chr3-64686890-G-C

Variant summary

Our verdict is Likely benign. Variant got -6 ACMG points: 0P and 6B. BP4_ModerateBS2

The ENST00000498707.5(ADAMTS9):ā€‹c.194C>Gā€‹(p.Thr65Arg) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000222 in 1,614,196 control chromosomes in the GnomAD database, including 3 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 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: š‘“ 0.00022 ( 0 hom., cov: 33)
Exomes š‘“: 0.00022 ( 3 hom. )

Consequence

ADAMTS9
ENST00000498707.5 missense

Scores

4
15

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications P:1U:1B:1

Conservation

PhyloP100: 3.38
Variant links:
Genes affected
ADAMTS9 (HGNC:13202): (ADAM metallopeptidase with thrombospondin type 1 motif 9) This gene encodes a member of the ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs) protein family. Members of the family share several distinct protein modules, including a propeptide region, a metalloproteinase domain, a disintegrin-like domain, and a thrombospondin type 1 (TS) motif. Individual members of this family differ in the number of C-terminal TS motifs, and some have unique C-terminal domains. Members of the ADAMTS family have been implicated in the cleavage of proteoglycans, the control of organ shape during development, and the inhibition of angiogenesis. This gene is localized to chromosome 3p14.3-p14.2, an area known to be lost in hereditary renal tumors. Alternative splicing results in multiple transcript variants encoding different isoforms that may undergo similar proteolytic processing. [provided by RefSeq, Jan 2016]
ADAMTS9-AS2 (HGNC:42435): (ADAMTS9 antisense RNA 2)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_benign. Variant got -6 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.10202506).
BS2
High Homozygotes in GnomAdExome4 at 3 AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADAMTS9NM_182920.2 linkuse as main transcriptc.194C>G p.Thr65Arg missense_variant 2/40 ENST00000498707.5 NP_891550.1
ADAMTS9-AS2NR_038264.1 linkuse as main transcriptn.469+1552G>C intron_variant, non_coding_transcript_variant

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADAMTS9ENST00000498707.5 linkuse as main transcriptc.194C>G p.Thr65Arg missense_variant 2/401 NM_182920.2 ENSP00000418735 P1Q9P2N4-3
ADAMTS9-AS2ENST00000650103.1 linkuse as main transcriptn.404+1552G>C intron_variant, non_coding_transcript_variant

Frequencies

GnomAD3 genomes
AF:
0.000230
AC:
35
AN:
152190
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.000458
Gnomad ASJ
AF:
0.00115
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000829
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00633
Gnomad NFE
AF:
0.000235
Gnomad OTH
AF:
0.000955
GnomAD3 exomes
AF:
0.000254
AC:
64
AN:
251484
Hom.:
1
AF XY:
0.000346
AC XY:
47
AN XY:
135914
show subpopulations
Gnomad AFR exome
AF:
0.00
Gnomad AMR exome
AF:
0.000231
Gnomad ASJ exome
AF:
0.000893
Gnomad EAS exome
AF:
0.00
Gnomad SAS exome
AF:
0.000490
Gnomad FIN exome
AF:
0.0000924
Gnomad NFE exome
AF:
0.000220
Gnomad OTH exome
AF:
0.000815
GnomAD4 exome
AF:
0.000222
AC:
324
AN:
1461888
Hom.:
3
Cov.:
32
AF XY:
0.000261
AC XY:
190
AN XY:
727244
show subpopulations
Gnomad4 AFR exome
AF:
0.000209
Gnomad4 AMR exome
AF:
0.000201
Gnomad4 ASJ exome
AF:
0.00103
Gnomad4 EAS exome
AF:
0.00
Gnomad4 SAS exome
AF:
0.000777
Gnomad4 FIN exome
AF:
0.000168
Gnomad4 NFE exome
AF:
0.000130
Gnomad4 OTH exome
AF:
0.000513
GnomAD4 genome
AF:
0.000223
AC:
34
AN:
152308
Hom.:
0
Cov.:
33
AF XY:
0.000188
AC XY:
14
AN XY:
74472
show subpopulations
Gnomad4 AFR
AF:
0.00
Gnomad4 AMR
AF:
0.000458
Gnomad4 ASJ
AF:
0.00115
Gnomad4 EAS
AF:
0.00
Gnomad4 SAS
AF:
0.000829
Gnomad4 FIN
AF:
0.00
Gnomad4 NFE
AF:
0.000235
Gnomad4 OTH
AF:
0.000945
Alfa
AF:
0.000314
Hom.:
0
Bravo
AF:
0.000181
TwinsUK
AF:
0.000270
AC:
1
ALSPAC
AF:
0.00
AC:
0
ESP6500AA
AF:
0.00
AC:
0
ESP6500EA
AF:
0.000116
AC:
1
ExAC
AF:
0.000239
AC:
29
EpiCase
AF:
0.000600
EpiControl
AF:
0.000711

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Pathogenic:1Uncertain:1Benign:1
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:1
Likely benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenDec 01, 2022ADAMTS9: BP4 -
Uncertain significance, criteria provided, single submitterclinical testingLabcorp Genetics (formerly Invitae), LabcorpOct 05, 2022In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. Experimental studies have shown that this missense change affects ADAMTS9 function (PMID: 30609407). Algorithms developed to predict the effect of missense changes on protein structure and function output the following: SIFT: "Deleterious"; PolyPhen-2: "Benign"; Align-GVGD: "Class C0". The arginine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. ClinVar contains an entry for this variant (Variation ID: 1344640). This missense change has been observed in individual(s) with ADAMTS9-related conditions (PMID: 30609407). This variant is present in population databases (rs192420947, gnomAD 0.09%), and has an allele count higher than expected for a pathogenic variant. This sequence change replaces threonine, which is neutral and polar, with arginine, which is basic and polar, at codon 65 of the ADAMTS9 protein (p.Thr65Arg). -
Nephronophthisis Pathogenic:1
Likely pathogenic, no assertion criteria providedliterature onlyYale Center for Mendelian Genomics, Yale UniversityJan 03, 2019- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.063
BayesDel_addAF
Benign
-0.16
T
BayesDel_noAF
Benign
-0.13
CADD
Benign
19
DANN
Uncertain
0.99
DEOGEN2
Benign
0.039
T;.;.
Eigen
Uncertain
0.37
Eigen_PC
Uncertain
0.45
FATHMM_MKL
Uncertain
0.89
D
LIST_S2
Benign
0.78
T;T;T
M_CAP
Benign
0.024
T
MetaRNN
Benign
0.10
T;T;T
MetaSVM
Benign
-0.78
T
MutationAssessor
Benign
1.6
L;L;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Benign
0.40
T
PROVEAN
Benign
-0.51
N;N;N
REVEL
Benign
0.16
Sift
Benign
0.15
T;T;T
Sift4G
Benign
0.23
T;T;T
Polyphen
0.80
P;.;.
Vest4
0.40
MVP
0.72
MPC
0.24
ClinPred
0.11
T
GERP RS
5.0
Varity_R
0.38
gMVP
0.74

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: rs192420947; hg19: chr3-64672566; API