chr2-233772413-T-G
Variant summary
Our verdict is Likely pathogenic. The variant received 8 ACMG points: 8P and 0B. PP5_Very_Strong
The NM_007120.3(UGT1A4):c.1459T>G(p.Tyr487Asp) variant causes a missense change. The variant allele was found at a frequency of 0.0000985 in 1,614,182 control chromosomes in the GnomAD database, with no homozygous occurrence. Variant has been reported in ClinVar as Likely pathogenic (★★). Synonymous variant affecting the same amino acid position (i.e. Y487Y) has been classified as Likely benign.
Frequency
Consequence
NM_007120.3 missense
Scores
Clinical Significance
Conservation
Publications
Genome browser will be placed here
ACMG classification
Our verdict: Likely_pathogenic. The variant received 8 ACMG points.
Transcripts
RefSeq
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
|---|---|---|---|---|---|---|---|---|
| UGT1A4 | NM_007120.3 | c.1459T>G | p.Tyr487Asp | missense_variant | Exon 5 of 5 | ENST00000373409.8 | NP_009051.1 | |
| UGT1A5 | NM_019078.2 | c.1459T>G | p.Tyr487Asp | missense_variant | Exon 5 of 5 | ENST00000373414.4 | NP_061951.1 | |
| UGT1A3 | NM_019093.4 | c.1459T>G | p.Tyr487Asp | missense_variant | Exon 5 of 5 | ENST00000482026.6 | NP_061966.1 | |
| UGT1A1 | NM_000463.3 | c.1456T>G | p.Tyr486Asp | missense_variant | Exon 5 of 5 | ENST00000305208.10 | NP_000454.1 | |
| UGT1A6 | NM_001072.4 | c.1453T>G | p.Tyr485Asp | missense_variant | Exon 5 of 5 | ENST00000305139.11 | NP_001063.2 | |
| UGT1A10 | NM_019075.4 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | ENST00000344644.10 | NP_061948.1 | |
| UGT1A8 | NM_019076.5 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | ENST00000373450.5 | NP_061949.3 | |
| UGT1A7 | NM_019077.3 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | ENST00000373426.4 | NP_061950.2 | |
| UGT1A9 | NM_021027.3 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | ENST00000354728.5 | NP_066307.1 |
Ensembl
| Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | TSL | MANE | Protein | Appris | UniProt |
|---|---|---|---|---|---|---|---|---|---|---|
| UGT1A4 | ENST00000373409.8 | c.1459T>G | p.Tyr487Asp | missense_variant | Exon 5 of 5 | 1 | NM_007120.3 | ENSP00000362508.4 | ||
| UGT1A5 | ENST00000373414.4 | c.1459T>G | p.Tyr487Asp | missense_variant | Exon 5 of 5 | 1 | NM_019078.2 | ENSP00000362513.3 | ||
| UGT1A3 | ENST00000482026.6 | c.1459T>G | p.Tyr487Asp | missense_variant | Exon 5 of 5 | 1 | NM_019093.4 | ENSP00000418532.1 | ||
| UGT1A1 | ENST00000305208.10 | c.1456T>G | p.Tyr486Asp | missense_variant | Exon 5 of 5 | 1 | NM_000463.3 | ENSP00000304845.5 | ||
| UGT1A6 | ENST00000305139.11 | c.1453T>G | p.Tyr485Asp | missense_variant | Exon 5 of 5 | 1 | NM_001072.4 | ENSP00000303174.6 | ||
| UGT1A10 | ENST00000344644.10 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | 1 | NM_019075.4 | ENSP00000343838.5 | ||
| UGT1A9 | ENST00000354728.5 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | 1 | NM_021027.3 | ENSP00000346768.4 | ||
| UGT1A7 | ENST00000373426.4 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | 1 | NM_019077.3 | ENSP00000362525.3 | ||
| UGT1A8 | ENST00000373450.5 | c.1447T>G | p.Tyr483Asp | missense_variant | Exon 5 of 5 | 1 | NM_019076.5 | ENSP00000362549.4 |
Frequencies
GnomAD3 genomes AF: 0.000138 AC: 21AN: 152170Hom.: 0 Cov.: 32 show subpopulations
GnomAD2 exomes AF: 0.000223 AC: 56AN: 251172 AF XY: 0.000228 show subpopulations
GnomAD4 exome AF: 0.0000944 AC: 138AN: 1461894Hom.: 0 Cov.: 33 AF XY: 0.000103 AC XY: 75AN XY: 727248 show subpopulations
Age Distribution
GnomAD4 genome AF: 0.000138 AC: 21AN: 152288Hom.: 0 Cov.: 32 AF XY: 0.000175 AC XY: 13AN XY: 74472 show subpopulations
Age Distribution
ClinVar
Submissions by phenotype
not provided Pathogenic:4
PP3, PP5, PM1, PS3, PS4_moderate -
This sequence change replaces tyrosine, which is neutral and polar, with aspartic acid, which is acidic and polar, at codon 486 of the UGT1A1 protein (p.Tyr486Asp). This variant is present in population databases (rs34993780, gnomAD 0.2%). This variant has been observed in individual(s) with hyperbilirubinemia. Individuals homozygous for this variant present with Gilbert syndrome or Crigler-Najjar syndrome type II (PMID: 18419642, 22169899, 29137095). This variant is sometimes seen on the same chromosome (in cis) with p.Gly71Arg in some individuals affected with Crigler-Najjar syndrome type II (PMID: 9630669, 21297505, 21319362, 24749086). This variant is also known as UGT1A1*7. ClinVar contains an entry for this variant (Variation ID: 12281). Advanced modeling of protein sequence and biophysical properties (such as structural, functional, and spatial information, amino acid conservation, physicochemical variation, residue mobility, and thermodynamic stability) performed at Invitae indicates that this missense variant is expected to disrupt UGT1A1 protein function with a positive predictive value of 80%. Experimental studies have shown that this missense change affects UGT1A1 function (PMID: 12181437). For these reasons, this variant has been classified as Pathogenic. -
