rs139807657

Variant summary

Our verdict is Benign. The variant received -9 ACMG points: 0P and 9B. BP4_StrongBP6BS2

The NM_032208.3(ANTXR1):​c.1553C>T​(p.Ala518Val) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.000615 in 1,538,722 control chromosomes in the GnomAD database, including 4 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Conflicting classifications of pathogenicity (no stars). Synonymous variant affecting the same amino acid position (i.e. A518A) has been classified as Benign.

Frequency

Genomes: 𝑓 0.0024 ( 2 hom., cov: 18)
Exomes 𝑓: 0.00044 ( 2 hom. )

Consequence

ANTXR1
NM_032208.3 missense

Scores

2
16

Clinical Significance

Conflicting classifications of pathogenicity criteria provided, conflicting classifications U:1B:3

Conservation

PhyloP100: 1.72

Publications

0 publications found
Variant links:
Genes affected
ANTXR1 (HGNC:21014): (ANTXR cell adhesion molecule 1) This gene encodes a type I transmembrane protein and is a tumor-specific endothelial marker that has been implicated in colorectal cancer. The encoded protein has been shown to also be a docking protein or receptor for Bacillus anthracis toxin, the causative agent of the disease, anthrax. The binding of the protective antigen (PA) component, of the tripartite anthrax toxin, to this receptor protein mediates delivery of toxin components to the cytosol of cells. Once inside the cell, the other two components of anthrax toxin, edema factor (EF) and lethal factor (LF) disrupt normal cellular processes. Three alternatively spliced variants that encode different protein isoforms have been described. [provided by RefSeq, Oct 2008]
ANTXR1 Gene-Disease associations (from GenCC):
  • GAPO syndrome
    Inheritance: AR Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), G2P, Orphanet, Ambry Genetics
  • capillary infantile hemangioma
    Inheritance: AD Classification: LIMITED Submitted by: Ambry Genetics

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -9 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0045113564).
BP6
Variant 2-69245343-C-T is Benign according to our data. Variant chr2-69245343-C-T is described in ClinVar as Conflicting_classifications_of_pathogenicity. ClinVar VariationId is 445474.
BS2
High Homozygotes in GnomAd4 at 2 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ANTXR1NM_032208.3 linkc.1553C>T p.Ala518Val missense_variant Exon 18 of 18 ENST00000303714.9 NP_115584.1 Q9H6X2-1Q53FL1

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ANTXR1ENST00000303714.9 linkc.1553C>T p.Ala518Val missense_variant Exon 18 of 18 1 NM_032208.3 ENSP00000301945.4 Q9H6X2-1

