rs1058405

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBA1

The NM_007348.4(ATF6):​c.199A>G​(p.Met67Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.267 in 1,606,008 control chromosomes in the GnomAD database, including 61,518 homozygotes. In-silico tool predicts a benign outcome for this variant. 13/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Benign (★★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. M67L) has been classified as Uncertain significance.

Frequency

Genomes: 𝑓 0.21 ( 4127 hom., cov: 32)
Exomes 𝑓: 0.27 ( 57391 hom. )

Consequence

ATF6
NM_007348.4 missense

Scores

2
16

Clinical Significance

Benign criteria provided, multiple submitters, no conflicts B:4

Conservation

PhyloP100: 2.56

Publications

35 publications found
Variant links:
Genes affected
ATF6 (HGNC:791): (activating transcription factor 6) This gene encodes a transcription factor that activates target genes for the unfolded protein response (UPR) during endoplasmic reticulum (ER) stress. Although it is a transcription factor, this protein is unusual in that it is synthesized as a transmembrane protein that is embedded in the ER. It functions as an ER stress sensor/transducer, and following ER stress-induced proteolysis, it functions as a nuclear transcription factor via a cis-acting ER stress response element (ERSE) that is present in the promoters of genes encoding ER chaperones. This protein has been identified as a survival factor for quiescent but not proliferative squamous carcinoma cells. There have been conflicting reports about the association of polymorphisms in this gene with diabetes in different populations, but another polymorphism has been associated with increased plasma cholesterol levels. This gene is also thought to be a potential therapeutic target for cystic fibrosis. [provided by RefSeq, Aug 2011]
ATF6 Gene-Disease associations (from GenCC):
  • achromatopsia 7
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: PanelApp Australia, G2P, Labcorp Genetics (formerly Invitae)
  • ATF6-related retinopathy
    Inheritance: AR Classification: DEFINITIVE Submitted by: ClinGen
  • achromatopsia
    Inheritance: AR Classification: STRONG, SUPPORTIVE Submitted by: Orphanet, ClinGen
  • cone-rod dystrophy
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0014133751).
BP6
Variant 1-161781951-A-G is Benign according to our data. Variant chr1-161781951-A-G is described in ClinVar as Benign. ClinVar VariationId is 801568.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BA1
GnomAd4 highest subpopulation (NFE) allele frequency at 95% confidence interval = 0.283 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATF6NM_007348.4 linkc.199A>G p.Met67Val missense_variant Exon 3 of 16 ENST00000367942.4 NP_031374.2 P18850A8K383

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATF6ENST00000367942.4 linkc.199A>G p.Met67Val missense_variant Exon 3 of 16 1 NM_007348.4 ENSP00000356919.3 P18850

