rs200009243

Variant summary

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

The NM_000052.7(ATP7A):​c.4226+11T>C variant causes a intron change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.00682 in 1,163,917 control chromosomes in the GnomAD database, including 68 homozygotes. There are 3,335 hemizygotes in GnomAD. In-silico tool predicts a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.0047 ( 2 hom., 175 hem., cov: 23)
Exomes 𝑓: 0.0070 ( 66 hom. 3160 hem. )

Consequence

ATP7A
NM_000052.7 intron

Scores

2

Clinical Significance

Benign/Likely benign criteria provided, multiple submitters, no conflicts B:10

Conservation

PhyloP100: 0.699

Publications

0 publications found
Variant links:
Genes affected
ATP7A (HGNC:869): (ATPase copper transporting alpha) This gene encodes a transmembrane protein that functions in copper transport across membranes. This protein is localized to the trans Golgi network, where it is predicted to supply copper to copper-dependent enzymes in the secretory pathway. It relocalizes to the plasma membrane under conditions of elevated extracellular copper, and functions in the efflux of copper from cells. Mutations in this gene are associated with Menkes disease, X-linked distal spinal muscular atrophy, and occipital horn syndrome. Alternatively-spliced transcript variants have been observed. [provided by RefSeq, Aug 2013]
PGK1 (HGNC:8896): (phosphoglycerate kinase 1) The protein encoded by this gene is a glycolytic enzyme that catalyzes the conversion of 1,3-diphosphoglycerate to 3-phosphoglycerate. The encoded protein may also act as a cofactor for polymerase alpha. Additionally, this protein is secreted by tumor cells where it participates in angiogenesis by functioning to reduce disulfide bonds in the serine protease, plasmin, which consequently leads to the release of the tumor blood vessel inhibitor angiostatin. The encoded protein has been identified as a moonlighting protein based on its ability to perform mechanistically distinct functions. Deficiency of the enzyme is associated with a wide range of clinical phenotypes hemolytic anemia and neurological impairment. Pseudogenes of this gene have been defined on chromosomes 19, 21 and the X chromosome. [provided by RefSeq, Jan 2014]
PGK1 Gene-Disease associations (from GenCC):
  • glycogen storage disease due to phosphoglycerate kinase 1 deficiency
    Inheritance: XL Classification: DEFINITIVE, STRONG, SUPPORTIVE Submitted by: Labcorp Genetics (formerly Invitae), Orphanet, G2P, Genomics England PanelApp

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 (BayesDel_noAF=-0.81).
BP6
Variant X-78045583-T-C is Benign according to our data. Variant chrX-78045583-T-C is described in ClinVar as Benign/Likely_benign. ClinVar VariationId is 210475.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars.
BS1
Variant frequency is greater than expected in population sas. GnomAd4 allele frequency = 0.00469 (528/112529) while in subpopulation SAS AF = 0.0365 (99/2714). AF 95% confidence interval is 0.0307. There are 2 homozygotes in GnomAd4. There are 175 alleles in the male GnomAd4 subpopulation. Median coverage is 23. This position passed quality control check.
BS2
High AC in GnomAd4 at 528 XL,AD gene.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect Exon rank MANE Protein UniProt
ATP7ANM_000052.7 linkc.4226+11T>C intron_variant Intron 22 of 22 ENST00000341514.11 NP_000043.4 Q04656-1B4DRW0Q762B6
ATP7ANM_001282224.2 linkc.3992+11T>C intron_variant Intron 21 of 21 NP_001269153.1 Q04656-5B4DRW0Q762B6
ATP7ANR_104109.2 linkn.1399+11T>C intron_variant Intron 9 of 9

Ensembl

Gene Transcript HGVSc HGVSp Effect Exon rank TSL MANE Protein Appris UniProt
ATP7AENST00000341514.11 linkc.4226+11T>C intron_variant Intron 22 of 22 1 NM_000052.7 ENSP00000345728.6 Q04656-1

