chr17-44377095-G-C

Variant summary

Our verdict is Benign. Variant got -10 ACMG points: 0P and 10B. BP7BP4BA1

This summary comes from the ClinGen Evidence Repository: After a comprehensive literature search of the intronic variant NM_000419.5(ITGA2B):c.2188-7C>G, no individuals with Glanzmann Thrombasthenia were reported with the variant. The variant has a high minor allele frequency of 0.4311 (6420/14892 alleles) in the East Asian population, which is higher than the ClinGen PD VCEP threshold (>0.0024), and therefore meets benign criterion (BA1). In silico predictor spliceAI revealed that the intronic mutation is not expected to impact splicing and a PhyloP score of 0.287 shows that the nucleotide position is not highly conserved (BP4, BP7). In summary, this variant meets the criteria to be classified as Benign for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: BA1, BP4 and BP7 (PD VCEP specifications version 2.1). LINK:https://erepo.genome.network/evrepo/ui/classification/CA8602787/MONDO:0100326/011

Frequency

Genomes: 𝑓 0.39 ( 11438 hom., cov: 31)
Exomes 𝑓: 0.38 ( 100831 hom. )

Consequence

ITGA2B
NM_000419.5 splice_region, splice_polypyrimidine_tract, intron

Scores

2
Splicing: ADA: 0.005056
2

Clinical Significance

Benign reviewed by expert panel B:6

Conservation

PhyloP100: 0.709
Variant links:
Genes affected
ITGA2B (HGNC:6138): (integrin subunit alpha 2b) This gene encodes a member of the integrin alpha chain family of proteins. The encoded preproprotein is proteolytically processed to generate light and heavy chains that associate through disulfide linkages to form a subunit of the alpha-IIb/beta-3 integrin cell adhesion receptor. This receptor plays a crucial role in the blood coagulation system, by mediating platelet aggregation. Mutations in this gene are associated with platelet-type bleeding disorders, which are characterized by a failure of platelet aggregation, including Glanzmann thrombasthenia. [provided by RefSeq, Jan 2016]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -10 ACMG points.

BP4
BP7
BA1

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ITGA2BNM_000419.5 linkuse as main transcriptc.2188-7C>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant ENST00000262407.6
ITGA2BXM_011524749.2 linkuse as main transcriptc.2341-7C>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant
ITGA2BXM_011524750.2 linkuse as main transcriptc.2341-7C>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ITGA2BENST00000262407.6 linkuse as main transcriptc.2188-7C>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant 1 NM_000419.5 P1P08514-1
ITGA2BENST00000648408.1 linkuse as main transcriptc.1619-7C>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant
ITGA2BENST00000592462.5 linkuse as main transcriptn.983-7C>G splice_region_variant, splice_polypyrimidine_tract_variant, intron_variant, non_coding_transcript_variant 5

Frequencies

GnomAD3 genomes
AF:
0.387
AC:
58804
AN:
151814
Hom.:
11444
Cov.:
31
show subpopulations
Gnomad AFR
AF:
0.388
Gnomad AMI
AF:
0.412
Gnomad AMR
AF:
0.349
Gnomad ASJ
AF:
0.437
Gnomad EAS
AF:
0.446
Gnomad SAS
AF:
0.353
Gnomad FIN
AF:
0.436
Gnomad MID
AF:
0.320
Gnomad NFE
AF:
0.384
Gnomad OTH
AF:
0.362
GnomAD3 exomes
AF:
0.386
AC:
67631
AN:
175214
Hom.:
13056
AF XY:
0.382
AC XY:
35376
AN XY:
92514
show subpopulations
Gnomad AFR exome
AF:
0.385
Gnomad AMR exome
AF:
0.376
Gnomad ASJ exome
AF:
0.422
Gnomad EAS exome
AF:
0.431
Gnomad SAS exome
AF:
0.344
Gnomad FIN exome
AF:
0.438
Gnomad NFE exome
AF:
0.381
Gnomad OTH exome
AF:
0.364
GnomAD4 exome
AF:
0.377
AC:
530527
AN:
1407284
Hom.:
100831
Cov.:
33
AF XY:
0.375
AC XY:
261025
AN XY:
695440
show subpopulations
Gnomad4 AFR exome
AF:
0.367
Gnomad4 AMR exome
AF:
0.370
Gnomad4 ASJ exome
AF:
0.425
Gnomad4 EAS exome
AF:
0.426
Gnomad4 SAS exome
AF:
0.346
Gnomad4 FIN exome
AF:
0.430
Gnomad4 NFE exome
AF:
0.375
Gnomad4 OTH exome
AF:
0.380
GnomAD4 genome
AF:
0.387
AC:
58819
AN:
151932
Hom.:
11438
Cov.:
31
AF XY:
0.387
AC XY:
28704
AN XY:
74230
show subpopulations
Gnomad4 AFR
AF:
0.388
Gnomad4 AMR
AF:
0.349
Gnomad4 ASJ
AF:
0.437
Gnomad4 EAS
AF:
0.445
Gnomad4 SAS
AF:
0.351
Gnomad4 FIN
AF:
0.436
Gnomad4 NFE
AF:
0.384
Gnomad4 OTH
AF:
0.358
Alfa
AF:
0.388
Hom.:
2648
Bravo
AF:
0.380
Asia WGS
AF:
0.401
AC:
1403
AN:
3478

ClinVar

Significance: Benign
Submissions summary: Benign:6
Revision: reviewed by expert panel
LINK: link

Submissions by phenotype

Glanzmann thrombasthenia Benign:3
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 2018This 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. -
Benign, criteria provided, single submitterclinical testingInvitaeJan 31, 2024- -
Benign, reviewed by expert panelcurationClinGen Platelet Disorders Variant Curation Expert Panel, ClinGenSep 07, 2023After a comprehensive literature search of the intronic variant NM_000419.5(ITGA2B):c.2188-7C>G, no individuals with Glanzmann Thrombasthenia were reported with the variant. The variant has a high minor allele frequency of 0.4311 (6420/14892 alleles) in the East Asian population, which is higher than the ClinGen PD VCEP threshold (>0.0024), and therefore meets benign criterion (BA1). In silico predictor spliceAI revealed that the intronic mutation is not expected to impact splicing and a PhyloP score of 0.287 shows that the nucleotide position is not highly conserved (BP4, BP7). In summary, this variant meets the criteria to be classified as Benign for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: BA1, BP4 and BP7 (PD VCEP specifications version 2.1). -
not specified Benign:1
Benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
not provided Benign:1
Benign, criteria provided, single submitterclinical testingGeneDxNov 12, 2018- -
Glanzmann thrombasthenia 1 Benign:1
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabAug 19, 2021- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.84
CADD
Benign
2.5
DANN
Benign
0.53

Splicing

Name
Calibrated prediction
Score
Prediction
dbscSNV1_ADA
Benign
0.0051
dbscSNV1_RF
Benign
0.13
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: rs850730; hg19: chr17-42454463; COSMIC: COSV52231019; COSMIC: COSV52231019; API