Frequencies

GnomAD3 genomes
AF:
0.00237
AC:
325
AN:
137130
Hom.:
1
Cov.:
18
show subpopulations
Gnomad AFR
AF:
0.00824
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00112
Gnomad ASJ
AF:
0.00
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00
Gnomad FIN
AF:
0.00
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.000187
Gnomad OTH
AF:
0.00109
GnomAD2 exomes
AF:
0.00106
AC:
203
AN:
192360
AF XY:
0.000832
show subpopulations
Gnomad AFR exome
AF:
0.0132
Gnomad AMR exome
AF:
0.000494
Gnomad ASJ exome
AF:
0.00
Gnomad EAS exome
AF:
0.000208
Gnomad FIN exome
AF:
0.0000566
Gnomad NFE exome
AF:
0.000344
Gnomad OTH exome
AF:
0.00119
GnomAD4 exome
AF:
0.000435
AC:
610
AN:
1401510
Hom.:
2
Cov.:
41
AF XY:
0.000379
AC XY:
263
AN XY:
694250
show subpopulations
African (AFR)
AF:
0.0113
AC:
358
AN:
31804
American (AMR)
AF:
0.000594
AC:
23
AN:
38734
Ashkenazi Jewish (ASJ)
AF:
0.0000420
AC:
1
AN:
23828
East Asian (EAS)
AF:
0.000110
AC:
4
AN:
36278
South Asian (SAS)
AF:
0.0000368
AC:
3
AN:
81446
European-Finnish (FIN)
AF:
0.000206
AC:
10
AN:
48484
Middle Eastern (MID)
AF:
0.00162
AC:
9
AN:
5558
European-Non Finnish (NFE)
AF:
0.000128
AC:
138
AN:
1078162
Other (OTH)
AF:
0.00112
AC:
64
AN:
57216
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.500
Heterozygous variant carriers
0
32
64
96
128
160
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:
0.00245
AC:
336
AN:
137212
Hom.:
2
Cov.:
18
AF XY:
0.00222
AC XY:
147
AN XY:
66188
show subpopulations
African (AFR)
AF:
0.00853
AC:
307
AN:
36002
American (AMR)
AF:
0.00112
AC:
15
AN:
13422
Ashkenazi Jewish (ASJ)
AF:
0.00
AC:
0
AN:
3332
East Asian (EAS)
AF:
0.00
AC:
0
AN:
4454
South Asian (SAS)
AF:
0.00
AC:
0
AN:
3852
European-Finnish (FIN)
AF:
0.00
AC:
0
AN:
9142
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
276
European-Non Finnish (NFE)
AF:
0.000187
AC:
12
AN:
64022
Other (OTH)
AF:
0.00108
AC:
2
AN:
1858
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.504
Heterozygous variant carriers
0
18
35
53
70
88
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Variant carriers
0
10
20
30
40
50
<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:
0.00170
Hom.:
0
ESP6500AA
AF:
0.00931
AC:
41
ESP6500EA
AF:
0.00
AC:
0
ExAC
AF:
0.00119
AC:
140

ClinVar

Significance: Conflicting classifications of pathogenicity
Submissions summary: Uncertain:1Benign:3
Revision: criteria provided, conflicting classifications
LINK: link

Submissions by phenotype

not provided Uncertain:1Benign:2
-
Breakthrough Genomics, Breakthrough Genomics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:not provided

- -

Dec 24, 2024
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Uncertain significance
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This sequence change replaces alanine, which is neutral and non-polar, with valine, which is neutral and non-polar, at codon 518 of the ANTXR1 protein (p.Ala518Val). The frequency data for this variant in the population databases is considered unreliable, as metrics indicate poor data quality at this position in the gnomAD database. This variant has not been reported in the literature in individuals affected with ANTXR1-related conditions. ClinVar contains an entry for this variant (Variation ID: 445474). An algorithm developed to predict the effect of missense changes on protein structure and function outputs the following: PolyPhen-2: "Not Available". The valine amino acid residue is found in multiple mammalian species, which suggests that this missense change does not adversely affect protein function. In summary, the available evidence is currently insufficient to determine the role of this variant in disease. Therefore, it has been classified as a Variant of Uncertain Significance. -

May 08, 2017
Center for Pediatric Genomic Medicine, Children's Mercy Hospital and Clinics
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Capillary infantile hemangioma Benign:1
Jul 07, 2023
KCCC/NGS Laboratory, Kuwait Cancer Control Center
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.075
BayesDel_addAF
Benign
-0.50
T
BayesDel_noAF
Benign
-0.48
CADD
Benign
12
DANN
Benign
0.93
DEOGEN2
Benign
0.035
T
Eigen
Benign
-0.036
Eigen_PC
Benign
-0.026
FATHMM_MKL
Uncertain
0.90
D
LIST_S2
Benign
0.41
T
MetaRNN
Benign
0.0045
T
MetaSVM
Benign
-1.1
T
MutationAssessor
Benign
1.1
L
PhyloP100
1.7
PrimateAI
Uncertain
0.73
T
PROVEAN
Benign
-0.47
N
REVEL
Benign
0.059
Sift
Benign
0.28
T
Sift4G
Benign
0.27
T
Polyphen
0.96
D
Vest4
0.28
MVP
0.40
MPC
0.17
ClinPred
0.011
T
GERP RS
4.1
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.7
Varity_R
0.046
gMVP
0.15
Mutation Taster
=96/4
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: rs139807657; hg19: chr2-69472475; COSMIC: COSV58010942; API