Frequencies

GnomAD3 genomes
AF:
0.00470
AC:
529
AN:
112477
Hom.:
2
Cov.:
23
show subpopulations
Gnomad AFR
AF:
0.000968
Gnomad AMI
AF:
0.00
Gnomad AMR
AF:
0.00113
Gnomad ASJ
AF:
0.0426
Gnomad EAS
AF:
0.000276
Gnomad SAS
AF:
0.0364
Gnomad FIN
AF:
0.000326
Gnomad MID
AF:
0.0335
Gnomad NFE
AF:
0.00484
Gnomad OTH
AF:
0.00393
GnomAD2 exomes
AF:
0.00992
AC:
1808
AN:
182270
AF XY:
0.0140
show subpopulations
Gnomad AFR exome
AF:
0.000760
Gnomad AMR exome
AF:
0.00215
Gnomad ASJ exome
AF:
0.0423
Gnomad EAS exome
AF:
0.0000722
Gnomad FIN exome
AF:
0.000258
Gnomad NFE exome
AF:
0.00507
Gnomad OTH exome
AF:
0.00864
GnomAD4 exome
AF:
0.00704
AC:
7405
AN:
1051388
Hom.:
66
Cov.:
25
AF XY:
0.00972
AC XY:
3160
AN XY:
325246
show subpopulations
African (AFR)
AF:
0.000549
AC:
14
AN:
25499
American (AMR)
AF:
0.00213
AC:
75
AN:
35157
Ashkenazi Jewish (ASJ)
AF:
0.0429
AC:
820
AN:
19117
East Asian (EAS)
AF:
0.000100
AC:
3
AN:
29998
South Asian (SAS)
AF:
0.0476
AC:
2530
AN:
53122
European-Finnish (FIN)
AF:
0.000474
AC:
19
AN:
40045
Middle Eastern (MID)
AF:
0.0273
AC:
110
AN:
4024
European-Non Finnish (NFE)
AF:
0.00426
AC:
3407
AN:
799891
Other (OTH)
AF:
0.00959
AC:
427
AN:
44535
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.495
Heterozygous variant carriers
0
215
429
644
858
1073
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Exome Het
Exome Hom
Variant carriers
0
158
316
474
632
790
<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:
0.00469
AC:
528
AN:
112529
Hom.:
2
Cov.:
23
AF XY:
0.00504
AC XY:
175
AN XY:
34691
show subpopulations
African (AFR)
AF:
0.000966
AC:
30
AN:
31051
American (AMR)
AF:
0.00113
AC:
12
AN:
10627
Ashkenazi Jewish (ASJ)
AF:
0.0426
AC:
113
AN:
2655
East Asian (EAS)
AF:
0.000277
AC:
1
AN:
3613
South Asian (SAS)
AF:
0.0365
AC:
99
AN:
2714
European-Finnish (FIN)
AF:
0.000326
AC:
2
AN:
6126
Middle Eastern (MID)
AF:
0.0321
AC:
7
AN:
218
European-Non Finnish (NFE)
AF:
0.00484
AC:
258
AN:
53293
Other (OTH)
AF:
0.00388
AC:
6
AN:
1546
Allele Balance Distribution
Red line indicates average allele balance
Average allele balance: 0.494
Heterozygous variant carriers
0
17
35
52
70
87
0.00
0.20
0.40
0.60
0.80
0.95
Allele balance

Age Distribution

Genome Het
Genome Hom
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:
0.0106
Hom.:
86
Bravo
AF:
0.00404

ClinVar

Significance: Benign/Likely benign
Submissions summary: Benign:10
Revision: criteria provided, multiple submitters, no conflicts
LINK: link

Submissions by phenotype

not specified Benign:6
Nov 12, 2015
GeneDx
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This variant is considered likely benign or benign based on one or more of the following criteria: it is a conservative change, it occurs at a poorly conserved position in the protein, it is predicted to be benign by multiple in silico algorithms, and/or has population frequency not consistent with disease. -

-
PreventionGenetics, part of Exact Sciences
Significance:Likely benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 06, 2017
Eurofins Ntd Llc (ga)
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Feb 08, 2013
Genetic Services Laboratory, University of Chicago
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

-
Clinical Genetics DNA and cytogenetics Diagnostics Lab, Erasmus MC, Erasmus Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

-
Clinical Genetics, Academic Medical Center
Significance:Benign
Review Status:no assertion criteria provided
Collection Method:clinical testing

- -

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

- -

Jun 18, 2024
ARUP Laboratories, Molecular Genetics and Genomics, ARUP Laboratories
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Inborn genetic diseases Benign:1
Aug 18, 2015
Ambry Genetics
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

This alteration is classified as 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. -

Menkes kinky-hair syndrome;C0268353:Cutis laxa, X-linked;C1845359:X-linked distal spinal muscular atrophy type 3 Benign:1
Feb 03, 2025
Labcorp Genetics (formerly Invitae), Labcorp
Significance:Benign
Review Status:criteria provided, single submitter
Collection Method:clinical testing

- -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
BayesDel_noAF
Benign
-0.81
CADD
Benign
11
DANN
Benign
0.71
PhyloP100
0.70
Mutation Taster
=100/0
polymorphism (auto)

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: rs200009243; hg19: chrX-77301080; API