rs11568705

Variant summary

Our verdict is Likely benign. The variant received -5 ACMG points: 0P and 5B. BP4_StrongBP6

The NM_005845.5(ABCC4):​c.1208C>T​(p.Pro403Leu) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000502 in 1,614,054 control chromosomes in the GnomAD database, including 2 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/22 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (no stars).

Frequency

Genomes: 𝑓 0.0015 ( 1 hom., cov: 32)
Exomes 𝑓: 0.00040 ( 1 hom. )

Consequence

ABCC4
NM_005845.5 missense

Scores

1
18

Clinical Significance

Likely benign no assertion criteria provided B:1

Conservation

PhyloP100: 0.907

Publications

13 publications found
Variant links:
Genes affected
ABCC4 (HGNC:55): (ATP binding cassette subfamily C member 4 (PEL blood group)) The 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 intra-cellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the MRP subfamily which is involved in multi-drug resistance. This family member plays a role in cellular detoxification as a pump for its substrate, organic anions. It may also function in prostaglandin-mediated cAMP signaling in ciliogenesis. Alternative splicing of this gene results in multiple transcript variants. [provided by RefSeq, Sep 2014]
ABCC4 Gene-Disease associations (from GenCC):
  • qualitative platelet defect
    Inheritance: AR Classification: MODERATE Submitted by: ClinGen

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Likely_benign. The variant received -5 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0076387823).
BP6
Variant 13-95194891-G-A is Benign according to our data. Variant chr13-95194891-G-A is described in ClinVar as Likely_benign. ClinVar VariationId is 3041539.Status of the report is no_assertion_criteria_provided, 0 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCC4NM_005845.5 linkc.1208C>T p.Pro403Leu missense_variant Exon 9 of 31 ENST00000645237.2 NP_005836.2 O15439-1A8K2Q2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCC4ENST00000645237.2 linkc.1208C>T p.Pro403Leu missense_variant Exon 9 of 31 NM_005845.5 ENSP00000494609.1 O15439-1

Frequencies

GnomAD3 genomes
AF:
0.00151
AC:
229
AN:
152118
Hom.:
1
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.00403
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00262
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.000207
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000250
Gnomad OTH
AF:
0.00192
GnomAD2 exomes
AF:
0.000505
AC:
127
AN:
251398
AF XY:
0.000397
show subpopulations
Gnomad AFR exome
AF:
0.00363
Gnomad AMR exome
AF:
0.00113
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.00
Gnomad NFE exome
AF:
0.000229
Gnomad OTH exome
AF:
0.000489
GnomAD4 exome
AF:
0.000397
AC:
581
AN:
1461818
Hom.:
1
Cov.:
31
AF XY:
0.000392
AC XY:
285
AN XY:
727218
show subpopulations
African (AFR)
AF:
0.00409
AC:
137
AN:
33478
American (AMR)
AF:
0.00119
AC:
53
AN:
44714
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
26132
East Asian (EAS)
AF:
0.000378
AC:
15
AN:
39686
South Asian (SAS)
AF:
0.0000348
AC:
3
AN:
86242
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
53418
Middle Eastern (MID)
AF:
0.000347
AC:
2
AN:
5768
European-Non Finnish (NFE)
AF:
0.000295
AC:
328
AN:
1111986
Other (OTH)
AF:
0.000712
AC:
43
AN:
60394
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.457
Heterozygous variant carriers
0
27
54
82
109
136
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Variant carriers
0
20
40
60
80
100
<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:
0.00150
AC:
229
AN:
152236
Hom.:
1
Cov.:
32
AF XY:
0.00145
AC XY:
108
AN XY:
74418
show subpopulations
African (AFR)
AF:
0.00402
AC:
167
AN:
41550
American (AMR)
AF:
0.00262
AC:
40
AN:
15276
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5188
South Asian (SAS)
AF:
0.000207
AC:
1
AN:
4820
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
10594
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.000250
AC:
17
AN:
68022
Other (OTH)
AF:
0.00190
AC:
4
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.507
Heterozygous variant carriers
0
13
25
38
50
63
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
4
8
12
16
20
<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:
0.000653
Hom.:
1
Bravo
AF:
0.00210
TwinsUK
AF:
0.00
AC:
0
ALSPAC
AF:
0.000778
AC:
3
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.000349
AC:
3
ExAC
AF:
0.000445
AC:
54
Asia WGS
AF:
0.000289
AC:
1
AN:
3478
EpiCase
AF:
0.000218
EpiControl
AF:
0.000119

ClinVar

Significance: Likely benign
Submissions summary: Benign:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

ABCC4-related disorder Benign:1
May 22, 2023
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

This variant is classified as likely benign based on ACMG/AMP sequence variant interpretation guidelines (Richards et al. 2015 PMID: 25741868, with internal and published modifications). -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.070
BayesDel_addAF
Benign
-0.36
T
BayesDel_noAF
Benign
-0.30
CADD
Benign
14
DANN
Benign
0.57
DEOGEN2
Benign
0.26
T;T;.;.;.;.
Eigen
Benign
-1.0
Eigen_PC
Benign
-1.0
FATHMM_MKL
Benign
0.061
N
LIST_S2
Benign
0.78
.;T;T;T;T;T
M_CAP
Benign
0.058
D
MetaRNN
Benign
0.0076
T;T;T;T;T;T
MetaSVM
Benign
-0.60
T
MutationAssessor
Benign
1.9
L;L;L;.;L;.
PhyloP100
0.91
PrimateAI
Benign
0.32
T
PROVEAN
Pathogenic
-4.5
.;D;.;D;.;.
REVEL
Benign
0.13
Sift
Benign
0.094
.;T;.;T;.;.
Sift4G
Benign
0.090
.;T;.;T;T;.
Polyphen
0.0060
B;B;B;.;.;.
Vest4
0.069, 0.079, 0.092
MVP
0.66
MPC
0.24
ClinPred
0.018
T
GERP RS
1.8
Varity_R
0.024
gMVP
0.54
Mutation Taster
=87/13
polymorphism

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

Other links and lift over

dbSNP: rs11568705; hg19: chr13-95847145; COSMIC: COSV65313301; API