rs2304877

Variant summary

Our verdict is Benign. Variant got -19 ACMG points: 1P and 20B. PP2BP4_StrongBP6_Very_StrongBA1

The NM_000037.4(ANK1):​c.1856G>A​(p.Arg619His) variant causes a missense change involving the alteration of a non-conserved nucleotide. The variant allele was found at a frequency of 0.0498 in 1,614,060 control chromosomes in the GnomAD database, including 2,224 homozygotes. In-silico tool predicts a benign outcome for this variant. 14/20 in silico tools predict a benign outcome for this variant. Variant has been reported in ClinVar as Likely benign (★★).

Frequency

Genomes: 𝑓 0.047 ( 202 hom., cov: 32)
Exomes 𝑓: 0.050 ( 2022 hom. )

Consequence

ANK1
NM_000037.4 missense

Scores

3
15

Clinical Significance

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

Conservation

PhyloP100: 2.64
Variant links:
Genes affected
ANK1 (HGNC:492): (ankyrin 1) Ankyrins are a family of proteins that link the integral membrane proteins to the underlying spectrin-actin cytoskeleton and play key roles in activities such as cell motility, activation, proliferation, contact and the maintenance of specialized membrane domains. Multiple isoforms of ankyrin with different affinities for various target proteins are expressed in a tissue-specific, developmentally regulated manner. Most ankyrins are typically composed of three structural domains: an amino-terminal domain containing multiple ankyrin repeats; a central region with a highly conserved spectrin binding domain; and a carboxy-terminal regulatory domain which is the least conserved and subject to variation. Ankyrin 1, the prototype of this family, was first discovered in the erythrocytes, but since has also been found in brain and muscles. Mutations in erythrocytic ankyrin 1 have been associated in approximately half of all patients with hereditary spherocytosis. Complex patterns of alternative splicing in the regulatory domain, giving rise to different isoforms of ankyrin 1 have been described. Truncated muscle-specific isoforms of ankyrin 1 resulting from usage of an alternate promoter have also been identified. [provided by RefSeq, Dec 2008]

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Benign. Variant got -19 ACMG points.

PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), ANK1. . Gene score misZ 2.0781 (greater than the threshold 3.09). Trascript score misZ 3.8314 (greater than threshold 3.09). GenCC has associacion of gene with hereditary spherocytosis type 1, hereditary spherocytosis.
BP4
Computational evidence support a benign effect (MetaRNN=0.0045528114).
BP6
Variant 8-41708920-C-T is Benign according to our data. Variant chr8-41708920-C-T is described in ClinVar as [Likely_benign]. Clinvar id is 261296.Status of the report is criteria_provided_multiple_submitters_no_conflicts, 2 stars. Variant chr8-41708920-C-T is described in Lovd as [Benign].
BA1
GnomAd4 highest subpopulation (AFR) allele frequency at 95% confidence interval = 0.0528 is higher than 0.05.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE UniProt
ANK1NM_000037.4 linkuse as main transcriptc.1856G>A p.Arg619His missense_variant 17/43 ENST00000289734.13

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Appris UniProt
ANK1ENST00000289734.13 linkuse as main transcriptc.1856G>A p.Arg619His missense_variant 17/431 NM_000037.4 A2P16157-3