- -
- -
Crigler-Najjar syndrome, type II Pathogenic:4
Same nucleotide change resulting in same amino acid change has been previously reported as pathogenic/likely pathogenic with strong evidence (ClinVar ID: VCV000012281, PMID:8280139, PS1_S). The variant has been reported to be in trans with a pathogenic variant as either compound heterozygous or homozygous in at least one similarly affected unrelated individual (PMID: 25993113, PM3_M). It was co-segregated with Crigler-Najjar syndrome, type II in multiple affected family members (PP1_P). Functional studies provide moderate evidence of the variant having a damaging effect on the gene or gene product(PMID: 18004206, PS3_M). In silico tool predictions suggest damaging effect of the variant on gene or gene product (REVEL: 0.894, PP3_P). A missense variant is a common mechanism associated with Crigler-Najjar syndrome (PP2_P). It is observed at an extremely low frequency in the gnomAD v2.1.1 dataset (total allele frequency: 0.000216, PM2_M).herefore, this variant is classified as pathogenic according to the recommendation of ACMG/AMP guideline. -
The p.Tyr486Asp variant in UGT1A1 (NM_000463.3) has been reported in the homozygous or compound heterogygous state in numerous individuals with Gilbert syndrome or Crigler-Najjar syndrome type II (Maruo et al, 2000). Functional studies have reported a reduction in enzyme activity (Udomuksorn W et al). It has been submitted to ClinVar as a Pathogenic/Likely Pathogenic variant. The p.Y486D variant is observed at a relatively high frequency in 32/18,394 (0.174%) alleles from individuals of East Asian background in gnomAD Exomes and in 3/1,008 (0.2976%) alleles from individuals of East Asian background in 1000 Genomes. The p.Y486D missense variant is predicted to be damaging by both SIFT and PolyPhen2. The tyrosine residue at codon 486 of UGT1A1 is conserved in all mammalian species. The nucleotide c.1456 in UGT1A1 is predicted conserved by GERP++ and PhyloP across 100 vertebrates. For these reasons, this variant has been classified as Pathogenic -
- -
The p.Tyr486Asp variant in UGT1A1 (variant also known as UGT1A1*7) has been reported in the homozygous or compound heterogygous state in numerous individuals with Gilbert syndrome or Crigler-Najjar syndrome type II (Maruo 2000 PMID: 11061796, Kraemer 2002 PMID: 11983459, Takeuchi 2004 PMID: 15304120, Maruo 2016 PMID: 26250421, Sun 2017 PMID 29137095). The majority of p.Tyr486Asp homozygous individuals with Gilbert syndrome or Crigler-Najjar syndrome type II also carry the p.Gly71Arg variant in the heterozygous or homozygous state. This variant has also been reported in ClinVar (Variation ID 12281). It has been identified in 0.1% (36/19954) of East Asian chromosomes by gnomAD (https://gnomad.broadinstitute.org/). Computational prediction tools and conservation analyses suggest that this variant may impact the protein, though this information is not predictive enough to determine pathogenicity. In vitro functional studies provide some evidence that this variant impacts protein function (Takahashi 2008 PMID: 18816295, Gagne 2002 PMID: 12181437, Jinno 2003 PMID: 12485959); however, these types of assays may not accurately represent biological function. In summary, although additional studies are required to fully establish its clinical significance, this variant meets criteria to be classified as likely pathogenic for autosomal recessive Crigler-Najjar syndrome type II. ACMG/AMP Criteria applied: PS3_Moderate, PM2_Supporting, PP3, PM3_Strong. -
Gilbert syndrome Pathogenic:2
- -
- -
Crigler-Najjar syndrome type 1;C0017551:Gilbert syndrome;C0270210:Lucey-Driscoll syndrome;C1866173:BILIRUBIN, SERUM LEVEL OF, QUANTITATIVE TRAIT LOCUS 1;C2931132:Crigler-Najjar syndrome, type II Pathogenic:2
PM3_VeryStrong+PP1+PS3 -
- -
Lucey-Driscoll syndrome Pathogenic:1
- -
UGT1A1-related disorder Pathogenic:1
The UGT1A1 c.1456T>G variant is predicted to result in the amino acid substitution p.Tyr486Asp. This variant has been reported to be causative for Crigler-Najjar syndrome or Gilbert syndrome when present in the homozygous state. Functional studies showed that the substitution p.Tyr486Asp dramatically reduced UGT1A1 enzyme activity (see, for example, Aono et al. 1993. PubMed ID: 8280139; Yamamoto et al. 1998. PubMed ID: 9630669; Nakagawa et al. 2012. PubMed ID: 23279026; Gagné et al. 2002. PubMed ID: 12181437). This variant has also been found to be causative for Crigler-Najjar syndrome type II in the compound heterozygous state (Luo et al. 2023. PubMed ID: 37137832). This variant is reported in 0.18% of alleles in individuals of East Asian descent in gnomAD. This variant is interpreted as pathogenic. -
Hyperbilirubinemia Pathogenic:1
- -
Crigler-Najjar syndrome type 1 Pathogenic:1
- -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at