NM_014244.5:c.859G>A

Variant summary

Our verdict is Likely benign. The variant received -2 ACMG points: 0P and 2B. BP4_Moderate

The NM_014244.5(ADAMTS2):​c.859G>A​(p.Val287Ile) variant causes a missense change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.0000513 in 1,462,008 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. 13/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★★). Another nucleotide change resulting in the same amino acid substitution has been previously reported as Uncertain significance in ClinVar.

Frequency

Genomes: 𝑓 0.000048 ( 0 hom., cov: 29)
Exomes 𝑓: 0.000052 ( 0 hom. )

Consequence

ADAMTS2
NM_014244.5 missense

Scores

1
4
13

Clinical Significance

Uncertain significance criteria provided, multiple submitters, no conflicts U:4

Conservation

PhyloP100: 7.71

Publications

2 publications found
Variant links:
Genes affected
ADAMTS2 (HGNC:218): (ADAM metallopeptidase with thrombospondin type 1 motif 2) This gene encodes a member of the ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs) protein family. Members of the family share several distinct protein modules, including a propeptide region, a metalloproteinase domain, a disintegrin-like domain, and a thrombospondin type 1 (TS) motif. Individual members of this family differ in the number of C-terminal TS motifs, and some have unique C-terminal domains. The encoded preproprotein is proteolytically processed to generate the mature procollagen N-proteinase. This proteinase excises the N-propeptide of the fibrillar procollagens types I-III and type V. Mutations in this gene cause Ehlers-Danlos syndrome type VIIC, a recessively inherited connective-tissue disorder. Alternative splicing results in multiple transcript variants, at least one of which encodes an isoform that is proteolytically processed. [provided by RefSeq, Feb 2016]
ADAMTS2 Gene-Disease associations (from GenCC):
  • Ehlers-Danlos syndrome, dermatosparaxis type
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Genomics England PanelApp, Orphanet, G2P, PanelApp Australia, Illumina

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -2 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.21205601).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ADAMTS2NM_014244.5 linkc.859G>A p.Val287Ile missense_variant Exon 4 of 22 ENST00000251582.12 NP_055059.2
ADAMTS2NM_021599.4 linkc.859G>A p.Val287Ile missense_variant Exon 4 of 11 NP_067610.1
ADAMTS2XM_047417895.1 linkc.364G>A p.Val122Ile missense_variant Exon 3 of 21 XP_047273851.1
ADAMTS2XM_047417896.1 linkc.-24G>A 5_prime_UTR_variant Exon 2 of 20 XP_047273852.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ADAMTS2ENST00000251582.12 linkc.859G>A p.Val287Ile missense_variant Exon 4 of 22 1 NM_014244.5 ENSP00000251582.7
ADAMTS2ENST00000274609.5 linkc.859G>A p.Val287Ile missense_variant Exon 4 of 11 1 ENSP00000274609.5
ADAMTS2ENST00000518335.3 linkc.859G>A p.Val287Ile missense_variant Exon 4 of 21 3 ENSP00000489888.2
ADAMTS2ENST00000698889.1 linkn.859G>A non_coding_transcript_exon_variant Exon 4 of 21 ENSP00000514008.1

Frequencies

GnomAD3 genomes
AF:
0.0000479
AC:
7
AN:
146118
Hom.:
0
Cov.:
29
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.000295
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000235
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000753
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000757
AC:
19
AN:
251078
AF XY:
0.0000736
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.0000579
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.0000544
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000970
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
0.0000517
AC:
68
AN:
1315890
Hom.:
0
Cov.:
44
AF XY:
0.0000475
AC XY:
31
AN XY:
652998
show subpopulations
African (AFR)
AF:
0.0000346
AC:
1
AN:
28918
American (AMR)
AF:
0.0000503
AC:
2
AN:
39764
Ashkenazi Jewish (ASJ)
AF:
0.0000942
AC:
2
AN:
21240
East Asian (EAS)
AF:
0.000223
AC:
5
AN:
22406
South Asian (SAS)
AF:
0.000200
AC:
17
AN:
84944
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
41662
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5050
European-Non Finnish (NFE)
AF:
0.0000372
AC:
38
AN:
1021068
Other (OTH)
AF:
0.0000590
AC:
3
AN:
50838
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.496
Heterozygous variant carriers
0
4
9
13
18
22
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<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:
0.0000479
AC:
7
AN:
146118
Hom.:
0
Cov.:
29
AF XY:
0.0000281
AC XY:
2
AN XY:
71096
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
40098
American (AMR)
AF:
0.00
AC:
0
AN:
14578
Ashkenazi Jewish (ASJ)
AF:
0.000295
AC:
1
AN:
3392
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4492
South Asian (SAS)
AF:
0.000235
AC:
1
AN:
4254
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9708
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
308
European-Non Finnish (NFE)
AF:
0.0000753
AC:
5
AN:
66362
Other (OTH)
AF:
0.00
AC:
0
AN:
2034
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
1
1
2
2
3
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
2
4
6
8
10
<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:
0.000133
Hom.:
2
Bravo
AF:
0.0000453
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.0000741
AC:
9
EpiCase
AF:
0.00
EpiControl
AF:
0.000119

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Ehlers-Danlos syndrome, dermatosparaxis type Uncertain:3
Jan 15, 2018
Illumina Laboratory Services, Illumina
Significance:Uncertain significance
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, this variant could not be ruled out of causing disease and therefore its association with disease required further investigation. A literature search was performed for the gene, cDNA change, and amino acid change (if applicable). No publications were found based on this search. This variant was therefore classified as a variant of unknown significance for this disease. -

Aug 28, 2021
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces valine with isoleucine at codon 287 of the ADAMTS2 protein (p.Val287Ile). The valine residue is highly conserved and there is a small physicochemical difference between valine and isoleucine. This variant is present in population databases (rs148737005, ExAC 0.02%). This variant has not been reported in the literature in individuals affected with ADAMTS2-related conditions. ClinVar contains an entry for this variant (Variation ID: 537399). Algorithms developed to predict the effect of missense changes on protein structure and function are either unavailable or do not agree on the potential impact of this missense change (SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C25"). In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

Oct 28, 2019
Natera, Inc.
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

Inborn genetic diseases Uncertain:1
Dec 11, 2023
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.859G>A (p.V287I) alteration is located in exon 4 (coding exon 4) of the ADAMTS2 gene. This alteration results from a G to A substitution at nucleotide position 859, causing the valine (V) at amino acid position 287 to be replaced by an isoleucine (I). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.12
BayesDel_addAF
Benign
-0.19
T
BayesDel_noAF
Benign
-0.25
CADD
Benign
23
DANN
Uncertain
1.0
DEOGEN2
Benign
0.14
T;.;.
Eigen
Uncertain
0.23
Eigen_PC
Uncertain
0.39
FATHMM_MKL
Pathogenic
1.0
D
M_CAP
Benign
0.0098
T
MetaRNN
Benign
0.21
T;T;T
MetaSVM
Benign
-0.91
T
MutationAssessor
Benign
0.56
N;.;N
PhyloP100
7.7
PrimateAI
Uncertain
0.79
T
PROVEAN
Benign
-0.64
N;.;N
REVEL
Benign
0.080
Sift
Benign
0.42
T;.;T
Sift4G
Benign
0.23
T;.;T
Polyphen
0.44
B;.;P
Vest4
0.40
MVP
0.51
MPC
0.46
ClinPred
0.081
T
GERP RS
5.4
Varity_R
0.14
gMVP
0.37
Mutation Taster
=87/13
polymorphism

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: rs148737005; hg19: chr5-178634546; API