rs121908478

Variant summary

Our verdict is Likely pathogenic. Variant got 9 ACMG points: 9P and 0B. PM1PM2PP3_StrongPP5

The ENST00000355699.7(ADAMTS13):​c.749C>T​(p.Ala250Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000000825 in 1,211,588 control chromosomes in the GnomAD database, with no homozygous occurrence. In-silico tool predicts a pathogenic outcome for this variant. Variant has been reported in ClinVar as Pathogenic (no stars).

Frequency

Genomes: not found (cov: 29)
Exomes 𝑓: 8.3e-7 ( 0 hom. )

Consequence

ADAMTS13
ENST00000355699.7 missense

Scores

5
9
5

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 2.56
Variant links:
Genes affected
ADAMTS13 (HGNC:1366): (ADAM metallopeptidase with thrombospondin type 1 motif 13) This gene encodes a member of a family of proteins containing several distinct regions, including a metalloproteinase domain, a disintegrin-like domain, and a thrombospondin type 1 (TS) motif. The enzyme encoded by this gene specifically cleaves von Willebrand Factor (vWF). Defects in this gene are associated with thrombotic thrombocytopenic purpura. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Jul 2013]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 9 ACMG points.

PM1
In a disulfide_bond (size 23) in uniprot entity ATS13_HUMAN there are 4 pathogenic changes around while only 0 benign (100%) in ENST00000355699.7
PM2
Very rare variant in population databases, with high coverage;
PP3
MetaRNN computational evidence supports a deleterious effect, 0.948
PP5
Variant 9-133428696-C-T is Pathogenic according to our data. Variant chr9-133428696-C-T is described in ClinVar as [Pathogenic]. Clinvar id is 5818.Status of the report is no_assertion_criteria_provided, 0 stars. Variant chr9-133428696-C-T is described in UniProt as null. Variant chr9-133428696-C-T is described in Lovd as [Pathogenic].

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
ADAMTS13NM_139027.6 linkuse as main transcriptc.749C>T p.Ala250Val missense_variant 7/29 ENST00000355699.7 NP_620596.2

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
ADAMTS13ENST00000355699.7 linkuse as main transcriptc.749C>T p.Ala250Val missense_variant 7/291 NM_139027.6 ENSP00000347927 A2Q76LX8-2

Frequencies

GnomAD3 genomes
Cov.:
29
GnomAD4 exome
AF:
8.25e-7
AC:
1
AN:
1211588
Hom.:
0
Cov.:
33
AF XY:
0.00
AC XY:
0
AN XY:
594154
show subpopulations
Gnomad4 AFR exome
AF:
0.00
Gnomad4 AMR exome
AF:
0.00
Gnomad4 ASJ exome
AF:
0.00
Gnomad4 EAS exome
AF:
0.0000398
Gnomad4 SAS exome
AF:
0.00
Gnomad4 FIN exome
AF:
0.00
Gnomad4 NFE exome
AF:
0.00
Gnomad4 OTH exome
AF:
0.00
GnomAD4 genome
Cov.:
29
Alfa
AF:
0.0000936
Hom.:
0
Bravo
AF:
0.00000756

ClinVar

Significance: Pathogenic
Submissions summary: Pathogenic:1
Revision: no assertion criteria provided
LINK: link

Submissions by phenotype

Upshaw-Schulman syndrome Pathogenic:1
Pathogenic, no assertion criteria providedliterature onlyOMIMOct 01, 2004- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Uncertain
0.54
BayesDel_addAF
Pathogenic
0.24
D
BayesDel_noAF
Uncertain
0.11
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.63
D;T;.;.;.
Eigen
Benign
0.11
Eigen_PC
Benign
-0.14
FATHMM_MKL
Benign
0.74
D
LIST_S2
Benign
0.84
T;T;D;D;D
M_CAP
Pathogenic
0.79
D
MetaRNN
Pathogenic
0.95
D;D;D;D;D
MetaSVM
Uncertain
0.58
D
MutationAssessor
Uncertain
2.4
M;.;.;M;M
MutationTaster
Benign
0.76
A;A;A;A;A;A
PrimateAI
Pathogenic
0.85
D
PROVEAN
Uncertain
-3.5
D;.;D;D;D
REVEL
Pathogenic
0.74
Sift
Uncertain
0.0030
D;.;D;D;D
Sift4G
Uncertain
0.0060
D;D;D;D;.
Polyphen
1.0
D;.;.;D;D
Vest4
0.46
MutPred
0.87
Loss of disorder (P = 0.1637);.;Loss of disorder (P = 0.1637);Loss of disorder (P = 0.1637);Loss of disorder (P = 0.1637);
MVP
0.92
MPC
1.0
ClinPred
0.98
D
GERP RS
-0.46
Varity_R
0.25
gMVP
0.75

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: rs121908478; hg19: chr9-136293816; API