rs128624213

Variant summary

Our verdict is Pathogenic. The variant received 12 ACMG points: 12P and 0B. PM1PM2PM5PP3_StrongPP5_Moderate

The NM_000033.4(ABCD1):​c.871G>A​(p.Glu291Lys) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. In-silico tool predicts a pathogenic outcome for this variant. 12/21 in silico tools predict a damaging outcome for this variant. Variant has been reported in ClinVar as Pathogenic (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. E291D) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 26)
Exomes 𝑓: 0.0 ( 0 hom. 0 hem. )
Failed GnomAD Quality Control

Consequence

ABCD1
NM_000033.4 missense

Scores

14
2
1

Clinical Significance

Pathogenic no assertion criteria provided P:1

Conservation

PhyloP100: 9.59

Publications

3 publications found
Variant links:
Genes affected
ABCD1 (HGNC:61): (ATP binding cassette subfamily D member 1) 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 ALD subfamily, which is involved in peroxisomal import of fatty acids and/or fatty acyl-CoAs in the organelle. All known peroxisomal ABC transporters are half transporters which require a partner half transporter molecule to form a functional homodimeric or heterodimeric transporter. This peroxisomal membrane protein is likely involved in the peroxisomal transport or catabolism of very long chain fatty acids. Defects in this gene have been identified as the underlying cause of adrenoleukodystrophy, an X-chromosome recessively inherited demyelinating disorder of the nervous system. [provided by RefSeq, Jul 2008]
ABCD1 Gene-Disease associations (from GenCC):
  • adrenoleukodystrophy
    Inheritance: XL Classification: DEFINITIVE, STRONG Submitted by: Labcorp Genetics (formerly Invitae), ClinGen, G2P
  • X-linked cerebral adrenoleukodystrophy
    Inheritance: XL Classification: DEFINITIVE, SUPPORTIVE Submitted by: Laboratory for Molecular Medicine, Orphanet
  • hereditary spastic paraplegia
    Inheritance: XL Classification: STRONG Submitted by: Genomics England PanelApp
  • Hirschsprung disease
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet
  • adrenomyeloneuropathy
    Inheritance: XL Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Pathogenic. The variant received 12 ACMG points.

PM1
In a hotspot region, there are 22 aminoacids with missense pathogenic changes in the window of +-8 aminoacids around while only 2 benign, 9 uncertain in NM_000033.4
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chrX-153726139-G-C is described in ClinVar as Pathogenic/Likely_pathogenic. ClinVar VariationId is 1067768.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
PP3
MetaRNN computational evidence supports a deleterious effect, 0.993
PP5
Variant X-153726137-G-A is Pathogenic according to our data. Variant chrX-153726137-G-A is described in ClinVar as Pathogenic. ClinVar VariationId is 11292.Status of the report is criteria_provided_single_submitter, 1 stars.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ABCD1NM_000033.4 linkc.871G>A p.Glu291Lys missense_variant Exon 1 of 10 ENST00000218104.6 NP_000024.2 P33897
ABCD1NM_001440747.1 linkc.871G>A p.Glu291Lys missense_variant Exon 1 of 11 NP_001427676.1
ABCD1XM_047441917.1 linkc.871G>A p.Glu291Lys missense_variant Exon 1 of 8 XP_047297873.1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ABCD1ENST00000218104.6 linkc.871G>A p.Glu291Lys missense_variant Exon 1 of 10 1 NM_000033.4 ENSP00000218104.3 P33897
ABCD1ENST00000370129.4 linkc.316G>A p.Glu106Lys missense_variant Exon 1 of 2 2 ENSP00000359147.3 A6NEP8

Frequencies

GnomAD3 genomes
Cov.:
26
GnomAD4 exome
Data not reliable, filtered out with message: AC0
AF:
0.00
AC:
0
AN:
1052392
Hom.:
0
Cov.:
32
AF XY:
0.00
AC XY:
0
AN XY:
334252
African (AFR)
AF:
0.00
AC:
0
AN:
25415
American (AMR)
AF:
0.00
AC:
0
AN:
29461
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
17514
East Asian (EAS)
AF:
0.00
AC:
0
AN:
28434
South Asian (SAS)
AF:
0.00
AC:
0
AN:
47733
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
37138
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
4001
European-Non Finnish (NFE)
AF:
0.00
AC:
0
AN:
818459
Other (OTH)
AF:
0.00
AC:
0
AN:
44237
GnomAD4 genome
Cov.:
26

ClinVar

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

Submissions by phenotype

Adrenoleukodystrophy Pathogenic:1
Nov 01, 1993
OMIM
Significance:Pathogenic
Review Status:no assertion criteria provided
Collection Method:literature only

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.99
BayesDel_addAF
Pathogenic
0.74
D
BayesDel_noAF
Pathogenic
0.82
CADD
Pathogenic
32
DANN
Pathogenic
1.0
DEOGEN2
Pathogenic
0.99
D;D
FATHMM_MKL
Uncertain
0.95
D
LIST_S2
Pathogenic
1.0
D;D
M_CAP
Pathogenic
0.97
D
MetaRNN
Pathogenic
0.99
D;D
MetaSVM
Pathogenic
0.91
D
MutationAssessor
Pathogenic
3.5
H;.
PhyloP100
9.6
PrimateAI
Pathogenic
0.89
D
PROVEAN
Uncertain
-3.8
D;D
REVEL
Pathogenic
0.97
Sift
Pathogenic
0.0
D;D
Sift4G
Pathogenic
0.0
D;D
Polyphen
1.0
D;.
Vest4
0.84
MutPred
0.98
Gain of MoRF binding (P = 0.0132);.;
MVP
1.0
MPC
1.6
ClinPred
1.0
D
GERP RS
5.1
PromoterAI
-0.058
Neutral
Varity_R
0.99
gMVP
0.99
Mutation Taster
=9/91
disease causing (ClinVar)

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: rs128624213; hg19: chrX-152991592; API