chr9-137008517-G-A

Variant summary

Our verdict is Uncertain significance. The variant received 0 ACMG points: 2P and 2B. PM2BP4_Moderate

The NM_001606.5(ABCA2):​c.7174C>T​(p.Arg2392Trp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00000628 in 1,591,676 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R2392Q) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.000026 ( 0 hom., cov: 32)
Exomes 𝑓: 0.0000042 ( 0 hom. )

Consequence

ABCA2
NM_001606.5 missense

Scores

11
8

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 3.24

Publications

0 publications found
Variant links:
Genes affected
ABCA2 (HGNC:32): (ATP binding cassette subfamily A member 2) The membrane-associated 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 intracellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ABC1 subfamily. Members of the ABC1 subfamily comprise the only major ABC subfamily found exclusively in multicellular eukaryotes. This protein is highly expressed in brain tissue and may play a role in macrophage lipid metabolism and neural development. Two transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Jul 2008]
ABCA2 Gene-Disease associations (from GenCC):
  • intellectual developmental disorder with poor growth and with or without seizures or ataxia
    Inheritance: AR Classification: STRONG, MODERATE Submitted by: G2P, Ambry Genetics, Labcorp Genetics (formerly Invitae)
  • schizophrenia
    Inheritance: Unknown Classification: LIMITED Submitted by: Labcorp Genetics (formerly Invitae)

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Uncertain_significance. The variant received 0 ACMG points.

PM2
Very rare variant in population databases, with high coverage;
BP4
Computational evidence support a benign effect (MetaRNN=0.21327403).

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCA2NM_001606.5 linkc.7174C>T p.Arg2392Trp missense_variant Exon 48 of 49 ENST00000341511.11 NP_001597.2 Q9BZC7-3
ABCA2NM_212533.3 linkc.7264C>T p.Arg2422Trp missense_variant Exon 48 of 49 NP_997698.1 Q9BZC7-4
ABCA2NM_001411042.1 linkc.7171C>T p.Arg2391Trp missense_variant Exon 47 of 48 NP_001397971.1
ABCA2XM_047422921.1 linkc.7261C>T p.Arg2421Trp missense_variant Exon 47 of 48 XP_047278877.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCA2ENST00000341511.11 linkc.7174C>T p.Arg2392Trp missense_variant Exon 48 of 49 5 NM_001606.5 ENSP00000344155.6 Q9BZC7-3

Frequencies

GnomAD3 genomes
AF:
0.0000263
AC:
4
AN:
152206
Hom.:
0
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0000965
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00
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:
0.00
Gnomad OTH
AF:
0.00
GnomAD2 exomes
AF:
0.0000284
AC:
6
AN:
211536
AF XY:
0.0000174
show subpopulations
Gnomad AFR exome
AF:
0.0000829
Gnomad AMR exome
AF:
0.0000321
Gnomad ASJ exome
AF:
0.000215
Gnomad EAS exome
AF:
0.0000634
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.00
Gnomad OTH exome
AF:
0.000188
GnomAD4 exome
AF:
0.00000417
AC:
6
AN:
1439352
Hom.:
0
Cov.:
42
AF XY:
0.00000140
AC XY:
1
AN XY:
713884
show subpopulations
African (AFR)
AF:
0.00
AC:
0
AN:
33178
American (AMR)
AF:
0.0000478
AC:
2
AN:
41814
Ashkenazi Jewish (ASJ)
AF:
0.0000778
AC:
2
AN:
25692
East Asian (EAS)
AF:
0.00
AC:
0
AN:
38682
South Asian (SAS)
AF:
0.00
AC:
0
AN:
82994
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
49928
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
5742
European-Non Finnish (NFE)
AF:
9.08e-7
AC:
1
AN:
1101756
Other (OTH)
AF:
0.0000168
AC:
1
AN:
59566
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.467
Heterozygous variant carriers
0
1
2
2
3
4
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
2
4
6
8
10
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
GnomAD4 genome
AF:
0.0000263
AC:
4
AN:
152324
Hom.:
0
Cov.:
32
AF XY:
0.0000269
AC XY:
2
AN XY:
74478
show subpopulations
African (AFR)
AF:
0.0000962
AC:
4
AN:
41576
American (AMR)
AF:
0.00
AC:
0
AN:
15304
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3468
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5182
South Asian (SAS)
AF:
0.00
AC:
0
AN:
4830
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10626
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
68018
Other (OTH)
AF:
0.00
AC:
0
AN:
2116
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.488
Heterozygous variant carriers
0
0
1
1
2
2
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance
Alfa
AF:
0.000408
Hom.:
0
Bravo
AF:
0.0000151
ExAC
AF:
0.0000251
AC:
3

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not specified Uncertain:1
Apr 12, 2022
Ambry Genetics
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

The c.7264C>T (p.R2422W) alteration is located in exon 48 (coding exon 48) of the ABCA2 gene. This alteration results from a C to T substitution at nucleotide position 7264, causing the arginine (R) at amino acid position 2422 to be replaced by a tryptophan (W). Based on insufficient or conflicting evidence, the clinical significance of this alteration remains unclear. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Uncertain
0.087
D
BayesDel_noAF
Benign
-0.11
CADD
Pathogenic
27
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.42
.;T;T;.;T
Eigen
Benign
-0.042
Eigen_PC
Benign
-0.13
FATHMM_MKL
Uncertain
0.94
D
LIST_S2
Uncertain
0.96
D;D;D;D;D
M_CAP
Uncertain
0.25
D
MetaRNN
Benign
0.21
T;T;T;T;T
MetaSVM
Uncertain
-0.16
T
MutationAssessor
Benign
1.6
.;L;.;.;.
PhyloP100
3.2
PrimateAI
Uncertain
0.75
T
PROVEAN
Benign
-1.8
N;N;N;.;D
REVEL
Uncertain
0.48
Sift
Uncertain
0.0010
D;D;D;.;D
Sift4G
Uncertain
0.0040
D;D;D;D;D
Polyphen
1.0
.;D;.;.;.
Vest4
0.49
MutPred
0.41
.;Loss of helix (P = 0.0076);.;.;.;
MVP
0.53
MPC
0.71
ClinPred
0.20
T
GERP RS
0.68
Varity_R
0.11
gMVP
0.49
Mutation Taster
=89/11
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.010
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

Other links and lift over

dbSNP: rs570802164; hg19: chr9-139902969; API