rs150225445

Variant summary

Our verdict is Benign. The variant received -20 ACMG points: 0P and 20B. BP4_StrongBP6_Very_StrongBS1BS2

The NM_019032.6(ADAMTSL4):​c.2906C>A​(p.Ala969Asp) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0133 in 1,613,506 control chromosomes in the GnomAD database, including 202 homozygotes. In-silico tool predicts a benign outcome for this variant. 16/21 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0094 ( 9 hom., cov: 33)
Exomes 𝑓: 0.014 ( 193 hom. )

Consequence

ADAMTSL4
NM_019032.6 missense

Scores

18

Clinical Significance

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

Conservation

PhyloP100: 0.433

Publications

5 publications found
Variant links:
Genes affected
ADAMTSL4 (HGNC:19706): (ADAMTS like 4) This gene is a member of ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs)-like gene family and encodes a protein with seven thrombospondin type 1 repeats. The thrombospondin type 1 repeat domain is found in many proteins with diverse biological functions including cellular adhesion, angiogenesis, and patterning of the developing nervous system. Alternate transcriptional splice variants, encoding different isoforms, have been characterized. [provided by RefSeq, Sep 2014]
ADAMTSL4 Gene-Disease associations (from GenCC):
  • ectopia lentis 2, isolated, autosomal recessive
    Inheritance: AR Classification: DEFINITIVE, STRONG Submitted by: G2P, Ambry Genetics
  • ectopia lentis et pupillae
    Inheritance: AR Classification: STRONG Submitted by: Labcorp Genetics (formerly Invitae), Laboratory for Molecular Medicine
  • isolated ectopia lentis
    Inheritance: AD Classification: SUPPORTIVE Submitted by: Orphanet

Genome browser will be placed here

ACMG classification

Classification was made for transcript

Our verdict: Benign. The variant received -20 ACMG points.

BP4
Computational evidence support a benign effect (MetaRNN=0.0057342947).
BP6
Variant 1-150559429-C-A is Benign according to our data. Variant chr1-150559429-C-A is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 261078.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population nfe. GnomAd4 allele frequency = 0.00945 (1438/152240) while in subpopulation NFE AF = 0.0156 (1064/67994). AF 95% confidence interval is 0.0149. There are 9 homozygotes in GnomAd4. There are 710 alleles in the male GnomAd4 subpopulation. Median coverage is 33. This position passed quality control check.
BS2
High Homozygotes in GnomAd4 at 9 AR,AD gene

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ADAMTSL4NM_019032.6 linkc.2906C>A p.Ala969Asp missense_variant Exon 17 of 19 ENST00000271643.9 NP_061905.2

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ADAMTSL4ENST00000271643.9 linkc.2906C>A p.Ala969Asp missense_variant Exon 17 of 19 5 NM_019032.6 ENSP00000271643.4

