chr21-44907014-C-T

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_000211.5(ITGB2):​c.229G>A​(p.Asp77Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000604 in 1,614,086 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 11/18 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. D77Y) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.0029 ( 2 hom., cov: 32)
Exomes 𝑓: 0.00036 ( 2 hom. )

Consequence

ITGB2
NM_000211.5 missense

Scores

2
15

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 1.51
Variant links:
Genes affected
ITGB2 (HGNC:6155): (integrin subunit beta 2) This gene encodes an integrin beta chain, which combines with multiple different alpha chains to form different integrin heterodimers. Integrins are integral cell-surface proteins that participate in cell adhesion as well as cell-surface mediated signalling. The encoded protein plays an important role in immune response and defects in this gene cause leukocyte adhesion deficiency. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2014]

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ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.012335122).
BP6
Variant 21-44907014-C-T is Benign according to our data. Variant chr21-44907014-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 381672.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr21-44907014-C-T is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population afr. gnomad4 allele frequency = 0.00291 (443/152264) while in subpopulation AFR AF= 0.00987 (410/41554). AF 95% confidence interval is 0.00908. There are 2 homozygotes in gnomad4. There are 193 alleles in male gnomad4 subpopulation. Median coverage is 32. This position pass quality control queck.
BS2
High Homozygotes in GnomAd4 at 2 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ITGB2NM_000211.5 linkuse as main transcriptc.229G>A p.Asp77Asn missense_variant 4/16 ENST00000652462.1

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ITGB2ENST00000652462.1 linkuse as main transcriptc.229G>A p.Asp77Asn missense_variant 4/16 NM_000211.5 P1

Frequencies

GnomAD3 genomes
AF:
0.00292
AC:
444
AN:
152146
Hom.:
2
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00992
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00151
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:
0.0000882
Gnomad OTH
AF:
0.00191
GnomAD3 exomes
AF:
0.000776
AC:
195
AN:
251426
Hom.:
0
AF XY:
0.000530
AC XY:
72
AN XY:
135894
show subpopulations
Gnomad AFR exome
AF:
0.0106
Gnomad AMR exome
AF:
0.000376
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.0000703
Gnomad OTH exome
AF:
0.000163
GnomAD4 exome
AF:
0.000364
AC:
532
AN:
1461822
Hom.:
2
Cov.:
32
AF XY:
0.000309
AC XY:
225
AN XY:
727208
show subpopulations
Gnomad4 AFR exome
AF:
0.0117
Gnomad4 AMR exome
AF:
0.000470
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.0000812
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.0000567
Gnomad4 OTH exome
AF:
0.000762
GnomAD4 genome
AF:
0.00291
AC:
443
AN:
152264
Hom.:
2
Cov.:
32
AF XY:
0.00259
AC XY:
193
AN XY:
74418
show subpopulations
Gnomad4 AFR
AF:
0.00987
Gnomad4 AMR
AF:
0.00150
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.00
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.0000882
Gnomad4 OTH
AF:
0.00189
Alfa
AF:
0.000519
Hom.:
1
Bravo
AF:
0.00358
ESP6500AA
AF:
0.0104
AC:
46
ESP6500EA
AF:
0.000233
AC:
2
ExAC
AF:
0.000939
AC:
114
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000109
EpiControl
AF:
0.00

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:4
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

Leukocyte adhesion deficiency 1 Benign:2
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaApr 28, 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. The evidence from the literature, in combination with allele frequency data from public databases where available, was sufficient to rule this variant out of causing disease. Therefore, this variant is classified as benign. -
Benign, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpJan 31, 2024- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingGeneDxFeb 26, 2016This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -
not provided Benign:1
Likely benign, criteria provided, single submitternot providedBreakthrough Genomics, Breakthrough Genomics-- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.10
BayesDel_addAF
Benign
-0.30
T
BayesDel_noAF
Benign
-0.20
CADD
Benign
18
DANN
Uncertain
0.99
DEOGEN2
Benign
0.36
.;.;T;.;.;.;.;.;T;.;T;T
Eigen
Benign
-0.66
Eigen_PC
Benign
-0.66
FATHMM_MKL
Benign
0.15
N
LIST_S2
Benign
0.79
.;.;T;.;.;T;T;T;T;T;T;T
MetaRNN
Benign
0.012
T;T;T;T;T;T;T;T;T;T;T;T
MetaSVM
Benign
-0.30
T
MutationTaster
Benign
1.0
N;N;N;N;N;N
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-1.4
N;N;N;N;N;N;N;N;N;N;D;D
REVEL
Benign
0.11
Sift
Benign
0.077
T;T;T;T;T;T;T;T;T;T;T;T
Sift4G
Benign
0.39
T;T;T;T;T;T;T;.;T;.;.;D
Vest4
0.37
MVP
0.88
MPC
0.35
ClinPred
0.0041
T
GERP RS
2.8
gMVP
0.54

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: rs141799330; hg19: chr21-46326929; COSMIC: COSV105127966; COSMIC: COSV105127966; API