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GeneBe

X-139738068-G-A

Variant summary

Our verdict is Uncertain significance. Variant got 3 ACMG points: 3P and 0B. PM2PP3

The NM_001353812.2(ATP11C):c.3136C>T(p.Pro1046Ser) variant causes a missense, splice region change involving the alteration of a conserved nucleotide. The variant allele was found at a frequency of 0.00000169 in 1,183,050 control chromosomes in the GnomAD database, with no homozygous occurrence. There are no hemizygote samples in GnomAD. In-silico tool predicts a pathogenic outcome for this variant. 2/3 splice prediction tools predicting alterations to normal splicing. Variant has been reported in ClinVar as Uncertain significance (★).

Frequency

Genomes: 𝑓 0.0000090 ( 0 hom., 0 hem., cov: 22)
Exomes 𝑓: 9.3e-7 ( 0 hom. 0 hem. )

Consequence

ATP11C
NM_001353812.2 missense, splice_region

Scores

4
6
5
Splicing: ADA: 0.9734
2

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.60
Variant links:
Genes affected
ATP11C (HGNC:13554): (ATPase phospholipid transporting 11C) Enables phosphatidylethanolamine flippase activity and phosphatidylserine flippase activity. Predicted to be involved in phospholipid translocation; positive regulation of B cell differentiation; and pre-B cell differentiation. Located in endoplasmic reticulum and plasma membrane. Is integral component of plasma membrane. Implicated in X-linked congenital hemolytic anemia. [provided by Alliance of Genome Resources, Apr 2022]

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ACMG classification

Classification made for transcript

Verdict is Uncertain_significance. Variant got 3 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
PP3
Splicing scoreres supports a deletorius effect: Scorers claiming Pathogenic: dbscSNV1_ADA, dbscSNV1_RF. No scorers claiming Uncertain. Scorers claiming Benign: max_spliceai.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ATP11CNM_001353812.2 linkuse as main transcriptc.3136C>T p.Pro1046Ser missense_variant, splice_region_variant 28/30 ENST00000682941.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ATP11CENST00000682941.1 linkuse as main transcriptc.3136C>T p.Pro1046Ser missense_variant, splice_region_variant 28/30 NM_001353812.2 A1

Frequencies

GnomAD3 genomes
AF:
0.00000897
AC:
1
AN:
111520
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33836
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0000189
Gnomad OTH
AF:
0.00
GnomAD3 exomes
AF:
0.00000599
AC:
1
AN:
166933
Hom.:
0
AF XY:
0.00
AC XY:
0
AN XY:
55605
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.00
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000130
Gnomad OTH exome
AF:
0.00
GnomAD4 exome
AF:
9.33e-7
AC:
1
AN:
1071530
Hom.:
0
Cov.:
27
AF XY:
0.00
AC XY:
0
AN XY:
342384
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.0000223
GnomAD4 genome
AF:
0.00000897
AC:
1
AN:
111520
Hom.:
0
Cov.:
22
AF XY:
0.00
AC XY:
0
AN XY:
33836
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.00
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000189
Gnomad4 OTH
AF:
0.00
Bravo
AF:
0.00000378

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingAmbry GeneticsMar 01, 2024The c.3145C>T (p.P1049S) alteration is located in exon 28 (coding exon 28) of the ATP11C gene. This alteration results from a C to T substitution at nucleotide position 3145, causing the proline (P) at amino acid position 1049 to be replaced by a serine (S). 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
Pathogenic
0.72
BayesDel_addAF
Uncertain
0.10
D
BayesDel_noAF
Benign
-0.090
Cadd
Uncertain
25
Dann
Uncertain
1.0
FATHMM_MKL
Pathogenic
0.99
D
LIST_S2
Uncertain
0.96
D;D;D;D
M_CAP
Pathogenic
0.73
D
MetaRNN
Pathogenic
0.77
D;D;D;D
MetaSVM
Benign
-0.92
T
MutationTaster
Benign
1.0
D;D;D;D;D
PrimateAI
Uncertain
0.75
T
PROVEAN
Uncertain
-4.0
D;D;D;D
REVEL
Uncertain
0.39
Sift
Benign
0.12
T;T;T;T
Sift4G
Benign
0.16
T;T;T;D
Polyphen
1.0
.;D;D;.
Vest4
0.49
MutPred
0.57
.;Gain of MoRF binding (P = 0.0369);Gain of MoRF binding (P = 0.0369);.;
MVP
0.65
MPC
1.3
ClinPred
0.99
D
GERP RS
6.0
Varity_R
0.62
gMVP
0.87

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Pathogenic
0.97
dbscSNV1_RF
Pathogenic
0.79
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

LitVar

Below is the list of publications found by LitVar. It may be empty.

Other links and lift over

dbSNP: rs1165464661; hg19: chrX-138820227; COSMIC: COSV59560195; API