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GeneBe

rs138880920

Variant summary

Our verdict is Benign. Variant got -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_005502.4(ABCA1):ā€‹c.2328G>Cā€‹(p.Lys776Asn) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00269 in 1,613,890 control chromosomes in the GnomAD database, including 25 homozygotes. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (ā˜…ā˜…).

Frequency

Genomes: š‘“ 0.0020 ( 0 hom., cov: 33)
Exomes š‘“: 0.0028 ( 25 hom. )

Consequence

ABCA1
NM_005502.4 missense

Scores

2
11
5

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:7

Conservation

PhyloP100: 1.18
Variant links:
Genes affected
ABCA1 (HGNC:29): (ATP binding cassette subfamily A member 1) The membrane-associated 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 intracellular membranes. ABC genes are divided into seven distinct subfamilies (ABC1, MDR/TAP, MRP, ALD, OABP, GCN20, White). This protein is a member of the ABC1 subfamily. Members of the ABC1 subfamily comprise the only major ABC subfamily found exclusively in multicellular eukaryotes. With cholesterol as its substrate, this protein functions as a cholesteral efflux pump in the cellular lipid removal pathway. Mutations in both alleles of this gene cause Tangier disease and familial high-density lipoprotein (HDL) deficiency. [provided by RefSeq, Sep 2019]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.036502987).
BP6
Variant 9-104826957-C-G is Benign according to our data. Variant chr9-104826957-C-G is described in ClinVar as [Likely_benign]. Clinvar id is 364430.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr9-104826957-C-G is described in Lovd as [Benign].
BS1
Variant frequency is greater than expected in population sas. gnomad4 allele frequency = 0.00196 (299/152346) while in subpopulation SAS AF= 0.00932 (45/4830). AF 95% confidence interval is 0.00716. There are 0 homozygotes in gnomad4. There are 152 alleles in male gnomad4 subpopulation. Median coverage is 33. This position pass quality control queck.
BS2
High Homozygotes in GnomAdExome4 at 25 AD,AR gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ABCA1NM_005502.4 linkuse as main transcriptc.2328G>C p.Lys776Asn missense_variant 16/50 ENST00000374736.8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ABCA1ENST00000374736.8 linkuse as main transcriptc.2328G>C p.Lys776Asn missense_variant 16/501 NM_005502.4 P1
ABCA1ENST00000678995.1 linkuse as main transcriptc.2328G>C p.Lys776Asn missense_variant 16/50
ABCA1ENST00000494467.1 linkuse as main transcriptn.501G>C non_coding_transcript_exon_variant 3/43

Frequencies

GnomAD3 genomes
AF:
0.00196
AC:
298
AN:
152228
Hom.:
0
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.000507
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00294
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.000192
Gnomad SAS
AF:
0.00910
Gnomad FIN
AF:
0.000188
Gnomad MID
AF:
0.0127
Gnomad NFE
AF:
0.00262
Gnomad OTH
AF:
0.00143
GnomAD3 exomes
AF:
0.00327
AC:
819
AN:
250436
Hom.:
7
AF XY:
0.00378
AC XY:
512
AN XY:
135412
show subpopulations
Gnomad AFR exome
AF:
0.000554
Gnomad AMR exome
AF:
0.00191
Gnomad ASJ exome
AF:
0.000497
Gnomad EAS exome
AF:
0.000109
Gnomad SAS exome
AF:
0.0109
Gnomad FIN exome
AF:
0.000325
Gnomad NFE exome
AF:
0.00332
Gnomad OTH exome
AF:
0.00326
GnomAD4 exome
AF:
0.00276
AC:
4037
AN:
1461544
Hom.:
25
Cov.:
32
AF XY:
0.00296
AC XY:
2151
AN XY:
727062
show subpopulations
Gnomad4 AFR exome
AF:
0.000418
Gnomad4 AMR exome
AF:
0.00206
Gnomad4 ASJ exome
AF:
0.000459
Gnomad4 EAS exome
AF:
0.0000756
Gnomad4 SAS exome
AF:
0.00995
Gnomad4 FIN exome
AF:
0.000356
Gnomad4 NFE exome
AF:
0.00255
Gnomad4 OTH exome
AF:
0.00245
GnomAD4 genome
AF:
0.00196
AC:
299
AN:
152346
Hom.:
0
Cov.:
33
AF XY:
0.00204
AC XY:
152
AN XY:
74508
show subpopulations
Gnomad4 AFR
AF:
0.000505
Gnomad4 AMR
AF:
0.00294
Gnomad4 ASJ
AF:
0.00
Gnomad4 EAS
AF:
0.000193
Gnomad4 SAS
AF:
0.00932
Gnomad4 FIN
AF:
0.000188
Gnomad4 NFE
AF:
0.00262
Gnomad4 OTH
AF:
0.00142
Alfa
AF:
0.00223
Hom.:
2
Bravo
AF:
0.00202
TwinsUK
AF:
0.00108
AC:
4
ALSPAC
AF:
0.00208
AC:
8
ESP6500AA
AF:
0.000681
AC:
3
ESP6500EA
AF:
0.00267
AC:
23
ExAC
AF:
0.00359
AC:
436
Asia WGS
AF:
0.00433
AC:
15
AN:
3478
EpiCase
AF:
0.00289
EpiControl
AF:
0.00421

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:7
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not provided Benign:3
Benign, criteria provided, single submitterclinical testingCeGaT Center for Human Genetics TuebingenMay 01, 2024ABCA1: BS1, BS2 -
Benign, criteria provided, single submitterclinical testingInvitaeJan 25, 2024- -
Benign, criteria provided, single submitterclinical testingGeneDxAug 10, 2020This variant is associated with the following publications: (PMID: 30333156, 28870971, 26255038, 16226177, 24497850, 21875686) -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingWomen's Health and Genetics/Laboratory Corporation of America, LabCorpOct 22, 2022- -
Cardiovascular phenotype Benign:1
Likely benign, criteria provided, single submitterclinical testingAmbry GeneticsFeb 10, 2021This alteration is classified as likely benign based on a combination of the following: seen in unaffected individuals, population frequency, intact protein function, lack of segregation with disease, co-occurrence, RNA analysis, in silico models, amino acid conservation, lack of disease association in case-control studies, and/or the mechanism of disease or impacted region is inconsistent with a known cause of pathogenicity. -
Hypoalphalipoproteinemia, primary, 1 Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This 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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -
Tangier disease Benign:1
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaMar 06, 2018This 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 benign is not then subjected to further curation. The score for this variant resulted in a classification of benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
0.92
BayesDel_addAF
Benign
-0.23
T
BayesDel_noAF
Benign
-0.10
CADD
Uncertain
24
DANN
Uncertain
1.0
DEOGEN2
Uncertain
0.79
D
Eigen
Uncertain
0.54
Eigen_PC
Uncertain
0.47
FATHMM_MKL
Uncertain
0.92
D
LIST_S2
Uncertain
0.92
D
MetaRNN
Benign
0.037
T
MetaSVM
Uncertain
0.32
D
MutationAssessor
Uncertain
2.4
M
MutationTaster
Benign
1.0
D
PrimateAI
Uncertain
0.62
T
PROVEAN
Uncertain
-3.6
D
REVEL
Pathogenic
0.76
Sift
Uncertain
0.0090
D
Sift4G
Benign
0.066
T
Polyphen
1.0
D
Vest4
0.91
MutPred
0.56
Loss of methylation at K776 (P = 0.0148);
MVP
0.94
MPC
0.70
ClinPred
0.016
T
GERP RS
3.3
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.74
gMVP
0.86

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: rs138880920; hg19: chr9-107589238; API