chr2-214953891-G-A

Variant summary

Our verdict is Pathogenic. Variant got 18 ACMG points: 18P and 0B. PVS1PM2PP5_Very_Strong

The NM_173076.3(ABCA12):​c.6610C>T​(p.Arg2204Ter) variant causes a stop gained change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0000124 in 1,613,598 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★★). Variant results in nonsense mediated mRNA decay.

Frequency

Genomes: 𝑓 0.0000066 ( 0 hom., cov: 32)
Exomes 𝑓: 0.000013 ( 0 hom. )

Consequence

ABCA12
NM_173076.3 stop_gained

Scores

2
2
3

Clinical Significance

Pathogenic criteria provided, multiple submitters, no conflicts P:6

Conservation

PhyloP100: 3.40
Variant links:
Genes affected
ABCA12 (HGNC:14637): (ATP binding cassette subfamily A member 12) The membrane-associated 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 intracellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, and White). This encoded protein is a member of the ABC1 subfamily, which is the only major ABC subfamily found exclusively in multicellular eukaryotes. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Jul 2008]
SNHG31 (HGNC:54196): (small nucleolar RNA host gene 31)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Pathogenic. Variant got 18 ACMG points.

PVS1
Loss of function variant, product undergoes nonsense mediated mRNA decay. LoF is a known mechanism of disease.
PM2
Very rare variant in population databases, with high coverage;
PP5
Variant 2-214953891-G-A is Pathogenic according to our data. Variant chr2-214953891-G-A is described in ClinVar as [Pathogenic]. Clinvar id is 2862.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr2-214953891-G-A is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCA12NM_173076.3 linkuse as main transcriptc.6610C>T p.Arg2204Ter stop_gained 44/53 ENST00000272895.12 NP_775099.2
SNHG31NR_110292.1 linkuse as main transcriptn.444+5944G>A intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCA12ENST00000272895.12 linkuse as main transcriptc.6610C>T p.Arg2204Ter stop_gained 44/531 NM_173076.3 ENSP00000272895 P1Q86UK0-1
SNHG31ENST00000670391.1 linkuse as main transcriptn.438-7919G>A intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.00000658
AC:
1
AN:
151912
Hom.:
0
Cov.:
32
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:
0.0000147
Gnomad OTH
AF:
0.00
GnomAD4 exome
AF:
0.0000130
AC:
19
AN:
1461686
Hom.:
0
Cov.:
31
AF XY:
0.0000124
AC XY:
9
AN XY:
727132
show subpopulations
Gnomad4 AFR exome
AF:
0.0000299
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:
0.0000162
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
AF:
0.00000658
AC:
1
AN:
151912
Hom.:
0
Cov.:
32
AF XY:
0.0000135
AC XY:
1
AN XY:
74166
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:
0.0000147
Gnomad4 OTH
AF:
0.00
Alfa
AF:
0.0000322
Hom.:
0
Bravo
AF:
0.00000378
EpiCase
AF:
0.0000545
EpiControl
AF:
0.0000593

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:6
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpAug 19, 2023For these reasons, this variant has been classified as Pathogenic. ClinVar contains an entry for this variant (Variation ID: 2862). This premature translational stop signal has been observed in individuals with autosomal recessive congenital ichthyosis (PMID: 15756637, 30916489, 32293521). This variant is present in population databases (rs137853289, gnomAD 0.007%). This sequence change creates a premature translational stop signal (p.Arg2204*) in the ABCA12 gene. It is expected to result in an absent or disrupted protein product. Loss-of-function variants in ABCA12 are known to be pathogenic (PMID: 20672373). -
Pathogenic, criteria provided, single submitterclinical testingGeneDxNov 01, 2022Nonsense variant predicted to result in protein truncation or nonsense mediated decay in a gene for which loss-of-function is a known mechanism of disease; Not observed at a significant frequency in large population cohorts (gnomAD); This variant is associated with the following publications: (PMID: 25525159, 32293521, 15756637, 30916489) -
Autosomal recessive congenital ichthyosis 4B Pathogenic:2
Pathogenic, criteria provided, single submitterclinical testingNeuberg Centre For Genomic Medicine, NCGM-The c.6610C>T;(p.Arg2204Ter) variant creates a premature stop codon at amino acid position Arg2204, which is likely to result in a truncated protein or protein loss due to nonsense-mediated messenger decay (NMD). Recently, the variant c.6610C>T; (p.Arg2204*) has been reported by (Montalván-Suárez et al, 2019), in the compound heterozygous state, in a 4 years old boy with harlequin ichthyosis, This variant is reported with the allele frequency (00.003198%) in the gnomad and novel in 1000 genome database. It has been submitted to ClinVar as Pathogenic. The nucleotide change in ABCA12 is predicted as conserved by GERP++ and PhyloP. For these reasons, this variant has been classified as Pathogenic. -
Pathogenic, no assertion criteria providedliterature onlyOMIMMay 01, 2005- -
Autosomal recessive congenital ichthyosis 4A Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingBreda Genetics srlMay 06, 2020The variant c.6610C>T (p.Arg2204*) in the ABCA12 gene is reported as pathogenic for ichthyosis, congenital, autosomal recessive 4B in ClinVar (Variation ID: 2862) and as affects function in the Global Variome shared LOVD database v.3.0. The variant creates a premature stop codon at amino acid position Arg2204, which is likely to result in a truncated protein or protein loss due to nonsense-mediated messenger decay (NMD). The variant is reported with an estimated allele frequency of 0.00003198 in gnomAD genomes, with no homozygous individuals reported. The variant c.6610C>T (p.Arg2204*), also known as p.Arg2003*, has been firstly reported by Kelsell et al. (2005) in the homozygous state in an African American child with harlequin ichthyosis (PMID: 15756637). Recently, the variant c.6610C>T (p.Arg2204*) has been reported by Montalván-Suárez et al. (2019), in the compound heterozygous state, in a 4 years old Ecuadorian boy with harlequin ichthyosis (PMID: 30916489). -
Lamellar ichthyosis Pathogenic:1
Pathogenic, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpJun 20, 2023Variant summary: ABCA12 c.6610C>T (p.Arg2204X) results in a premature termination codon, predicted to cause a truncation of the encoded protein or absence of the protein due to nonsense mediated decay, which are commonly known mechanisms for disease. The variant was absent in 250986 control chromosomes (gnomAD v2.1, Exomes dataset). c.6610C>T has been reported in the literature in individuals affected with Lamellar Ichthyosis (e.g., Montalvan-Suarez_2019). These data suggest the variant is very likely to be associated with disease. The following publication was ascertained in the context of this evaluation (PMID: 30916489). Two submitters have reported clinical-significance assessments for this variant to ClinVar after 2014. Both submitters classified the variant as pathogenic. Based on the evidence outlined above, the variant was classified as pathogenic. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_addAF
Pathogenic
0.58
D
BayesDel_noAF
Pathogenic
0.60
CADD
Pathogenic
37
DANN
Uncertain
0.99
Eigen
Benign
0.14
Eigen_PC
Benign
-0.044
FATHMM_MKL
Uncertain
0.94
D
MutationTaster
Benign
1.0
A;A
Vest4
0.95
GERP RS
2.8

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
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: rs137853289; hg19: chr2-215818615; COSMIC: COSV55968557; API