rs114771537
Variant summary
Our verdict is Benign. Variant got -21 ACMG points: 0P and 21B. BP4_StrongBP6_Very_StrongBP7BS1BS2
The NM_000053.4(ATP7B):c.3891C>T(p.Val1297Val) variant causes a synonymous change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0019 in 1,614,064 control chromosomes in the GnomAD database, including 52 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).
Frequency
Consequence
NM_000053.4 synonymous
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Benign. Variant got -21 ACMG points.
Transcripts
RefSeq
Gene | Transcript | HGVSc | HGVSp | Effect | Exon rank | MANE | Protein | UniProt |
---|---|---|---|---|---|---|---|---|
ATP7B | NM_000053.4 | c.3891C>T | p.Val1297Val | synonymous_variant | Exon 18 of 21 | ENST00000242839.10 | NP_000044.2 |
Ensembl
Frequencies
GnomAD3 genomes AF: 0.00980 AC: 1492AN: 152224Hom.: 30 Cov.: 32
GnomAD3 exomes AF: 0.00257 AC: 640AN: 249408Hom.: 12 AF XY: 0.00184 AC XY: 249AN XY: 135328
GnomAD4 exome AF: 0.00108 AC: 1574AN: 1461722Hom.: 22 Cov.: 35 AF XY: 0.000923 AC XY: 671AN XY: 727158
GnomAD4 genome AF: 0.00983 AC: 1497AN: 152342Hom.: 30 Cov.: 32 AF XY: 0.00936 AC XY: 697AN XY: 74494
ClinVar
Submissions by phenotype
Wilson disease Benign:6
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This variant was observed in the ICSL laboratory as part of a predisposition screen in an ostensibly healthy population. It had not been previously curated by ICSL or reported in the Human Gene Mutation Database (HGMD: prior to June 1st, 2018), and was therefore a candidate for classification through an automated scoring system. Utilizing variant allele frequency, disease prevalence and penetrance estimates, and inheritance mode, an automated score was calculated to assess if this variant is too frequent to cause the disease. Based on the score and internal cut-off values, a variant classified as likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -
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not specified Benign:3
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This 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:3
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Variant summary: The ATP7B c.3891C>T (p.Val1297Val) variant involves the alteration of a non-conserved nucleotide, resulting in a synonymous change. One in silico tool predicts a damaging outcome for this variant. 5/5 splice prediction tools predict the strenghtening of a canonical splice acceptor site. However, these predictions have yet to be confirmed by functional studies. This variant was found in 348/120764 control chromosomes (3 homozygotes), predominantly observed in the African subpopulation at a frequency of 0.032967 (324/9828). This frequency is about 6 times the estimated maximal expected allele frequency of a pathogenic ATP7B variant (0.0054006), suggesting this is likely a benign polymorphism found primarily in the populations of African origin. In addition, multiple clinical diagnostic laboratories/reputable databases classified this variant as benign/likley benign. The variant of interest has not, to our knowledge, been reported in affected individuals via publications nor evaluated for functional impact by in vivo/vitro studies. Taken together, due to the synonymous nature of the variant, the lack of predicted detrimental effect on splicing, and the relatively high frequency in the population, this variant is classified as benign. -
ATP7B-related disorder Benign:1
This variant is classified as benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -
Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at