chr2-43872296-A-T

Variant summary

Our verdict is Benign. Variant got -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_022437.3(ABCG8):​c.1201A>T​(p.Thr401Ser) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00207 in 1,613,736 control chromosomes in the GnomAD database, including 16 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars).

Frequency

Genomes: 𝑓 0.0017 ( 1 hom., cov: 32)
Exomes 𝑓: 0.0021 ( 15 hom. )

Consequence

ABCG8
NM_022437.3 missense

Scores

2
17

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:5B:5

Conservation

PhyloP100: 0.884
Variant links:
Genes affected
ABCG8 (HGNC:13887): (ATP binding cassette subfamily G member 8) 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). This protein is a member of the White subfamily. The protein encoded by this gene functions to exclude non-cholesterol sterol entry at the intestinal level, promote excretion of cholesterol and sterols into bile, and to facilitate transport of sterols back into the intestinal lumen. It is expressed in a tissue-specific manner in the liver, intestine, and gallbladder. This gene is tandemly arrayed on chromosome 2, in a head-to-head orientation with family member ABCG5. Mutations in this gene may contribute to sterol accumulation and atherosclerosis, and have been observed in patients with sitosterolemia. [provided by RefSeq, Jul 2008]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.015889764).
BP6
Variant 2-43872296-A-T is Benign according to our data. Variant chr2-43872296-A-T is described in ClinVar as [Conflicting_classifications_of_pathogenicity]. Clinvar id is 198901.We mark this variant Likely_benign, oryginal submissions are: {Likely_benign=3, Benign=1, Uncertain_significance=5}. Variant chr2-43872296-A-T is described in Lovd as [Likely_benign].
BS2
High Homozygotes in GnomAdExome4 at 15 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ABCG8NM_022437.3 linkuse as main transcriptc.1201A>T p.Thr401Ser missense_variant 8/13 ENST00000272286.4 NP_071882.1
ABCG8NM_001357321.2 linkuse as main transcriptc.1198A>T p.Thr400Ser missense_variant 8/13 NP_001344250.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ABCG8ENST00000272286.4 linkuse as main transcriptc.1201A>T p.Thr401Ser missense_variant 8/131 NM_022437.3 ENSP00000272286 P1Q9H221-1
ABCG8ENST00000644611.1 linkuse as main transcriptc.1213A>T p.Thr405Ser missense_variant 8/9 ENSP00000495423

Frequencies

GnomAD3 genomes
AF:
0.00175
AC:
266
AN:
152104
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.000579
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00458
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000414
Gnomad FIN
AF:
0.000283
Gnomad MID
AF:
0.00316
Gnomad NFE
AF:
0.00237
Gnomad OTH
AF:
0.00239
GnomAD3 exomes
AF:
0.00152
AC:
380
AN:
250578
Hom.:
0
AF XY:
0.00138
AC XY:
187
AN XY:
135548
show subpopulations
Gnomad AFR exome
AF:
0.000618
Gnomad AMR exome
AF:
0.00220
Gnomad ASJ exome
AF:
0.0000995
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000458
Gnomad FIN exome
AF:
0.000232
Gnomad NFE exome
AF:
0.00234
Gnomad OTH exome
AF:
0.00147
GnomAD4 exome
AF:
0.00210
AC:
3073
AN:
1461514
Hom.:
15
Cov.:
33
AF XY:
0.00208
AC XY:
1513
AN XY:
727038
show subpopulations
Gnomad4 AFR exome
AF:
0.000478
Gnomad4 AMR exome
AF:
0.00257
Gnomad4 ASJ exome
AF:
0.000153
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000452
Gnomad4 FIN exome
AF:
0.000188
Gnomad4 NFE exome
AF:
0.00243
Gnomad4 OTH exome
AF:
0.00184
GnomAD4 genome
AF:
0.00175
AC:
266
AN:
152222
Hom.:
1
Cov.:
32
AF XY:
0.00171
AC XY:
127
AN XY:
74410
show subpopulations
Gnomad4 AFR
AF:
0.000578
Gnomad4 AMR
AF:
0.00458
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000415
Gnomad4 FIN
AF:
0.000283
Gnomad4 NFE
AF:
0.00237
Gnomad4 OTH
AF:
0.00237
Alfa
AF:
0.00188
Hom.:
1
Bravo
AF:
0.00199
TwinsUK
AF:
0.00243
AC:
9
ALSPAC
AF:
0.00259
AC:
10
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00221
AC:
19
ExAC
AF:
0.00144
AC:
175
EpiCase
AF:
0.00360
EpiControl
AF:
0.00296

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:5Benign:5
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:3Benign:3
Likely benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 29, 2024- -
Uncertain significance, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenSep 01, 2023ABCG8: PM2, BP4 -
Uncertain significance, criteria provided, single submitterclinical testingMayo Clinic Laboratories, Mayo ClinicSep 13, 2022BP4 -
Benign, criteria provided, single submitterclinical testingMolecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute-- -
Uncertain significance, criteria provided, single submitterclinical testingEurofins Ntd Llc (ga)Feb 09, 2018- -
Likely benign, criteria provided, single submitterclinical testingGeneDxSep 03, 2020This variant is associated with the following publications: (PMID: 20854103) -
Sitosterolemia 1 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 27, 2017This variant was observed as part of a predisposition screen in an ostensibly healthy population. A literature search was performed for the gene, cDNA change, and amino acid change (where applicable). Publications were found based on this search. However, the evidence from the literature, in combination with allele frequency data from public databases where available, was not sufficient to rule this variant in or out of causing disease. Therefore, this variant is classified as a variant of unknown significance. -
Sitosterolemia;C1969115:Gallbladder disease 4 Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingFulgent Genetics, Fulgent GeneticsOct 31, 2018- -
ABCG8-related disorder Benign:1
Likely benign, no assertion criteria providedclinical testingPreventionGenetics, part of Exact SciencesFeb 04, 2022This 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). -
Cardiovascular phenotype Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsSep 23, 2023This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.11
BayesDel_addAF
Benign
-0.45
T
BayesDel_noAF
Benign
-0.43
CADD
Benign
13
DANN
Benign
0.94
DEOGEN2
Uncertain
0.43
.;T;T
Eigen
Benign
-0.49
Eigen_PC
Benign
-0.62
FATHMM_MKL
Benign
0.16
N
LIST_S2
Benign
0.70
T;.;T
M_CAP
Benign
0.080
D
MetaRNN
Benign
0.016
T;T;T
MetaSVM
Benign
-0.80
T
MutationAssessor
Benign
1.9
.;L;L
MutationTaster
Benign
1.0
N
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-1.6
.;.;N
REVEL
Benign
0.083
Sift
Benign
0.057
.;.;T
Sift4G
Uncertain
0.018
.;.;D
Polyphen
0.63
.;P;P
Vest4
0.29
MVP
0.73
MPC
0.035
ClinPred
0.023
T
GERP RS
2.4
Varity_R
0.28
gMVP
0.44

Splicing

Name
Calibrated prediction
Score
Prediction
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: rs144200355; hg19: chr2-44099435; COSMIC: COSV99042252; API