rs140741466
Variant summary
Our verdict is Likely benign. Variant got -3 ACMG points: 2P and 5B. PM2BP4_StrongBS1_Supporting
The NM_020987.5(ANK3):c.7469C>T(p.Pro2490Leu) variant causes a missense change. The variant allele was found at a frequency of 0.000716 in 1,613,732 control chromosomes in the GnomAD database, with no homozygous occurrence. 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).
Frequency
Consequence
NM_020987.5 missense
Scores
Clinical Significance
Conservation
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ACMG classification
Verdict is Likely_benign. Variant got -3 ACMG points.
Transcripts
RefSeq
Ensembl
Frequencies
GnomAD3 genomes AF: 0.000730 AC: 111AN: 152062Hom.: 0 Cov.: 32
GnomAD3 exomes AF: 0.000794 AC: 199AN: 250704Hom.: 0 AF XY: 0.000804 AC XY: 109AN XY: 135560
GnomAD4 exome AF: 0.000715 AC: 1045AN: 1461552Hom.: 0 Cov.: 36 AF XY: 0.000745 AC XY: 542AN XY: 727106
GnomAD4 genome AF: 0.000729 AC: 111AN: 152180Hom.: 0 Cov.: 32 AF XY: 0.000780 AC XY: 58AN XY: 74392
ClinVar
Submissions by phenotype
not provided Uncertain:1Benign:1
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The P2490L variant in the ANK3 gene has not been reported previously as a pathogenic variant, nor as a benign variant, to our knowledge. The P2490L variant was not observed with any significant frequency in approximately 6500 individuals of European and African American ancestry in the NHLBI Exome Sequencing Project, indicating it is not a common benign variant in these populations. The P2490L variant is a semi-conservative amino acid substitution, which may impact secondary protein structure as these residues differ in some properties. This substitution occurs at a position that is not conserved, and in silico analysis is inconsistent in its predictions as to whether or not the variant is damaging to the protein structure/function. We interpret P2490L as a variant of uncertain significance. -
not specified Uncertain:1
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ANK3-related disorder Uncertain:1
The ANK3 c.7469C>T variant is predicted to result in the amino acid substitution p.Pro2490Leu. This variant was reported in a compound heterozygous state in an individual with a neurodevelopmental disorder (Yang et al 2019. PubMed ID: 31451636). Functional studies revealed that this variant interferes with a conformational change that is required for ANK3 to bind with another neuronal protein (Yang et al 2019. PubMed ID: 31451636). This variant is reported in 0.23% of alleles in individuals of Latino descent in gnomAD, which is at a higher frequency than expected for disease. Although we suspect that this variant may be benign, at this time, the clinical significance of this variant is uncertain due to the absence of conclusive functional and genetic evidence. -
Intellectual disability-hypotonia-spasticity-sleep disorder syndrome Uncertain:1
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Computational scores
Source:
Splicing
Find out detailed SpliceAI scores and Pangolin per-transcript scores at