Frequencies

GnomAD3 genomes
AF:
0.00945
AC:
1438
AN:
152122
Hom.:
9
Cov.:
33
show subpopulations
Gnomad AFR
AF:
0.00244
Gnomad AMI
AF:
0.0175
Gnomad AMR
AF:
0.00655
Gnomad ASJ
AF:
0.00144
Gnomad EAS
AF:
0.00
Gnomad SAS
AF:
0.00145
Gnomad FIN
AF:
0.0119
Gnomad MID
AF:
0.00
Gnomad NFE
AF:
0.0156
Gnomad OTH
AF:
0.00910
GnomAD2 exomes
AF:
0.00938
AC:
2331
AN:
248514
AF XY:
0.00909
show subpopulations
Gnomad AFR exome
AF:
0.00226
Gnomad AMR exome
AF:
0.00362
Gnomad ASJ exome
AF:
0.00271
Gnomad EAS exome
AF:
0.00
Gnomad FIN exome
AF:
0.0124
Gnomad NFE exome
AF:
0.0159
Gnomad OTH exome
AF:
0.00951
GnomAD4 exome
AF:
0.0138
AC:
20102
AN:
1461266
Hom.:
193
Cov.:
33
AF XY:
0.0134
AC XY:
9717
AN XY:
726918
show subpopulations
African (AFR)
AF:
0.00203
AC:
68
AN:
33480
American (AMR)
AF:
0.00349
AC:
156
AN:
44718
Ashkenazi Jewish (ASJ)
AF:
0.00233
AC:
61
AN:
26136
East Asian (EAS)
AF:
0.00
AC:
0
AN:
39700
South Asian (SAS)
AF:
0.00116
AC:
100
AN:
86258
European-Finnish (FIN)
AF:
0.0129
AC:
681
AN:
52814
Middle Eastern (MID)
AF:
0.00121
AC:
7
AN:
5768
European-Non Finnish (NFE)
AF:
0.0166
AC:
18431
AN:
1112000
Other (OTH)
AF:
0.00990
AC:
598
AN:
60392
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.478
Heterozygous variant carriers
0
1255
2511
3766
5022
6277
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
696
1392
2088
2784
3480
<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:
0.00945
AC:
1438
AN:
152240
Hom.:
9
Cov.:
33
AF XY:
0.00954
AC XY:
710
AN XY:
74442
show subpopulations
African (AFR)
AF:
0.00243
AC:
101
AN:
41546
American (AMR)
AF:
0.00654
AC:
100
AN:
15298
Ashkenazi Jewish (ASJ)
AF:
0.00144
AC:
5
AN:
3470
East Asian (EAS)
AF:
0.00
AC:
0
AN:
5168
South Asian (SAS)
AF:
0.00145
AC:
7
AN:
4828
European-Finnish (FIN)
AF:
0.0119
AC:
126
AN:
10620
Middle Eastern (MID)
AF:
0.00
AC:
0
AN:
294
European-Non Finnish (NFE)
AF:
0.0156
AC:
1064
AN:
67994
Other (OTH)
AF:
0.00900
AC:
19
AN:
2110
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.501
Heterozygous variant carriers
0
74
149
223
298
372
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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
Alfa
AF:
0.0109
Hom.:
20
Bravo
AF:
0.00906
TwinsUK
AF:
0.0165
AC:
61
ALSPAC
AF:
0.0138
AC:
53
ESP6500AA
AF:
0.00272
AC:
12
ESP6500EA
AF:
0.0153
AC:
132
ExAC
AF:
0.00926
AC:
1124
Asia WGS
AF:
0.00144
AC:
5
AN:
3478
EpiCase
AF:
0.0136
EpiControl
AF:
0.0127

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

- -

Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

May 13, 2024
GeneDx
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

See Variant Classification Assertion Criteria. -

Ectopia lentis 2, isolated, autosomal recessive Benign:2
Apr 11, 2023
Genome-Nilou Lab
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Jan 12, 2018
Illumina Laboratory Services, Illumina
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This 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. -

not specified Benign:1
-
PreventionGenetics, part of Exact Sciences
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Ectopia lentis et pupillae Benign:1
Apr 11, 2023
Genome-Nilou Lab
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
0.071
BayesDel_addAF
Benign
-0.62
T
BayesDel_noAF
Benign
-0.64
CADD
Benign
14
DANN
Benign
0.85
DEOGEN2
Benign
0.0018
T;.;T
Eigen
Benign
-0.76
Eigen_PC
Benign
-0.65
FATHMM_MKL
Benign
0.17
N
LIST_S2
Benign
0.46
.;T;T
MetaRNN
Benign
0.0057
T;T;T
MetaSVM
Benign
-1.0
T
MutationAssessor
Benign
0.88
L;.;L
PhyloP100
0.43
PrimateAI
Benign
0.27
T
PROVEAN
Benign
-0.75
N;N;N
REVEL
Benign
0.020
Sift
Benign
0.32
T;T;T
Sift4G
Benign
0.55
T;T;T
Polyphen
0.0010
B;.;B
Vest4
0.12
MVP
0.37
MPC
0.19
ClinPred
0.0049
T
GERP RS
-0.12
Varity_R
0.14
gMVP
0.25
Mutation Taster
=99/1
polymorphism

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.090
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: rs150225445; hg19: chr1-150531905; COSMIC: COSV106082832; COSMIC: COSV106082832; API