Frequencies

GnomAD3 genomes
AF:
0.209
AC:
31710
AN:
152082
Hom.:
4129
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0516
Gnomad AMI
AF:
0.371
Gnomad AMR
AF:
0.199
Gnomad ASJ
AF:
0.218
Gnomad EAS
AF:
0.277
Gnomad SAS
AF:
0.164
Gnomad FIN
AF:
0.304
Gnomad MID
AF:
0.250
Gnomad NFE
AF:
0.286
Gnomad OTH
AF:
0.218
GnomAD2 exomes
AF:
0.234
AC:
58115
AN:
248664
AF XY:
0.237
show subpopulations
Gnomad AFR exome
AF:
0.0421
Gnomad AMR exome
AF:
0.156
Gnomad ASJ exome
AF:
0.215
Gnomad EAS exome
AF:
0.282
Gnomad FIN exome
AF:
0.291
Gnomad NFE exome
AF:
0.284
Gnomad OTH exome
AF:
0.260
GnomAD4 exome
AF:
0.274
AC:
397833
AN:
1453808
Hom.:
57391
Cov.:
30
AF XY:
0.271
AC XY:
196369
AN XY:
723558
show subpopulations
African (AFR)
AF:
0.0415
AC:
1385
AN:
33394
American (AMR)
AF:
0.162
AC:
7106
AN:
43980
Ashkenazi Jewish (ASJ)
AF:
0.219
AC:
5700
AN:
26048
East Asian (EAS)
AF:
0.307
AC:
12093
AN:
39438
South Asian (SAS)
AF:
0.168
AC:
14379
AN:
85548
European-Finnish (FIN)
AF:
0.294
AC:
15645
AN:
53284
Middle Eastern (MID)
AF:
0.254
AC:
1456
AN:
5742
European-Non Finnish (NFE)
AF:
0.293
AC:
324543
AN:
1106294
Other (OTH)
AF:
0.258
AC:
15526
AN:
60080
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.451
Heterozygous variant carriers
0
12433
24866
37300
49733
62166
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
10550
21100
31650
42200
52750
<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:
0.208
AC:
31703
AN:
152200
Hom.:
4127
Cov.:
32
AF XY:
0.208
AC XY:
15512
AN XY:
74404
show subpopulations
African (AFR)
AF:
0.0514
AC:
2138
AN:
41564
American (AMR)
AF:
0.199
AC:
3037
AN:
15290
Ashkenazi Jewish (ASJ)
AF:
0.218
AC:
757
AN:
3468
East Asian (EAS)
AF:
0.277
AC:
1433
AN:
5168
South Asian (SAS)
AF:
0.165
AC:
796
AN:
4824
European-Finnish (FIN)
AF:
0.304
AC:
3213
AN:
10576
Middle Eastern (MID)
AF:
0.252
AC:
74
AN:
294
European-Non Finnish (NFE)
AF:
0.286
AC:
19462
AN:
67998
Other (OTH)
AF:
0.216
AC:
455
AN:
2106
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
1250
2500
3749
4999
6249
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
Variant carriers
0
332
664
996
1328
1660
<30
30-35
35-40
40-45
45-50
50-55
55-60
60-65
65-70
70-75
75-80
>80
Age
Alfa
AF:
0.259
Hom.:
15807
Bravo
AF:
0.196
TwinsUK
AF:
0.297
AC:
1102
ALSPAC
AF:
0.290
AC:
1119
ESP6500AA
AF:
0.0567
AC:
250
ESP6500EA
AF:
0.291
AC:
2505
ExAC
AF:
0.234
AC:
28470
Asia WGS
AF:
0.201
AC:
698
AN:
3476
EpiCase
AF:
0.292
EpiControl
AF:
0.282

ClinVar

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

Submissions by phenotype

Achromatopsia 7 Benign:2
May 28, 2019
Mendelics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jul 14, 2021
Genome-Nilou Lab
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

not provided Benign:2
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Breakthrough Genomics, Breakthrough Genomics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.13
BayesDel_addAF
Benign
-0.59
T
BayesDel_noAF
Benign
-0.47
CADD
Benign
15
DANN
Benign
0.92
DEOGEN2
Benign
0.15
T
Eigen
Benign
-0.12
Eigen_PC
Benign
0.024
FATHMM_MKL
Benign
0.71
D
LIST_S2
Benign
0.47
T
MetaRNN
Benign
0.0014
T
MetaSVM
Benign
-1.0
T
MutationAssessor
Uncertain
2.2
M
PhyloP100
2.6
PrimateAI
Uncertain
0.50
T
PROVEAN
Benign
-1.0
N
REVEL
Benign
0.13
Sift
Benign
0.37
T
Sift4G
Benign
0.23
T
Polyphen
0.049
B
Vest4
0.22
MPC
0.15
ClinPred
0.016
T
GERP RS
3.8
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.15
gMVP
0.076
Mutation Taster
=93/7
polymorphism (auto)

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: rs1058405; hg19: chr1-161751741; COSMIC: COSV63406746; API