chr22-24432885-C-T

Variant names:

• chr22-24432885-C-T
• rs71651683
• NM_000675.6:c.-274-246C>T

Variant summary

Our verdict is Benign. The variant received -12 ACMG points: 0P and 12B. BP4_Strong BA1

The NM_000675.6(ADORA2A):​c.-274-246C>T variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0331 in 159,674 control chromosomes in the GnomAD database, including 187 homozygotes. In-silico tool predicts a benign outcome for this variant. No clinical diagnostic laboratories have submitted clinical-significance assessments for this variant to ClinVar.

• Frequency:
  • Genomes: 𝑓 0.034 (187 hom., cov: 33)
  • Exomes 𝑓: 0.0085 (0 hom.)
• Consequence: ADORA2A NM_000675.6 intron
• Clinical Significance: Not reported in ClinVar
• Conservation: PhyloP100: -0.450
• Publications: 9 publications found

Genes affected

ADORA2A (HGNC:263): (adenosine A2a receptor) This gene encodes a member of the guanine nucleotide-binding protein (G protein)-coupled receptor (GPCR) superfamily, which is subdivided into classes and subtypes. The receptors are seven-pass transmembrane proteins that respond to extracellular cues and activate intracellular signal transduction pathways. This protein, an adenosine receptor of A2A subtype, uses adenosine as the preferred endogenous agonist and preferentially interacts with the G(s) and G(olf) family of G proteins to increase intracellular cAMP levels. It plays an important role in many biological functions, such as cardiac rhythm and circulation, cerebral and renal blood flow, immune function, pain regulation, and sleep. It has been implicated in pathophysiological conditions such as inflammatory diseases and neurodegenerative disorders. Alternative splicing results in multiple transcript variants. A read-through transcript composed of the upstream SPECC1L (sperm antigen with calponin homology and coiled-coil domains 1-like) and ADORA2A (adenosine A2a receptor) gene sequence has been identified, but it is thought to be non-coding. [provided by RefSeq, Jun 2013]

SPECC1L-ADORA2A (HGNC:49185): (SPECC1L-ADORA2A readthrough (NMD candidate)) This locus represents naturally occurring readthrough transcription between the neighboring SPECC1L (sperm antigen with calponin homology and coiled-coil domains 1-like) and ADORA2A (adenosine A2a receptor) genes on chromosome 22. The readthrough transcript is a candidate for nonsense-mediated mRNA decay (NMD) and is unlikely to produce a protein product. [provided by RefSeq, Jun 2013]

ADORA2A-AS1 (HGNC:37122): (ADORA2A antisense RNA 1)

ACMG classification

Our verdict: Benign. The variant received -12 ACMG points.

• BP4: Computational evidence support a benign effect (BayesDel_noAF=-0.58).
• BA1: GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0815 is higher than 0.05.

Variant Effect in Transcripts

ACMG analysis was done for transcript: NM_000675.6. You can select a different transcript below to see updated ACMG assignments.

RefSeq Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	ADORA2A	NM_000675.6	MANE Select	c.-274-246C>T		intron	N/A	NP_000666.2
	ADORA2A	NM_001278497.2		c.-275+159C>T		intron	N/A	NP_001265426.1
	ADORA2A	NM_001278498.2		c.-274-246C>T		intron	N/A	NP_001265427.1

Ensembl Transcripts

Selected	Gene	Transcript	Tags	HGVSc	HGVSp	Effect	Exon Rank	Protein	UniProt
	ADORA2A	ENST00000337539.12	TSL:1 MANE Select	c.-274-246C>T		intron	N/A	ENSP00000336630.6
	ADORA2A	ENST00000618076.3	TSL:1	c.-274-246C>T		intron	N/A	ENSP00000481552.1
	SPECC1L-ADORA2A	ENST00000358654.2	TSL:2	n.*862-246C>T		intron	N/A	ENSP00000351480.2

Frequencies

GnomAD3 genomes AF: 0.0341 AC: 5195 AN: 152140 Hom.: 183 Cov.: 33

Gnomad AFR AF: 0.0834

Gnomad AMI AF: 0.00

Gnomad AMR AF: 0.0313

Gnomad ASJ AF: 0.0308

Gnomad EAS AF: 0.00

Gnomad SAS AF: 0.00435

Gnomad FIN AF: 0.00791

Gnomad MID AF: 0.0222

Gnomad NFE AF: 0.0144

Gnomad OTH AF: 0.0297

GnomAD4 exome AF: 0.00850 AC: 63 AN: 7416 Hom.: 0 Cov.: 0 AF XY: 0.00699 AC XY: 28 AN XY: 4008

African (AFR) AF: 0.0357 AC: 3 AN: 84

American (AMR) AF: 0.00651 AC: 7 AN: 1076

Ashkenazi Jewish (ASJ) AF: 0.0213 AC: 2 AN: 94

East Asian (EAS) AF: 0.00 AC: 0 AN: 148

South Asian (SAS) AF: 0.000911 AC: 1 AN: 1098

European-Finnish (FIN) AF: 0.00 AC: 0 AN: 138

Middle Eastern (MID) AF: 0.00 AC: 0 AN: 14

European-Non Finnish (NFE) AF: 0.00967 AC: 43 AN: 4448

Other (OTH) AF: 0.0222 AC: 7 AN: 316

GnomAD4 genome AF: 0.0343 AC: 5221 AN: 152258 Hom.: 187 Cov.: 33 AF XY: 0.0330 AC XY: 2459 AN XY: 74450

African (AFR) AF: 0.0838 AC: 3484 AN: 41554

American (AMR) AF: 0.0312 AC: 477 AN: 15298

Ashkenazi Jewish (ASJ) AF: 0.0308 AC: 107 AN: 3472

East Asian (EAS) AF: 0.00 AC: 0 AN: 5166

South Asian (SAS) AF: 0.00435 AC: 21 AN: 4828

European-Finnish (FIN) AF: 0.00791 AC: 84 AN: 10614

Middle Eastern (MID) AF: 0.0238 AC: 7 AN: 294

European-Non Finnish (NFE) AF: 0.0144 AC: 979 AN: 68008

Other (OTH) AF: 0.0294 AC: 62 AN: 2112

Alfa AF: 0.0209 Hom.: 112

Bravo AF: 0.0386

Asia WGS AF: 0.00635 AC: 22 AN: 3478

ClinVar

Not reported in ClinVar

Computational scores

Source: dbNSFP v4.9

Name	Calibrated prediction	Score	Prediction
BayesDel_noAF	Benign	-0.58
CADD	Benign	5.3
DANN	Benign	0.94
PhyloP100		-0.45
PromoterAI		0.0035	Neutral
Mutation Taster		=100/0	polymorphism (auto)

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

Other links and lift over

dbSNP: rs71651683; hg19: chr22-24828853;