chr16-16169793-C-T

Variant summary

Our verdict is Uncertain significance. The variant received 1 ACMG points: 2P and 1B. PM1BP6

The NM_001171.6(ABCC6):​c.2848G>A​(p.Ala950Thr) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000301 in 1,579,638 control chromosomes in the GnomAD database, including 1 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. A950V) has been classified as Likely benign.

Frequency

Genomes: 𝑓 0.00037 ( 0 hom., cov: 33)
Exomes 𝑓: 0.00029 ( 1 hom. )

Consequence

ABCC6
NM_001171.6 missense

Scores

4
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:3B:6

Conservation

PhyloP100: 0.456

Publications

9 publications found
Variant links:
Genes affected
ABCC6 (HGNC:57): (ATP binding cassette subfamily C member 6) 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). The encoded protein, a member of the MRP subfamily, is involved in multi-drug resistance. Mutations in this gene cause pseudoxanthoma elasticum. Alternatively spliced transcript variants that encode different proteins have been described for this gene. [provided by RefSeq, Jul 2008]
ABCC6 Gene-Disease associations (from GenCC):
  • arterial calcification, generalized, of infancy, 2
    Inheritance: AR Classification: DEFINITIVE Submitted by: G2P
  • autosomal recessive inherited pseudoxanthoma elasticum
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, Orphanet, Labcorp Genetics (formerly Invitae), G2P
  • arterial calcification of infancy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 1 ACMG points.

PM1
In a domain ABC transmembrane type-1 2 (size 281) in uniprot entity MRP6_HUMAN there are 27 pathogenic changes around while only 11 benign (71%) in NM_001171.6
BP6
Variant 16-16169793-C-T is Benign according to our data. Variant chr16-16169793-C-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 381637.We mark this variant Likely_benign, oryginal submission is: [Conflicting_classifications_of_pathogenicity].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCC6NM_001171.6 linkc.2848G>A p.Ala950Thr missense_variant Exon 22 of 31 ENST00000205557.12 NP_001162.5

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCC6ENST00000205557.12 linkc.2848G>A p.Ala950Thr missense_variant Exon 22 of 31 1 NM_001171.6 ENSP00000205557.7 O95255-1
ABCC6ENST00000456970.6 linkn.*57G>A non_coding_transcript_exon_variant Exon 21 of 29 2 ENSP00000405002.2 O95255-3
ABCC6ENST00000622290.5 linkn.2848G>A non_coding_transcript_exon_variant Exon 22 of 32 5 ENSP00000483331.2 A0A8C8Q0G8
ABCC6ENST00000456970.6 linkn.*57G>A 3_prime_UTR_variant Exon 21 of 29 2 ENSP00000405002.2 O95255-3

Frequencies

GnomAD3 genomes
AF:
0.000361
AC:
55
AN:
152194
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.0000654
Gnomad ASJ
AF:
0.0127
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000132
Gnomad OTH
AF:
0.000478
GnomAD2 exomes
AF:
0.000551
AC:
104
AN:
188620
AF XY:
0.000562
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000109
Gnomad ASJ exome
AF:
0.00957
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000138
Gnomad OTH exome
AF:
0.00100
GnomAD4 exome
AF:
0.000294
AC:
419
AN:
1427326
Hom.:
1
Cov.:
33
AF XY:
0.000320
AC XY:
226
AN XY:
706934
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
32684
American (AMR)
AF:
0.000180
AC:
7
AN:
38990
Ashkenazi Jewish (ASJ)
AF:
0.0110
AC:
280
AN:
25480
East Asian (EAS)
AF:
0.0000264
AC:
1
AN:
37810
South Asian (SAS)
AF:
0.0000122
AC:
1
AN:
81984
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
50600
Middle Eastern (MID)
AF:
0.000179
AC:
1
AN:
5576
European-Non Finnish (NFE)
AF:
0.0000639
AC:
70
AN:
1095098
Other (OTH)
AF:
0.000998
AC:
59
AN:
59104
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.484
Heterozygous variant carriers
0
36
72
108
144
180
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome 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
GnomAD4 genome
AF:
0.000368
AC:
56
AN:
152312
Hom.:
0
Cov.:
33
AF XY:
0.000376
AC XY:
28
AN XY:
74470
show subpopulations
African (AFR)
AF:
0.0000241
AC:
1
AN:
41576
American (AMR)
AF:
0.0000653
AC:
1
AN:
15308
Ashkenazi Jewish (ASJ)
AF:
0.0127
AC:
44
AN:
3472
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5158
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10624
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
292
European-Non Finnish (NFE)
AF:
0.000132
AC:
9
AN:
68026
Other (OTH)
AF:
0.000473
AC:
1
AN:
2114
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.513
Heterozygous variant carriers
0
3
7
10
14
17
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:
0.000623
Hom.:
0
Bravo
AF:
0.000382
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000583
AC:
5
ExAC
AF:
0.000293
AC:
35

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:3Benign:6
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

Autosomal recessive inherited pseudoxanthoma elasticum Uncertain:2Benign:1
Mar 01, 2021
PXE International
Significance:Uncertain significance
Review Status:no assertion criteria provided
Collection Method:research

- -

Jul 30, 2021
Department of Pathology and Laboratory Medicine, Sinai Health System
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:research

- -

Dec 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Uncertain:1Benign:2
Jan 13, 2020
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is associated with the following publications: (PMID: 17617515, 23485117) -

Jan 06, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Apr 01, 2022
CeGaT Center for Human Genetics Tuebingen
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Pseudoxanthoma elasticum, forme fruste Benign:1
Dec 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Arterial calcification, generalized, of infancy, 2 Benign:1
Dec 05, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

ABCC6-related disorder Benign:1
Aug 08, 2019
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.068
BayesDel_addAF
Uncertain
0.020
T
BayesDel_noAF
Uncertain
0.040
CADD
Benign
13
DANN
Benign
0.72
DEOGEN2
Benign
0.16
T
Eigen
Benign
-1.5
Eigen_PC
Benign
-1.5
FATHMM_MKL
Benign
0.018
N
LIST_S2
Benign
0.63
T
M_CAP
Uncertain
0.26
D
MetaRNN
Benign
0.017
T
MetaSVM
Benign
-0.44
T
MutationAssessor
Benign
-0.55
N
PhyloP100
0.46
PrimateAI
Benign
0.28
T
PROVEAN
Benign
0.65
N
REVEL
Uncertain
0.53
Sift
Benign
1.0
T
Sift4G
Benign
0.30
T
Polyphen
0.0070
B
Vest4
0.094
MVP
0.40
MPC
0.066
ClinPred
0.026
T
GERP RS
-2.3
Varity_R
0.049
gMVP
0.14
Mutation Taster
=34/66
disease causing

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.24
Details are displayed if max score is > 0.2
DS_AG_spliceai
0.24
Position offset: -24

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs72657689; hg19: chr16-16263650; COSMIC: COSV105065936; COSMIC: COSV105065936; API