:
14952
Asia WGS
AF:
0.0640
AC:
225
AN:
3478
EpiCase
AF:
0.152
EpiControl
AF:
0.161

ClinVar

Significance: Benign
Submissions summary: Benign:8
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

not provided Benign:3
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jun 10, 2021
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 29462793, 29965811, 29038237, 29117201, 11723016, 2565345, 18657307, 22133274, 23155369, 20472470, 10727448, 15826939, 11028489, 24720773, 21919778, 21109038, 21813062, 19245802, 19388931, 18214290, 15609125, 19530321, 10195947, 21353223, 18836720, 21241403) -

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

- -

Glanzmann thrombasthenia Benign:2
Jun 18, 2020
ClinGen Platelet Disorders Variant Curation Expert Panel, ClinGen
Significance:Benign
Review Status:reviewed by expert panel
Collection Method:curation

The ITGB3 c.176T>C (p.Leu59Pro) missense variant has been reported many times in the literature as an alloantigenic site. This variant has been observed in cis with several other Glanzmann thrombasthenia variants, including the pathogenic c.224del frameshift variant (PMID: 25728920). It is present in gnomAD at an overall allele frequency of 0.1223 (and 0.1550 in the non-Finnish European population). Computational evidence suggest no impact on the gene/gene product, with a REVEL score of 0.217. Functional studies in CHO cells have shown no deleterious effect on surface expression or fibrinogen binding (PMID: 10727448). In summary, this variant meets criteria to be classified as benign for GT. GT-specific criteria applied: BA1, BS3, BP2, BP4. -

Mar 06, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

not specified Benign:2
May 31, 2017
Institute for Genomic Medicine (IGM) Clinical Laboratory, Nationwide Children's Hospital
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

BA1, BP4, BP6; This alteration has an allele frequency that is greater than 5% healthy populations (ExAC/gnomAD), is predicted to be tolerated by multiple functional prediction tools, and was reported as a benign/likely benign alteration by a reputable source (ClinVar or other correspondence from a clinical testing laboratory). -

-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

PL(A1)/(A2) ALLOANTIGEN POLYMORPHISM Benign:1
Jan 01, 2007
OMIM
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.046
BayesDel_addAF
Benign
-0.55
T
BayesDel_noAF
Benign
-0.42
CADD
Benign
1.1
DANN
Benign
0.42
DEOGEN2
Uncertain
0.47
T;.
Eigen
Benign
-1.9
Eigen_PC
Benign
-2.1
FATHMM_MKL
Benign
0.020
N
LIST_S2
Benign
0.034
T;T
MetaRNN
Benign
0.0016
T;T
MetaSVM
Benign
-0.90
T
MutationAssessor
Benign
0.20
N;.
PhyloP100
-1.3
PrimateAI
Benign
0.25
T
PROVEAN
Benign
0.63
N;.
Sift
Benign
0.32
T;.
Sift4G
Benign
0.27
T;T
Polyphen
0.0030
B;.
Vest4
0.073
MPC
0.66
ClinPred
0.015
T
GERP RS
-12
Varity_R
0.15
gMVP
0.80
Mutation Taster
=94/6
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: rs5918; hg19: chr17-45360730; COSMIC: COSV71383764; COSMIC: COSV71383764; API