Frequencies

GnomAD3 genomes
AF:
0.0471
AC:
7166
AN:
152122
Hom.:
200
Cov.:
32
show subpopulations
Gnomad AFR
AF:
0.0546
Gnomad AMI
AF:
0.0603
Gnomad AMR
AF:
0.0410
Gnomad ASJ
AF:
0.0268
Gnomad EAS
AF:
0.0367
Gnomad SAS
AF:
0.0112
Gnomad FIN
AF:
0.0408
Gnomad MID
AF:
0.0285
Gnomad NFE
AF:
0.0495
Gnomad OTH
AF:
0.0368
GnomAD3 exomes
AF:
0.0444
AC:
11169
AN:
251420
Hom.:
300
AF XY:
0.0409
AC XY:
5552
AN XY:
135910
show subpopulations
Gnomad AFR exome
AF:
0.0534
Gnomad AMR exome
AF:
0.0693
Gnomad ASJ exome
AF:
0.0257
Gnomad EAS exome
AF:
0.0374
Gnomad SAS exome
AF:
0.0142
Gnomad FIN exome
AF:
0.0414
Gnomad NFE exome
AF:
0.0474
Gnomad OTH exome
AF:
0.0394
GnomAD4 exome
AF:
0.0501
AC:
73275
AN:
1461820
Hom.:
2022
Cov.:
32
AF XY:
0.0483
AC XY:
35118
AN XY:
727222
show subpopulations
Gnomad4 AFR exome
AF:
0.0596
Gnomad4 AMR exome
AF:
0.0669
Gnomad4 ASJ exome
AF:
0.0262
Gnomad4 EAS exome
AF:
0.0473
Gnomad4 SAS exome
AF:
0.0151
Gnomad4 FIN exome
AF:
0.0395
Gnomad4 NFE exome
AF:
0.0536
Gnomad4 OTH exome
AF:
0.0433
GnomAD4 genome
AF:
0.0472
AC:
7183
AN:
152240
Hom.:
202
Cov.:
32
AF XY:
0.0454
AC XY:
3379
AN XY:
74448
show subpopulations
Gnomad4 AFR
AF:
0.0547
Gnomad4 AMR
AF:
0.0410
Gnomad4 ASJ
AF:
0.0268
Gnomad4 EAS
AF:
0.0369
Gnomad4 SAS
AF:
0.0112
Gnomad4 FIN
AF:
0.0408
Gnomad4 NFE
AF:
0.0495
Gnomad4 OTH
AF:
0.0398
Alfa
AF:
0.0479
Hom.:
209
Bravo
AF:
0.0484
TwinsUK
AF:
0.0542
AC:
201
ALSPAC
AF:
0.0532
AC:
205
ESP6500AA
AF:
0.0547
AC:
241
ESP6500EA
AF:
0.0488
AC:
420
ExAC
AF:
0.0435
AC:
5283
Asia WGS
AF:
0.0310
AC:
109
AN:
3478
EpiCase
AF:
0.0417
EpiControl
AF:
0.0469

ClinVar

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

Submissions by phenotype

Hereditary spherocytosis type 1 Benign:3
Benign, criteria provided, single submitterclinical testingARUP Laboratories, Molecular Genetics and Genomics, ARUP LaboratoriesNov 28, 2023- -
Benign, criteria provided, single submitterclinical testingGenome-Nilou LabDec 05, 2021- -
Benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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. -
not provided Benign:2
Benign, criteria provided, single submitterclinical testingGeneDxNov 10, 2018This variant is associated with the following publications: (PMID: 10745622) -
Benign, criteria provided, single submitterclinical testingInvitaeJan 29, 2024- -
not specified Benign:1
Likely benign, criteria provided, single submitterclinical testingPreventionGenetics, part of Exact Sciences-- -
Spherocytosis Benign:1
Likely benign, criteria provided, single submitterclinical testingIllumina Laboratory Services, IlluminaJan 12, 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 likely benign is not then subjected to further curation. The score for this variant resulted in a classification of likely benign for this disease. -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Benign
0.066
BayesDel_addAF
Benign
-0.47
T
BayesDel_noAF
Benign
-0.40
CADD
Benign
22
DANN
Uncertain
1.0
DEOGEN2
Benign
0.29
T;.;.
Eigen
Benign
-0.097
Eigen_PC
Benign
-0.012
FATHMM_MKL
Uncertain
0.81
D
LIST_S2
Uncertain
0.90
D;D;D
MetaRNN
Benign
0.0046
T;T;T
MetaSVM
Benign
-0.88
T
MutationAssessor
Benign
1.2
L;L;.
MutationTaster
Benign
0.98
D;D;D;D;D;D;D
PrimateAI
Benign
0.32
T
PROVEAN
Benign
-1.6
N;N;N
REVEL
Benign
0.12
Sift
Benign
0.099
T;T;T
Sift4G
Benign
0.11
T;T;T
Polyphen
0.020
B;B;B
Vest4
0.13
MPC
0.37
ClinPred
0.0078
T
GERP RS
3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.12
gMVP
0.27

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: rs2304877; hg19: chr8-41566438; COSMIC: COSV55882618; COSMIC: COSV55882618; API